Excessive daytime sleepiness and falls among older men and women: cross-sectional examination of a population-based sample.
Identifieur interne : 001D79 ( Main/Exploration ); précédent : 001D78; suivant : 001D80Excessive daytime sleepiness and falls among older men and women: cross-sectional examination of a population-based sample.
Auteurs : Amie C. Hayley [Australie] ; Lana J. Williams [Australie] ; Gerard A. Kennedy [Australie] ; Kara L. Holloway [Australie] ; Michael Berk [Australie] ; Sharon L. Brennan-Olsen [Australie] ; Julie A. Pasco [Australie]Source :
- BMC geriatrics [ 1471-2318 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Anthropométrie (méthodes), Australie (épidémiologie), Autorapport (MeSH), Chutes accidentelles (prévention et contrôle), Chutes accidentelles (statistiques et données numériques), Disparités de l'état de santé (MeSH), Facteurs de risque (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Incidence (MeSH), Mode de vie (MeSH), Mâle (MeSH), Psychométrie (méthodes), Statistiques comme sujet (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Troubles du sommeil par somnolence excessive (complications), Troubles du sommeil par somnolence excessive (diagnostic), Troubles du sommeil par somnolence excessive (psychologie), Troubles du sommeil par somnolence excessive (épidémiologie), Études transversales (MeSH), Évaluation gériatrique (méthodes).
- MESH :
- diagnostic : Troubles du sommeil par somnolence excessive.
- méthodes : Anthropométrie, Psychométrie, Évaluation gériatrique.
- prévention et contrôle : Chutes accidentelles.
- psychologie : Troubles du sommeil par somnolence excessive.
- statistiques et données numériques : Chutes accidentelles.
- épidémiologie : Australie, Troubles du sommeil par somnolence excessive.
- complications : Adulte d'âge moyen, Autorapport, Disparités de l'état de santé, Facteurs de risque, Facteurs âges, Femelle, Humains, Incidence, Mode de vie, Mâle, Statistiques comme sujet, Sujet âgé, Sujet âgé de 80 ans ou plus, Troubles du sommeil par somnolence excessive, Études transversales.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Accidental Falls (statistics & numerical data), Age Factors (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Anthropometry (methods), Australia (epidemiology), Cross-Sectional Studies (MeSH), Disorders of Excessive Somnolence (complications), Disorders of Excessive Somnolence (diagnosis), Disorders of Excessive Somnolence (epidemiology), Disorders of Excessive Somnolence (psychology), Female (MeSH), Geriatric Assessment (methods), Health Status Disparities (MeSH), Humans (MeSH), Incidence (MeSH), Life Style (MeSH), Male (MeSH), Middle Aged (MeSH), Psychometrics (methods), Risk Factors (MeSH), Self Report (MeSH), Statistics as Topic (MeSH).
- MESH :
- complications : Disorders of Excessive Somnolence.
- diagnosis : Disorders of Excessive Somnolence.
- epidemiology : Australia, Disorders of Excessive Somnolence.
- methods : Anthropometry, Geriatric Assessment, Psychometrics.
- prevention & control : Accidental Falls.
- psychology : Disorders of Excessive Somnolence.
- statistics & numerical data : Accidental Falls.
- Age Factors, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Health Status Disparities, Humans, Incidence, Life Style, Male, Middle Aged, Risk Factors, Self Report, Statistics as Topic.
Abstract
BACKGROUND
Excessive daytime sleepiness (EDS) has been associated with an increased risk for falls among clinical samples of older adults. However, there is little detailed information among population-representative samples. The current study aimed to assess the relationship between EDS and falls among a cohort of population-based older adults.
METHODS
This study assessed 367 women aged 60-93 years (median 72, interquartile range 65-79) and 451 men aged 60-92 years (median 73, interquartile range 66-80) who participated in the Geelong Osteoporosis Study between the years 2001 and 2008. Falls during the prior year were documented via self-report, and for men, falls risk score was obtained using an Elderly Fall Screening Test (EFST). Sleepiness was assessed using the Epworth Sleepiness Scale (ESS), and scores of ≥ 10 indicated EDS. Differences among those with and without EDS in regard to falls were tested using logistic regression models.
RESULTS
Among women, 50 (13.6%) individuals reported EDS. Women with EDS were more likely to report a fall, and were more likely to report the fall occurring outside. EDS was similarly associated with an increased risk of a fall following adjustment for use of a walking aid, cases of nocturia and antidepressant medication use (adjusted OR = 2.54, 95% CI 1.24-5.21). Multivariate modelling revealed antidepressant use (current) as an effect modifier (p < .001 for the interaction term). After stratifying the data by antidepressant medication use, the association between EDS and falls was sustained following adjustment for nocturia among antidepressant non-users (adjusted OR = 2.63, 95% CI 1.31-5.30). Among men, 72 (16.0%) individuals reported EDS. No differences were detected for men with and without EDS in regard to reported falls, and a trend towards significance was noted between EDS and a high falls risk as assessed by the EFST (p = 0.06), however, age explained this relationship (age adjusted OR = 2.20, 95% CI 1.03-1.10).
CONCLUSIONS
For women, EDS is independently associated with at least one fall during the previous year, and this is more likely to occur whilst located outside. Amelioration of EDS may assist in improving functional outcomes among these individuals by reducing the risk for falls.
DOI: 10.1186/s12877-015-0068-2
PubMed: 26141865
PubMed Central: PMC4491238
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Hayley</name><affiliation wicri:level="1"><nlm:affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. achayley@deakin.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong</wicri:regionArea><wicri:noRegion>Geelong</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Centre for Human Psychopharmacology, Swinburne University of Technology, Hawthorn, Australia. achayley@deakin.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Human Psychopharmacology, Swinburne University of Technology, Hawthorn</wicri:regionArea><wicri:noRegion>Hawthorn</wicri:noRegion></affiliation></author><author><name sortKey="Williams, Lana J" sort="Williams, Lana J" uniqKey="Williams L" first="Lana J" last="Williams">Lana J. Williams</name><affiliation wicri:level="1"><nlm:affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. lanaw@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong</wicri:regionArea><wicri:noRegion>Geelong</wicri:noRegion></affiliation></author><author><name sortKey="Kennedy, Gerard A" sort="Kennedy, Gerard A" uniqKey="Kennedy G" first="Gerard A" last="Kennedy">Gerard A. Kennedy</name><affiliation wicri:level="1"><nlm:affiliation>School of Psychology, Counselling & Psychotherapy, Cairnmillar Institute, 993 Burke Road, Camberwell, Australia. gerard.kennedy@cairnmillar.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, Counselling & Psychotherapy, Cairnmillar Institute, 993 Burke Road, Camberwell</wicri:regionArea><wicri:noRegion>Camberwell</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Institute for Breathing and Sleep, Bowen Centre, Austin Health, PO Box 5555, Heidelberg, Melbourne, Australia. gerard.kennedy@cairnmillar.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Institute for Breathing and Sleep, Bowen Centre, Austin Health, PO Box 5555, Heidelberg, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Holloway, Kara L" sort="Holloway, Kara L" uniqKey="Holloway K" first="Kara L" last="Holloway">Kara L. Holloway</name><affiliation wicri:level="1"><nlm:affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. khollo@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong</wicri:regionArea><wicri:noRegion>Geelong</wicri:noRegion></affiliation></author><author><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name><affiliation wicri:level="1"><nlm:affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. mikeb@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong</wicri:regionArea><wicri:noRegion>Geelong</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Psychiatry, The University of Melbourne, Level 1 North, Main Block, Royal Melbourne Hospital, Parkville, Australia. mikeb@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Psychiatry, The University of Melbourne, Level 1 North, Main Block, Royal Melbourne Hospital, Parkville</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Orygen, the National Centre of Excellence for Youth Mental Health, 35 Poplar Rd, Parkville, Melbourne, Australia. mikeb@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Orygen, the National Centre of Excellence for Youth Mental Health, 35 Poplar Rd, Parkville, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Florey Institute for Neuroscience and Mental Health, 30 Royal Parade, Parkville, Melbourne, Australia. mikeb@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Florey Institute for Neuroscience and Mental Health, 30 Royal Parade, Parkville, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Brennan Olsen, Sharon L" sort="Brennan Olsen, Sharon L" uniqKey="Brennan Olsen S" first="Sharon L" last="Brennan-Olsen">Sharon L. Brennan-Olsen</name><affiliation wicri:level="1"><nlm:affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. sharob@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong</wicri:regionArea><wicri:noRegion>Geelong</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>NorthWest Academic Centre, Department of Medicine, The University of Melbourne, CHRE Building, Level 3 East, Sunshine Hospital, 176 Furlong Road, St Albans, Melbourne, Australia. sharob@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>NorthWest Academic Centre, Department of Medicine, The University of Melbourne, CHRE Building, Level 3 East, Sunshine Hospital, 176 Furlong Road, St Albans, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Pasco, Julie A" sort="Pasco, Julie A" uniqKey="Pasco J" first="Julie A" last="Pasco">Julie A. Pasco</name><affiliation wicri:level="1"><nlm:affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. juliep@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong</wicri:regionArea><wicri:noRegion>Geelong</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>NorthWest Academic Centre, Department of Medicine, The University of Melbourne, CHRE Building, Level 3 East, Sunshine Hospital, 176 Furlong Road, St Albans, Melbourne, Australia. juliep@barwonhealth.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>NorthWest Academic Centre, Department of Medicine, The University of Melbourne, CHRE Building, Level 3 East, Sunshine Hospital, 176 Furlong Road, St Albans, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author></analytic><series><title level="j">BMC geriatrics</title><idno type="eISSN">1471-2318</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Accidental Falls (statistics & numerical data)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Anthropometry (methods)</term><term>Australia (epidemiology)</term><term>Cross-Sectional Studies (MeSH)</term><term>Disorders of Excessive Somnolence (complications)</term><term>Disorders of Excessive Somnolence (diagnosis)</term><term>Disorders of Excessive Somnolence (epidemiology)</term><term>Disorders of Excessive Somnolence (psychology)</term><term>Female (MeSH)</term><term>Geriatric Assessment (methods)</term><term>Health Status Disparities (MeSH)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Life Style (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Psychometrics (methods)</term><term>Risk Factors (MeSH)</term><term>Self Report (MeSH)</term><term>Statistics as Topic (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Anthropométrie (méthodes)</term><term>Australie (épidémiologie)</term><term>Autorapport (MeSH)</term><term>Chutes accidentelles (prévention et contrôle)</term><term>Chutes accidentelles (statistiques et données numériques)</term><term>Disparités de l'état de santé (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Mode de vie (MeSH)</term><term>Mâle (MeSH)</term><term>Psychométrie (méthodes)</term><term>Statistiques comme sujet (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Troubles du sommeil par somnolence excessive (complications)</term><term>Troubles du sommeil par somnolence excessive (diagnostic)</term><term>Troubles du sommeil par somnolence excessive (psychologie)</term><term>Troubles du sommeil par somnolence excessive (épidémiologie)</term><term>Études transversales (MeSH)</term><term>Évaluation gériatrique (méthodes)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Disorders of Excessive Somnolence</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Disorders of Excessive Somnolence</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles du sommeil par somnolence excessive</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Australia</term><term>Disorders of Excessive Somnolence</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anthropometry</term><term>Geriatric Assessment</term><term>Psychometrics</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Anthropométrie</term><term>Psychométrie</term><term>Évaluation gériatrique</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Chutes accidentelles</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Troubles du sommeil par somnolence excessive</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Disorders of Excessive Somnolence</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Chutes accidentelles</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Australie</term><term>Troubles du sommeil par somnolence excessive</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Status Disparities</term><term>Humans</term><term>Incidence</term><term>Life Style</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Self Report</term><term>Statistics as Topic</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Autorapport</term><term>Disparités de l'état de santé</term><term>Facteurs de risque</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Mode de vie</term><term>Mâle</term><term>Statistiques comme sujet</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Troubles du sommeil par somnolence excessive</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Excessive daytime sleepiness (EDS) has been associated with an increased risk for falls among clinical samples of older adults. However, there is little detailed information among population-representative samples. The current study aimed to assess the relationship between EDS and falls among a cohort of population-based older adults.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This study assessed 367 women aged 60-93 years (median 72, interquartile range 65-79) and 451 men aged 60-92 years (median 73, interquartile range 66-80) who participated in the Geelong Osteoporosis Study between the years 2001 and 2008. Falls during the prior year were documented via self-report, and for men, falls risk score was obtained using an Elderly Fall Screening Test (EFST). Sleepiness was assessed using the Epworth Sleepiness Scale (ESS), and scores of ≥ 10 indicated EDS. Differences among those with and without EDS in regard to falls were tested using logistic regression models.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Among women, 50 (13.6%) individuals reported EDS. Women with EDS were more likely to report a fall, and were more likely to report the fall occurring outside. EDS was similarly associated with an increased risk of a fall following adjustment for use of a walking aid, cases of nocturia and antidepressant medication use (adjusted OR = 2.54, 95% CI 1.24-5.21). Multivariate modelling revealed antidepressant use (current) as an effect modifier (p < .001 for the interaction term). After stratifying the data by antidepressant medication use, the association between EDS and falls was sustained following adjustment for nocturia among antidepressant non-users (adjusted OR = 2.63, 95% CI 1.31-5.30). Among men, 72 (16.0%) individuals reported EDS. No differences were detected for men with and without EDS in regard to reported falls, and a trend towards significance was noted between EDS and a high falls risk as assessed by the EFST (p = 0.06), however, age explained this relationship (age adjusted OR = 2.20, 95% CI 1.03-1.10).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>For women, EDS is independently associated with at least one fall during the previous year, and this is more likely to occur whilst located outside. Amelioration of EDS may assist in improving functional outcomes among these individuals by reducing the risk for falls.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">26141865</PMID><DateCompleted><Year>2016</Year><Month>01</Month><Day>25</Day></DateCompleted><DateRevised><Year>2019</Year><Month>03</Month><Day>18</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2318</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><PubDate><Year>2015</Year><Month>Jul</Month><Day>05</Day></PubDate></JournalIssue><Title>BMC geriatrics</Title><ISOAbbreviation>BMC Geriatr</ISOAbbreviation></Journal><ArticleTitle>Excessive daytime sleepiness and falls among older men and women: cross-sectional examination of a population-based sample.</ArticleTitle><Pagination><MedlinePgn>74</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12877-015-0068-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Excessive daytime sleepiness (EDS) has been associated with an increased risk for falls among clinical samples of older adults. However, there is little detailed information among population-representative samples. The current study aimed to assess the relationship between EDS and falls among a cohort of population-based older adults.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This study assessed 367 women aged 60-93 years (median 72, interquartile range 65-79) and 451 men aged 60-92 years (median 73, interquartile range 66-80) who participated in the Geelong Osteoporosis Study between the years 2001 and 2008. Falls during the prior year were documented via self-report, and for men, falls risk score was obtained using an Elderly Fall Screening Test (EFST). Sleepiness was assessed using the Epworth Sleepiness Scale (ESS), and scores of ≥ 10 indicated EDS. Differences among those with and without EDS in regard to falls were tested using logistic regression models.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Among women, 50 (13.6%) individuals reported EDS. Women with EDS were more likely to report a fall, and were more likely to report the fall occurring outside. EDS was similarly associated with an increased risk of a fall following adjustment for use of a walking aid, cases of nocturia and antidepressant medication use (adjusted OR = 2.54, 95% CI 1.24-5.21). Multivariate modelling revealed antidepressant use (current) as an effect modifier (p < .001 for the interaction term). After stratifying the data by antidepressant medication use, the association between EDS and falls was sustained following adjustment for nocturia among antidepressant non-users (adjusted OR = 2.63, 95% CI 1.31-5.30). Among men, 72 (16.0%) individuals reported EDS. No differences were detected for men with and without EDS in regard to reported falls, and a trend towards significance was noted between EDS and a high falls risk as assessed by the EFST (p = 0.06), however, age explained this relationship (age adjusted OR = 2.20, 95% CI 1.03-1.10).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">For women, EDS is independently associated with at least one fall during the previous year, and this is more likely to occur whilst located outside. Amelioration of EDS may assist in improving functional outcomes among these individuals by reducing the risk for falls.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hayley</LastName><ForeName>Amie C</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. achayley@deakin.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Human Psychopharmacology, Swinburne University of Technology, Hawthorn, Australia. achayley@deakin.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Williams</LastName><ForeName>Lana J</ForeName><Initials>LJ</Initials><AffiliationInfo><Affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. lanaw@barwonhealth.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kennedy</LastName><ForeName>Gerard A</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>School of Psychology, Counselling & Psychotherapy, Cairnmillar Institute, 993 Burke Road, Camberwell, Australia. gerard.kennedy@cairnmillar.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute for Breathing and Sleep, Bowen Centre, Austin Health, PO Box 5555, Heidelberg, Melbourne, Australia. gerard.kennedy@cairnmillar.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holloway</LastName><ForeName>Kara L</ForeName><Initials>KL</Initials><AffiliationInfo><Affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. khollo@barwonhealth.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Berk</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. mikeb@barwonhealth.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychiatry, The University of Melbourne, Level 1 North, Main Block, Royal Melbourne Hospital, Parkville, Australia. mikeb@barwonhealth.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Orygen, the National Centre of Excellence for Youth Mental Health, 35 Poplar Rd, Parkville, Melbourne, Australia. mikeb@barwonhealth.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Florey Institute for Neuroscience and Mental Health, 30 Royal Parade, Parkville, Melbourne, Australia. mikeb@barwonhealth.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brennan-Olsen</LastName><ForeName>Sharon L</ForeName><Initials>SL</Initials><AffiliationInfo><Affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. sharob@barwonhealth.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>NorthWest Academic Centre, Department of Medicine, The University of Melbourne, CHRE Building, Level 3 East, Sunshine Hospital, 176 Furlong Road, St Albans, Melbourne, Australia. sharob@barwonhealth.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pasco</LastName><ForeName>Julie A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>IMPACT SRC, School of Medicine, Deakin University, Barwon Health, PO Box 281, Geelong, Australia. juliep@barwonhealth.org.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>NorthWest Academic Centre, Department of Medicine, The University of Melbourne, CHRE Building, Level 3 East, Sunshine Hospital, 176 Furlong Road, St Albans, Melbourne, Australia. juliep@barwonhealth.org.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>07</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Geriatr</MedlineTA><NlmUniqueID>100968548</NlmUniqueID><ISSNLinking>1471-2318</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="Y">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000886" MajorTopicYN="N">Anthropometry</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N">Australia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006970" MajorTopicYN="Y">Disorders of Excessive Somnolence</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015577" MajorTopicYN="N">Geriatric Assessment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D054624" MajorTopicYN="N">Health Status Disparities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008019" MajorTopicYN="Y">Life Style</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName><QualifierName UI="Q000379" 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Hayley</name></noRegion><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name><name sortKey="Berk, Michael" sort="Berk, Michael" uniqKey="Berk M" first="Michael" last="Berk">Michael Berk</name><name sortKey="Brennan Olsen, Sharon L" sort="Brennan Olsen, Sharon L" uniqKey="Brennan Olsen S" first="Sharon L" last="Brennan-Olsen">Sharon L. Brennan-Olsen</name><name sortKey="Brennan Olsen, Sharon L" sort="Brennan Olsen, Sharon L" uniqKey="Brennan Olsen S" first="Sharon L" last="Brennan-Olsen">Sharon L. Brennan-Olsen</name><name sortKey="Hayley, Amie C" sort="Hayley, Amie C" uniqKey="Hayley A" first="Amie C" last="Hayley">Amie C. Hayley</name><name sortKey="Holloway, Kara L" sort="Holloway, Kara L" uniqKey="Holloway K" first="Kara L" last="Holloway">Kara L. Holloway</name><name sortKey="Kennedy, Gerard A" sort="Kennedy, Gerard A" uniqKey="Kennedy G" first="Gerard A" last="Kennedy">Gerard A. Kennedy</name><name sortKey="Kennedy, Gerard A" sort="Kennedy, Gerard A" uniqKey="Kennedy G" first="Gerard A" last="Kennedy">Gerard A. Kennedy</name><name sortKey="Pasco, Julie A" sort="Pasco, Julie A" uniqKey="Pasco J" first="Julie A" last="Pasco">Julie A. Pasco</name><name sortKey="Pasco, Julie A" sort="Pasco, Julie A" uniqKey="Pasco J" first="Julie A" last="Pasco">Julie A. Pasco</name><name sortKey="Williams, Lana J" sort="Williams, Lana J" uniqKey="Williams L" first="Lana J" last="Williams">Lana J. Williams</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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