Document Type : Research articles
Authors
1 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
2 Student Research Committee, Babol University of Medical Sciences, Babol, Iran. 3. Department of Psychiatry, School of Medicine, Shahid Yahya Nezhad hospital, Babol University of Medical Sciences
3 Department of Psychiatry, School of Medicine, Shahid Yahya Nezhad hospital, Babol University of Medical Sciences
4 Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Abstract
Background: Falling and chronic diseases are important health issues in elderly people and reduce the quality of life.
Objectives: This study aimed to investigate the relationship between chronic diseases and falling in the elderly people.
Methods: This cross-sectional study came from the first phase of Amirkola Health and Ageing Project (AHAP) that has been done on all elderly people aged 60 and over in Amirkola city in northern part of Iran. Demographic information including chronic diseases were gathered through self-report, observation of prescriptions and consumed drugs by patients and prevalence of falling during 12 months ago was obtained through information form and interview with elderly people.
Results: In this study, 883 men(54.6%) and 733 women(45.3%) were investigated. The average age of individuals was 69.37±7.42 (in men 70±7.7 and in women 69.7±7.00). In this study, 288(17.8%) of eldely people had the experience of falling in the last 12 months. The prevalence of falling was higher in elderly women(P<0.001) and the elderly who lived alone(P=0.01). The prevalence of falling in the elderly had a significant relationship with diseases of osteoporosis(P<0.001), myocardial infarction(P=0.03), fractures(P<0.001), cognitive impairment(P=0.001), headache(P=0.002). In addition, the results of logistic regression showed that the prevalence of falling was related to urinary incontinence(P=0.02), fracture history(P=0.001), hearing loss(P=0.006), and depressive symptoms(P=0.001).
Conclusions: The results of this study indicate a significant prevalence of falling and its direct relation with some chronic diseases. Therefore, it is necessary to ask some questions and care about each referring of the elderly to the health centers.
Keywords
- Khademi MJ, Rashedi V, Sajadi S, Gheshlaghi SM. Anxiety and loneliness in the Iranian older adults. Int J Psychol Behav Sci. 2015;5(2):49-52. doi: 10.5923/j.ijpbs.20150502.01.
- Asadi Noghabi A, Alhani F, Peyrovi H. Health in geriatric: a review study. Iran J Nurs. 2011;25(78):62-71.
- Dhargave P, Sendhilkumar R. Prevalence of risk factors for falls among elderly people living in long-term care homes. J Clin Gerontol Geriatr. 2016;7(3):99-103. doi: 10.1016/j.jcgg.
2016.03.004. - Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas. 2013;
75(1):51-61. doi: 10.1016/j.maturitas.2013.02.009. [PubMed: 23523272]. - Hatamabadi HR, Sum S, Tabatabaey A, Sabbaghi M. Emergency department management of falls in the elderly: a clinical audit and suggestions for improvement. Int Emerg Nurs. 2016;24:2-8. doi: 10.1016/j.ienj.2015.05.001. [PubMed: 26048537].
- Sibley KM, Voth J, Munce SE, Straus SE, Jaglal SB. Chronic disease and falls in community-dwelling Canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatr. 2014;14(1):22. doi: 10.1186/1471-2318-14-22. [PubMed: 24529293].
- Makizako H, Shimada H, Doi T, Yoshida D, Tsutsumimoto K, Uemura K, et al. The combined status of physical performance and depressive symptoms is strongly associated with a history of falling in community-dwelling elderly: cross-sectional findings from the Obu Study of Health Promotion for the Elderly (OSHPE). Arch Gerontol Geriatr. 2014;58(3):327-31. doi: 10.1016/j.archger.2014.01.001. [PubMed: 24525136].
- Cigolle CT, Ha J, Min LC, Lee PG, Gure TR, Alexander NB, et al. The epidemiologic data on falls, 1998-2010: more older Americans report falling. JAMA Intern Med. 2015;175(3):443-5. doi: 10.1001/jamainternmed.2014.7533. [PubMed: 25599461].
- 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. J Babol Univ Med Sci. 2013;15(5):95-101. doi: 10.18869/acadpub.jbums.15.5.95.
- Pfortmueller C, Lindner G, Exadaktylos A. Reducing fall risk in the elderly: risk factors and fall prevention, a systematic review. Minerva Med. 2014;105(4):275-81. [PubMed: 24867188].
- Yadollahi M, Kashkooe A, Habibpour E, Jamali K. Prevalence and risk factors of spinal trauma and spinal cord injury in a trauma center in Shiraz, Iran. Iran Red Crescent Med J. 2018;20(S1):e14238. doi: 10.5812/ircmj.14238.
- Hosseini SR, Zabihi A, Amiri SR, Bijani A. Polypharmacy among the elderly. J Midlife Health. 2018;9(2):97-103. doi: 10.4103/
jmh.JMH_87_17. [PubMed: 29962809]. - Salive ME. Multimorbidity in older adults. Epidemiol Rev. 2013;35(1):75-83. doi: 10.1093/epirev/mxs009. [PubMed: 23372025].
- Pfortmueller CA, Kunz M, Lindner G, Zisakis A, Puig S, Exadaktylos AK. Fall-related emergency department admission: fall environment and settings and related injury patterns in 6357 patients with special emphasis on the elderly. Sci World J. 2014;2014:256519. doi: 10.1155/2014/256519. [PubMed: 24723797].
- Hosseini SR, Cumming RG, Kheirkhah F, Nooreddini H, Baiani M, Mikaniki E, et al. Cohort profile: the Amirkola health and ageing project (AHAP). Int J Epidemiol. 2014;43(5):1393-400. doi: 10.1093/ije/dyt089. [PubMed: 23918798].
- Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol
J Aging Ment Health. 1986;5(1-2):165-73. doi: 10.1300/
J018v05n01_09. - Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. doi: 10.1016/0022-3956(75)90026-6. [PubMed: 1202204].
- Brito TA, Coqueiro Rda S, Fernandes MH, de Jesus CS. Determinants of falls in community‐dwelling elderly: hierarchical analysis. Public Health Nurs. 2014;31(4):290-7. doi: 10.1111/phn.12126. [PubMed: 24862435].
- Ghassemi S, Najafi B, Memari A, Nazari N, Bakhtiari F, Alizadeh Khoei M, et al. Elderly falls risk factors: a prospective longitudinal study in Kahrizak charity foundation. Iran J Diabetes Metab. 2014;13(6):447-54.
- Na'emani F, Esmaiil Zali M, Sohrabi Z, Fayaz-Bakhsh A. Prevalence of risk factors for falls among the elderly receiving care at home. Iran J Ageing. 2019;13(5):638-51. doi: 10.32598/SIJA.13.Special-Issue.638.
- Almegbel FY, Alotaibi IM, Alhusain FA, Masuadi EM, Al Sulami SL, Aloushan AF, et al. Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study. BMJ Open. 2018;8(1):e019063. doi: 10.1136/bmjopen-2017-019063. [PubMed: 29326189].
- Mortazavi H, Tabatabaeichehr M, Taherpour M, Masoumi M. Relationship between home safety and prevalence of falls and fear of falling among elderly people: a cross-sectional study. Mater Sociomed. 2018;30(2):103-7. doi: 10.5455/msm.2018.
30.103-107. [PubMed: 30061798]. - Gale CR, Westbury LD, Cooper C, Dennison EM. Risk factors for incident falls in older men and women: the English longitudinal study of ageing. BMC Geriatr. 2018;18(1):117. doi: 10.1186/s12877-018-0806-3. [PubMed: 29769023].
- Dhalwani NN, Fahami R, Sathanapally H, Seidu S, Davies MJ, Khunti K. Association between polypharmacy and falls in older adults: a longitudinal study from England. BMJ Open. 2017;7(10):e016358. doi: 10.1136/bmjopen-2017-016358. [PubMed: 29042378].
- Abreu HC, Reiners AA, Azevedo RC, Silva AM, Abreu DR. Urinary incontinence in the prediction of falls in hospitalized elderly.
Rev Esc Enferm USP. 2014;48(5):851-6. doi: 10.1590/s0080-6234201400005000011. [PubMed: 25493489]. - Gale CR, Cooper C, Aihie Sayer A. Prevalence and risk factors for falls in older men and women: the English longitudinal study of ageing. Age Ageing. 2016;45(6):789-94. doi: 10.1093/ageing/afw129. [PubMed: 27496938].
- Dadgari A, Hamid TA, Hakim MN, Chaman R, Mousavi SA, Hin LP, et al. Randomized control trials on Otago exercise program (OEP) to reduce falls among elderly community dwellers in Shahroud, Iran. Iran Red Crescent Med J. 2016;18(5):e26340. doi: 10.5812/ircmj.26340. [PubMed: 27478629].
- Kamil RJ, Betz J, Powers BB, Pratt S, Kritchevsky S, Ayonayon HN, et al. Association of hearing impairment with incident frailty and falls in older adults. J Aging Health. 2016;28(4):644-60. doi: 10.1177/0898264315608730. [PubMed: 26438083].
- Lin FR, Ferrucci L. Hearing loss and falls among older adults in the United States. Arch Intern Med. 2012;172(4):369-71. doi: 10.1001/archinternmed.2011.728. [PubMed: 22371929].
- Lee WJ, Cheng YY, Liu JY, Yang KC, Jeng SY. Living alone as a red flag sign of falls among older people in rural Taiwan. J
Clin Gerontol Geriatr. 2011;2(3):76-9. doi: 10.1016/j.jcgg.
2011.06.006. - Eggermont LH, Penninx BW, Jones RN, Leveille SG. Depressive symptoms, chronic pain, and falls in older community‐dwelling adults: the MOBILIZE Boston study. J Am Geriatr Soc. 2012;60(2):230-7. doi: 10.1111/j.1532-5415.2011.03829.x. [PubMed: 22283141].
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