+ 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

Mild cognitive impairment as a predictor of falls in community-dwelling older people



Mild cognitive impairment as a predictor of falls in community-dwelling older people



American Journal of Geriatric Psychiatry 20(10): 845-853



: Incidence of falls in people with cognitive impairment with or without a formal diagnosis of dementia is estimated to be twice that of cognitively intact older adults. This study aimed to investigate whether mild cognitive impairment (MCI) is associated with falls in older people. : Prospective cohort study. : Community sample, Sydney Memory and Ageing Study. : A total of 419 nondemented community-dwelling adults, age 70-90 years. : A comprehensive neuropsychological test battery measuring four cognitive domains provided classification being with or without MCI on the basis of objective published criteria. Assessments of medical, physiologic, and psychological measures were also performed. Fallers were defined as people who had at least one injurious fall or at least two noninjurious falls during a 12-month follow-up period. : Of the participants, 342 (81.6%) had normal cognitive functioning, 58 (13.8%) had nonamnestic MCI, and 19 (4.5%) had amnestic MCI. People with MCI performed worse than people without MCI in measures of general health and balance. Logistic regression analyses showed that fall risk was significantly greater in people with MCI (odds ratio [OR]: 1.72, 95% confidence interval [95% CI]: 1.03-2.89). This association was mainly apparent when the analysis was restricted to those with nonamnestic MCI (OR: 1.98, 95% CI: 1.11-3.53), where the relationship was primarily explained by impaired executive functioning (OR: 1.27, 95% CI: 1.02-1.59). : The findings indicate that objectively defined MCI is an independent risk factor for injurious or multiple falls in a representative sample of community-dwelling older people. The presence of nonamnestic MCI, based primarily on executive function, was found to be an important factor in increasing fall risk.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054387469

Download citation: RISBibTeXText

PMID: 23011051

DOI: 10.1097/jgp.0b013e31824afbc4


Related references

Dual-task as a predictor of falls in older people with mild cognitive impairment and mild Alzheimer's disease: a prospective cohort study. Brazilian Journal of Physical Therapy 22(5): 417-423, 2018

Examining the effect of the relationship between falls and mild cognitive impairment on mobility and executive functions in community-dwelling older adults. Journal of the American Geriatrics Society 63(3): 590-593, 2015

Effects of tai chi on cognition and instrumental activities of daily living in community dwelling older people with mild cognitive impairment. Bmc Geriatrics 18(1): 37, 2018

The Timed Up & Go Test Is A Useful Predictor Of Falls In Community-Dwelling Older People. Journal of the American Geriatrics Society 46(7): 928-929, 1998

The timed "up & go" test is a useful predictor of falls in community-dwelling older people. Journal of the American Geriatrics Society 46(7): 928-930, 1998

Can a tailored exercise and home hazard reduction program reduce the rate of falls in community dwelling older people with cognitive impairment: protocol paper for the i-FOCIS randomised controlled trial. Bmc Geriatrics 14: 89, 2014

Elevated Serum Dickkopf-1 Is Associated With Progressive Cognitive Decline In Community-Dwelling Older Adults With Mild Cognitive Impairment And Mild-To-Moderate AlzheimerS Disease. Alzheimer's & Dementia 14(7): P1161-P1162, 2018

Attitudes of older people with mild dementia and mild cognitive impairment and their relatives about falls risk and prevention: A qualitative study. Plos one 12(5): E0177530, 2017

The contribution of foot problems to mobility impairment and falls in community-dwelling older people. Journal of the American Geriatrics Society 49(12): 1651-1656, 2001

Frailty as a Predictor of Future Falls Among Community-Dwelling Older People: A Systematic Review and Meta-Analysis. Journal of the American Medical Directors Association 16(12): 1027-1033, 2015

Olfactory identification and cognitive performance in community-dwelling older adults with mild cognitive impairment. Chemical Senses 39(1): 39-46, 2014

The comparison of different level of cognitive impairment on falls and fall risks in community dwelling older adults. PhysioTherapy 102: E171-E172, 2016

Falls prevention interventions for community-dwelling older persons with cognitive impairment: a systematic review. International Psychogeriatrics 25(2): 215-227, 2013

Can cognitive enhancers reduce the risk of falls in older people with mild cognitive impairment? A protocol for a randomised controlled double blind trial. Bmc Neurology 9: 42, 2009

Cognitive frailty in community-dwelling older Japanese people: Prevalence and its association with falls. Geriatrics and Gerontology International 19(7): 647-653, 2019