Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study

Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall socio...

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Authors: Blanco Blanco, Joan; Albornos Muñoz, Laura; Costa Menen, Maria Àngels; García-Martínez, Ester; Rubinat, Esther; Martínez Soldevila, Jordi; Moreno-Casbas, Maria Teresa; Bays Moneo, Ana Beatriz; Gea Sánchez, Montserrat
Format: Article
Status:Published version
Publication date:2022
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10459.1/83666
Online Access:https://doi.org/10.1002/nur.22249
http://hdl.handle.net/10459.1/83666
Access Level:Open access
Keyword:Accidental falls
Older adults
Otago exercise program
Physical functional performance
Sex differences
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author Blanco Blanco, Joan
author2 Albornos Muñoz, Laura
Costa Menen, Maria Àngels
García-Martínez, Ester
Rubinat, Esther
Martínez Soldevila, Jordi
Moreno-Casbas, Maria Teresa
Bays Moneo, Ana Beatriz
Gea Sánchez, Montserrat
author2_role author
author
author
author
author
author
author
author
author_browse Albornos Muñoz, Laura
Bays Moneo, Ana Beatriz
Blanco Blanco, Joan
Costa Menen, Maria Àngels
García-Martínez, Ester
Gea Sánchez, Montserrat
Martínez Soldevila, Jordi
Moreno-Casbas, Maria Teresa
Rubinat, Esther
author_facet Blanco Blanco, Joan
Albornos Muñoz, Laura
Costa Menen, Maria Àngels
García-Martínez, Ester
Rubinat, Esther
Martínez Soldevila, Jordi
Moreno-Casbas, Maria Teresa
Bays Moneo, Ana Beatriz
Gea Sánchez, Montserrat
author_role author
collection Recercat. Dipósit de la Recerca de Catalunya
description Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with a history of falls and then stratifying these findings by sex. We also aimed to determine the differences between sexes with regard to the history and consequences of falls and to evaluate associations between fall history and functional performance tests. The 747 older adults had all participated in the otago exercise program, which is a progressive home program of strength, balance, and endurance exercises. They were recruited by nurses in 21 primary care centers in 10 Spanish provinces between September 2017 to December 2018. The participants' mean age was 72.2 (SD: 4.3) years, and 67% were women. We recorded sociodemographic and clinical variables, functional performance test results, and any falls and/or injuries in the last 12 months. We found that 32% had fallen, 36% of those had fallen more than once, and 48% had sustained injuries when they fell. The bivariate analysis showed that women had more than twice the odds of falling than men and that living alone and being obese or overweight increased the odds of a fall, although living alone was not associated with falls in the multivariable analysis. Our results could guide the development of risk-specific fall prevention programs to prevent disabilities in older people.
eu_rights_str_mv openAccess
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institution Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
network_acronym_str ES
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oai_identifier_str oai:recercat.cat:10459.1/83666
publishDate 2022
publishDateSort 2022
publisher Wiley
publisherStr Wiley
reponame_str Recercat. Dipósit de la Recerca de Catalunya
spelling Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study Blanco Blanco, Joan Albornos Muñoz, Laura Costa Menen, Maria Àngels García-Martínez, Ester Rubinat, Esther Martínez Soldevila, Jordi Moreno-Casbas, Maria Teresa Bays Moneo, Ana Beatriz Gea Sánchez, Montserrat Accidental falls Older adults Otago exercise program Physical functional performance Sex differences Falls have a considerable impact on the functional prognosis of older adults. The main focus of this multicenter, retrospective, observational study was to examine the prevalence of falls in Spanish people aged 65−80 years still living at home. The secondary aims included examining the overall sociodemographic and clinical variables associated with a history of falls and then stratifying these findings by sex. We also aimed to determine the differences between sexes with regard to the history and consequences of falls and to evaluate associations between fall history and functional performance tests. The 747 older adults had all participated in the otago exercise program, which is a progressive home program of strength, balance, and endurance exercises. They were recruited by nurses in 21 primary care centers in 10 Spanish provinces between September 2017 to December 2018. The participants' mean age was 72.2 (SD: 4.3) years, and 67% were women. We recorded sociodemographic and clinical variables, functional performance test results, and any falls and/or injuries in the last 12 months. We found that 32% had fallen, 36% of those had fallen more than once, and 48% had sustained injuries when they fell. The bivariate analysis showed that women had more than twice the odds of falling than men and that living alone and being obese or overweight increased the odds of a fall, although living alone was not associated with falls in the multivariable analysis. Our results could guide the development of risk-specific fall prevention programs to prevent disabilities in older people. We would like to thank Montse Martínez of the scientific and technical services UBIOSTAT at IRB-Lleida for their collaboration. This study has been funded by the National Healthcare Research Fund (Instituto de Salud Carlos III) through projects PI16/01520, PI16/00821, PI16/01316, PI16/01649, PI16/01042, PI16/01159, PI16/01312, PI16CIII/00031, by the Region of Murcia through project CARM, FFIS17/AP/02/04), by the Basque Country through project 2016111005, and cofunded by European Regional Development Fund (FEDER)/“A way to make Europe”). Wiley https://doi.org/10.1002/nur.22249 http://hdl.handle.net/10459.1/83666
spellingShingle Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
Blanco Blanco, Joan
Accidental falls
Older adults
Otago exercise program
Physical functional performance
Sex differences
status_str publishedVersion
title Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
title_full Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
title_fullStr Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
title_full_unstemmed Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
title_short Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
title_sort Prevalence of falls in noninstitutionalized people aged 65−80 and associations with sex and functional tests: A multicenter observational study
topic Accidental falls
Older adults
Otago exercise program
Physical functional performance
Sex differences
topic_facet Accidental falls
Older adults
Otago exercise program
Physical functional performance
Sex differences
url https://doi.org/10.1002/nur.22249
http://hdl.handle.net/10459.1/83666