Volume 5, Issue 2 (December 2019)                   Elderly Health Journal 2019, 5(2): 84-91 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Vakili V, Taghipour A, Mosa Farkhani E, Bahrami H R, beygi B, Pirizadeh E. Risk Factors for Falls among Older People: a Population-based Case-Control Study. Elderly Health Journal. 2019; 5 (2) :84-91
URL: http://ehj.ssu.ac.ir/article-1-137-en.html
Deputy of Health, Mashhad University of Medical Sciences, Mashhad, Iran , FarkhanyE1@mums.ac.ir
Abstract:   (156 Views)
Introduction: Falling is one of the most common problems of the elderly people with a multi factorial nature and frequent cases. This study aimed to determine the risk factors of falls in old people covered by Mashhad University of Medical Sciences.
 
Methods: This retrospective case-control study was conducted on 15,600 elderly participants. Data were extracted from Sina Electronic Health Record System (SinaEHR®, Iran). The obtained data were analyzed using STATA through odds ratio formula.
 
Results: Risk factors of falls in the elderly subjects included age, fear of falling, higher body mass index, diabetes, anemia, gastrointestinal problems, hypothyroidism, use of sedatives, and smoking, after adjusting the potentially confounding effects of other variables.
 
Conclusion: The current study provides evidence that patient-related factor such as diabetes, anemia, hypothyroidism and smoking are associated with falls in the elderly. The results of the present research can be used by health policy-makers to reduce fall-related costs of the old people by focusing on care services and high-risk individuals.
Full-Text [PDF 629 kb]   (70 Downloads) |   |   Full-Text (HTML)  (58 Views)  
Type of Study: Research | Subject: General
Received: 2018/12/7 | Accepted: 2019/12/15 | Published: 2019/12/29

References
1. Jafarian Amiri SR, Zabihi A, Aziznejad Roshan P, Hosseini SR, Bijani A. Fall at home and its related factors among the elderly in Babol city Iran. Journal of Babol University of Medical Sciences. 2013; 15(5): 95-101. [Persian]
2. Najafi Ghezlcheh T, Ariapour S, Jafari Oori M. Epidemiology and relationship of fall and fear of falling in the elderly residing at kamrani nursing home, tehran, iran. Salmand: Iranian Journal of Ageing. 2016; 10(4): 152-161. [Persian]
3. Iranfar M. Physical hazards of residences and elderly fall. Journal of Safety Promotion and Injury Prevention. 2017; 5(4): 237-42. [Persian]
4. Hojati H, Dadgari A, Mirzaie SM. Investigation of validity and reliability of persian version of Johns Hopkins fall risk assessment tool among the elderly. Qom University of Medical Sciences Journal. 2018; 12(2): 45-53. [Persian]
5. Kong QH, Wang Y, Song CG, Liu YS, Qin HY, Feng YD, et al. Prospective analysis of the risk factors for falls in lymphoma patients. European Journal of Oncology Nursing. 2014; 18(5): 540-4.
6. Safavi Bayat Z, Zorriasatain F. Determining risk factors associated with falling among elderly at residential care facilities in Tehran. Journal of Qazvin University of Medical Sciences. 2008; 11(4): 66-70. [Persian]
7. Hergenroeder AL, Wert DM, Hile ES, Studenski SA, Brach JS. Association of body mass index with self-report and performance-based measures of balance and mobility. Physical Therapy. 2011; 91(8): 1223–34.
8. World Health Organization. WHO global report on falls prevention in older age [Internet] 2007. Avalable from: https://extranet.who.int /agefriendlyworld/wp-content/uploads/2014/06 / Who-Global-report-on-falls-prevention-in-older-age .pdf.
9. Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Archives of Physical Medicine and Rehabilitation. 2001; 82(8): 1050-6.
10. Hornbrook MC, Stevens VJ, Wingfield DJ, Hollis JF, Greenlick MR, Ory MG. Preventing falls among community-dwelling older persons: results from a randomized trial. Gerontologist. 1994; 34(1): 16-23.
11. Safavi Bayat Z, Zoriasatain F. Determining risk factors associated with falling among elderly at residential care facilities in Tehran. Journal of Qazvin University of Medical Sciences. 2008; 11(4): 66-70. [Persian]
12. Salarvand, Birjandi. Factors related to falling down in older adults. Iran Journal of Nursing. 2009; 22 (61) :51-60. [Persian]
13. Al-Aama T. Falls in the elderly: spectrum and prevention. Canadian Family Physician Medecine de Famill Canadien. 2011; 57(7): 771–6.
14. Swanenburg J, de Bruin ED, Uebelhart D, Mulder T. Falls prediction in elderly people: a 1-year prospective study. Gait & Posture. 2010; 31(3): 317-21.
15. von Heideken Wågert P, Gustafson Y, Kallin K, Jensen J, Lundin-Olsson L. Falls in very old people: The population-based Umeå 85+ Study in Sweden. Archives of Gerontology and Geriatrics. 2009; 49(3): 390-6.
16. Pereira CL, Baptista F, Infante P. Men older than 50 yrs are more likely to fall than women under similar conditions of health, body composition, and balance. American Journal of Physical Medicine & Rehabilitaion. 2013; 92(12): 1095-103.
17. Abbasi M, Daniali SSH, Hazrati M. Lifestyle of fallen elderly patients referred to Isfahan hospitals. Iran Journal of Nursing. 2017; 30(107): 20-31. [Persian]
18. Iranfar M, Ainy E, Soori H. Fall epidemiology in the elderly residents of care centers in Tehran-1390. Salmand: Iranian Journal of Ageing. 2013; 8(2): 30-8. [Persian]
19. Andresen EM, Wolinsky FD, Miller JP, Wilson MM, Malmstrom TK, Miller DK. Cross-sectional and longitudinal risk factors for falls, fear of falling and falls efficacy in a cohort of middle-aged African Americans. The Gerontologist. 2006; 46(2): 249-57.
20. Lopes KT, Costa DF, Santos LF, Castro DP, Bastone AC. Prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls. Brazilian Journal of Physical Therapy. 2009; 13(3): 223-9.
21. Boyd R,Stevens JA. Falls and fear of falling: burden, beliefs and behaviours. Age and Ageing. 2009; 38(4): 423-8.
22. Maleki M, Imanian Kh, Safavi Bayat Z, Mehrabi Y. Assessment of the risk of falls related to imbalance among patients with Multiple Sclerosis referred to the MS Society of Tehran 2014. Advances in Nursing & Midwifery. 2015; 25(90): 1-8. [Persian]
23. Eyvarigh MR, Mohammadi F, Azimian J, Motallebi SA. The effect of a simple balance training program on fall prevention in the elderly women hospitalized in razi psychiatric hospital, Tehran. Iranian Journal of Rehabilitation Research in Nursing. 2017; 3(4): 42-8. [Persian]
24. Parvareshan S, Shamsalinia A, Jahanshahi M. Falling in the elderly and its relation to diabetes, a review article. Caspian Journal of Health and Aging. 2017; 1 (1) :30-35. [Persian]
25. Dharmarajan TS, Avula S, Norkus EP. Anemia increases risk for falls in hospitalized older adults :an evaluation of falls in 362 hospitalized, ambulatory, long-term care, and community patients. Journal of the American Medical Director Association. 2006; 7(5): 287-93.
26. Reardon G, Pandya N, Bailey R. Falls in nursing home residents receiving pharmacotherapy for anemia. Clinical Interventions in Aging. 2012; 7: 397-407.
27. Vakili Sadeghi M, Hosseini S.R, Pourali S, Bijani A. Association between Anemia and Falls in the Elderly. Journal of Babol University of Medical Sciences. 2017; 19(5): 14-22. [Persian]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2020 All Rights Reserved | Elderly Health Journal

Designed & Developed by : Yektaweb