+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Factors associated with falls among community-dwelling older people in Taiwan

Factors associated with falls among community-dwelling older people in Taiwan

Annals of the Academy of Medicine Singapore 42(7): 320-327

Falls are common among older people. Previous studies have shown that falls were multifactorial. However, data regarding community-dwelling Chinese population are minimal. We aimed to study factors associated with falls among community-dwelling older Chinese people. We conducted a cross-sectional study in a community hospital in Taiwan in 2010. Our sample included 671 elders from the 3680 examinees of the free annual Senior Citizens Health Examination. Participants were interviewed with a detailed questionnaire, and 317 elders were further invited for serum vitamin D tests. The main outcome was falls in the previous 12 months. Predictor variables included sociodemographic characteristics, lifestyle risk factors, body stature, frailty, serum 25 (OH) D levels, and medications. The mean age of the 671 participants was 75.7 ± 6.4 years old, and 48.7% of which were female. Fallers comprised 21.0% of the study population. In multivariate models, female gender (adjusted odds ratio (aOR): 2.32), loss of height in adulthood (aOR: 1.52), low body weight (aOR: 2.69), central obesity (aOR: 1.67), frailty (aOR: 1.56), polypharmacy (aOR: 2.18) and hyperglycaemia (aOR: 1.56) were factors associated with falls. Vitamin D insufficiency (serum 25 (OH) D levels <30 ng/mL) was not associated with falls (OR: 0.78; 95% CI, 0.38 to 1.60) (n = 317) in this study. Among community-dwelling older people in Taiwan, falls were mainly associated with female gender, polypharmacy, frailty, reduced body height, low body weight or central obesity, and hyperglycaemia. In addition to other risk factors, body stature should be considered as a novel risk factor when screening elders at risk for falls.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 053193098

Download citation: RISBibTeXText

PMID: 23949261

Related references

Factors associated with occasional and recurrent falls in Mexican community-dwelling older people. Plos one 13(2): E0192926, 2018

Association between Frailty, Osteoporosis, Falls and Hip Fractures among Community-Dwelling People Aged 50 Years and Older in Taiwan: Results from I-Lan Longitudinal Aging Study. Plos One 10(9): E0136968-E0136968, 2016

Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology 21(5): 658-668, 2010

Associated factors for falls among the community-dwelling older people assessed by annual geriatric health examinations. Plos one 6(4): E18976, 2011

Falls self-efficacy and falls incidence in community-dwelling older people: the mediating role of coping. International Psychogeriatrics 30(5): 727-733, 2018

A sustainable programme to prevent falls and near falls in community dwelling older people: results of a randomised trial. Journal of Epidemiology and Community Health 54(3): 227-232, 2000

Factors associated with falls in community-dwelling older people with focus on participation in sport organizations: the Japan Gerontological Evaluation Study Project. Biomed Research International 2014: 537614, 2014

Preventing falls in community-dwelling frail older people using a home intervention team (HIT): Results from the randomized falls-HIT trial. Journal of the American Geriatrics Society 51(3): 300-305, 2003

Cost-effectiveness of a day hospital falls prevention programme for screened community-dwelling older people at high risk of falls. Age and Ageing 39(6): 710-716, 2010

Prevalence, circumstances and consequences of falls among community-dwelling older people: results of the 2009 NSW Falls Prevention Baseline Survey. New South Wales Public Health Bulletin 22(3-4): 43-48, 2011

Association of quality of life with laboratory measurements and lifestyle factors in community dwelling older people in Taiwan. Aging and Mental Health 19(6): 548-559, 2015

Falls and catastrophic thoughts about falls predict mobility restriction in community-dwelling older people: A structural equation modelling approach. Aging and Mental Health 13(4): 587-592, 2009

Analytic Hierarchy Process (AHP) for examining healthcare professionals' assessments of risk factors. The relative importance of risk factors for falls in community-dwelling older people. Methods of Information in Medicine 50(5): 435-444, 2011

A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people. International Psychogeriatrics 27(7): 1071-1087, 2015

A multicentre randomised controlled trial of day hospital-based falls prevention programme for a screened population of community-dwelling older people at high risk of falls. Age and Ageing 39(6): 704-710, 2010