AutomedicationFrancoV1, Main, Exploration, bibRecord, 000D87

Strategies to reduce the risk of falling: Cohort study analysis with 1-year follow-up in community dwelling older adults.

Identifieur interne : 000D87 ( Main/Exploration ); précédent : 000D86; suivant : 000D88

Strategies to reduce the risk of falling: Cohort study analysis with 1-year follow-up in community dwelling older adults.

Auteurs : John N. Morris [États-Unis] ; Elizabeth P. Howard [États-Unis] ; Knight Steel [États-Unis] ; Katherine Berg [Canada] ; Achille Tchalla [France] ; Amy Munankarmi [États-Unis] ; Daniel David [États-Unis]

Source :

BMC geriatrics [ 1471-2318 ] ; 2016.

RBID : pubmed:27129303

Descripteurs français

KwdFr :
- Autorapport (MeSH), Chutes accidentelles (prévention et contrôle), Comportement de réduction des risques (MeSH), Exercice physique (physiologie), Exercice physique (psychologie), Facteurs de risque (MeSH), Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vie autonome (psychologie), Vie autonome (tendances), États-Unis (épidémiologie), Études de cohortes (MeSH), Études de suivi (MeSH).
MESH :
- physiologie : Exercice physique.
- prévention et contrôle : Chutes accidentelles.
- psychologie : Exercice physique, Vie autonome.
- tendances : Vie autonome.
- épidémiologie : États-Unis.
- Autorapport, Comportement de réduction des risques, Facteurs de risque, Facteurs temps, Femelle, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes, Études de suivi.

English descriptors

KwdEn :
- Accidental Falls (prevention & control), Aged (MeSH), Aged, 80 and over (MeSH), Cohort Studies (MeSH), Exercise (physiology), Exercise (psychology), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Independent Living (psychology), Independent Living (trends), Male (MeSH), Risk Factors (MeSH), Risk Reduction Behavior (MeSH), Self Report (MeSH), Time Factors (MeSH), United States (epidemiology).
MESH :
- epidemiology : United States.
- physiology : Exercise.
- prevention & control : Accidental Falls.
- psychology : Exercise, Independent Living.
- trends : Independent Living.
- Aged, Aged, 80 and over, Cohort Studies, Female, Follow-Up Studies, Humans, Male, Risk Factors, Risk Reduction Behavior, Self Report, Time Factors.

Abstract

BACKGROUND

According to the CDC, falls rank among the leading causes of accidental death in the United States, resulting in significant health care costs annually. In this paper we present information about everyday lifestyle decisions of the older adult that may help reduce the risk of falling. We pursued two lines of inquiry: first, we identify and then test known mutable fall risk factors and ask how the resolution of such problems correlates with changes in fall rates. Second, we identify a series of everyday lifestyle options that persons may follow and then ask, does such engagement (e.g., engagement in exercise programs) lessen the older adult's risk of falling and if it does, will the relationship hold as the count of risk factors increases?

METHODS

Using a secondary analysis of lifestyle choices and risk changes that may explain fall rates over one year, we drew on a data set of 13,623 community residing elders in independent housing sites from 24 US states. All older adults were assessed at baseline, and a subset assessed one year later (n = 4,563) using two interRAI tools: the interRAI Community Health Assessment and interRAI Wellness Assessment.

RESULTS

For the vast majority of risk measures, problem resolution is followed by lower rate of falls. This is true for physical measures such as doing housework, meal preparation, unsteady gait, transferring, and dressing the lower body. Similarly, this pattern is observed for clinical measures such as depression, memory, vision, dizziness, and fatigue. Among the older adults who had a falls risk at the baseline assessment, about 20 % improve, that is, they had a decreased falls rate when the problem risk improved. This outcome suggests that improvement of physical or clinical states potentially may result in a decreased falls rate. Additionally, physical exercise and cognitive activities are associated with a lower rate of falls.

CONCLUSIONS

The resolution of risk problems and physical and cognitive lifestyle choices are related to lower fall rates in elders in the community. The results presented here point to specific areas, that when targeted, may reduce the risk of falls. In addition, when there is problem resolution for specific clinical conditions, a decreased risk for falls also may occur.

DOI: 10.1186/s12877-016-0267-5
PubMed: 27129303
PubMed Central: PMC4851816

Affiliations:

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Cohort Studies (MeSH)</term>
<term>Exercise (physiology)</term>
<term>Exercise (psychology)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Independent Living (psychology)</term>
<term>Independent Living (trends)</term>
<term>Male (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Risk Reduction Behavior (MeSH)</term>
<term>Self Report (MeSH)</term>
<term>Time Factors (MeSH)</term>
<term>United States (epidemiology)</term>
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<term>Chutes accidentelles (prévention et contrôle)</term>
<term>Comportement de réduction des risques (MeSH)</term>
<term>Exercice physique (physiologie)</term>
<term>Exercice physique (psychologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vie autonome (psychologie)</term>
<term>Vie autonome (tendances)</term>
<term>États-Unis (épidémiologie)</term>
<term>Études de cohortes (MeSH)</term>
<term>Études de suivi (MeSH)</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Exercice physique</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Exercise</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term>
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<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Chutes accidentelles</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Exercice physique</term>
<term>Vie autonome</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Exercise</term>
<term>Independent Living</term>
</keywords>
<keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Vie autonome</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Independent Living</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>États-Unis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Risk Factors</term>
<term>Risk Reduction Behavior</term>
<term>Self Report</term>
<term>Time Factors</term>
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<term>Comportement de réduction des risques</term>
<term>Facteurs de risque</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>According to the CDC, falls rank among the leading causes of accidental death in the United States, resulting in significant health care costs annually. In this paper we present information about everyday lifestyle decisions of the older adult that may help reduce the risk of falling. We pursued two lines of inquiry: first, we identify and then test known mutable fall risk factors and ask how the resolution of such problems correlates with changes in fall rates. Second, we identify a series of everyday lifestyle options that persons may follow and then ask, does such engagement (e.g., engagement in exercise programs) lessen the older adult's risk of falling and if it does, will the relationship hold as the count of risk factors increases?</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Using a secondary analysis of lifestyle choices and risk changes that may explain fall rates over one year, we drew on a data set of 13,623 community residing elders in independent housing sites from 24 US states. All older adults were assessed at baseline, and a subset assessed one year later (n = 4,563) using two interRAI tools: the interRAI Community Health Assessment and interRAI Wellness Assessment.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>For the vast majority of risk measures, problem resolution is followed by lower rate of falls. This is true for physical measures such as doing housework, meal preparation, unsteady gait, transferring, and dressing the lower body. Similarly, this pattern is observed for clinical measures such as depression, memory, vision, dizziness, and fatigue. Among the older adults who had a falls risk at the baseline assessment, about 20 % improve, that is, they had a decreased falls rate when the problem risk improved. This outcome suggests that improvement of physical or clinical states potentially may result in a decreased falls rate. Additionally, physical exercise and cognitive activities are associated with a lower rate of falls.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The resolution of risk problems and physical and cognitive lifestyle choices are related to lower fall rates in elders in the community. The results presented here point to specific areas, that when targeted, may reduce the risk of falls. In addition, when there is problem resolution for specific clinical conditions, a decreased risk for falls also may occur.</p>
</div>
</front>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">According to the CDC, falls rank among the leading causes of accidental death in the United States, resulting in significant health care costs annually. In this paper we present information about everyday lifestyle decisions of the older adult that may help reduce the risk of falling. We pursued two lines of inquiry: first, we identify and then test known mutable fall risk factors and ask how the resolution of such problems correlates with changes in fall rates. Second, we identify a series of everyday lifestyle options that persons may follow and then ask, does such engagement (e.g., engagement in exercise programs) lessen the older adult's risk of falling and if it does, will the relationship hold as the count of risk factors increases?</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Using a secondary analysis of lifestyle choices and risk changes that may explain fall rates over one year, we drew on a data set of 13,623 community residing elders in independent housing sites from 24 US states. All older adults were assessed at baseline, and a subset assessed one year later (n = 4,563) using two interRAI tools: the interRAI Community Health Assessment and interRAI Wellness Assessment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">For the vast majority of risk measures, problem resolution is followed by lower rate of falls. This is true for physical measures such as doing housework, meal preparation, unsteady gait, transferring, and dressing the lower body. Similarly, this pattern is observed for clinical measures such as depression, memory, vision, dizziness, and fatigue. Among the older adults who had a falls risk at the baseline assessment, about 20 % improve, that is, they had a decreased falls rate when the problem risk improved. This outcome suggests that improvement of physical or clinical states potentially may result in a decreased falls rate. Additionally, physical exercise and cognitive activities are associated with a lower rate of falls.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The resolution of risk problems and physical and cognitive lifestyle choices are related to lower fall rates in elders in the community. The results presented here point to specific areas, that when targeted, may reduce the risk of falls. In addition, when there is problem resolution for specific clinical conditions, a decreased risk for falls also may occur.</AbstractText>
</Abstract>
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<ForeName>Elizabeth P</ForeName>
<Initials>EP</Initials>
<AffiliationInfo><Affiliation>School of Nursing, Northeastern University, 360 Huntington Avenue, Boston, MA, 02115, USA. e.howard@neu.edu.</Affiliation>
</AffiliationInfo>
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<ForeName>Knight</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ, 07601, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>Katherine</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Physical Therapy and Rehabilitation Sciences Institute, University of Toronto, 160-500 University Avenue, Toronto, Ontario, M5G 1V7, Canada.</Affiliation>
</AffiliationInfo>
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<AffiliationInfo><Affiliation>Geriatric Medicine Department, Limoges University, IFR 145 Geist; EA 6310 HAVAE, CHU Limoges, Limoges, F-87025, France.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Munankarmi</LastName>
<ForeName>Amy</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Northeastern University, 360 Huntington Ave, Boston, MA, 02115, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>Daniel</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>VA Quality Scholar, Geriatrics, Palliative and Extended Care Service, San Francisco Veterans Affairs Medical Center, San Francisco, CA, 94121, USA.</Affiliation>
</AffiliationInfo>
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Strategies to reduce the risk of falling: Cohort study analysis with 1-year follow-up in community dwelling older adults.

Strategies to reduce the risk of falling: Cohort study analysis with 1-year follow-up in community dwelling older adults.

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