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Low Physical Activity and Depression Are the Prominent Predictive Factors for Falling in Older Adults: The Birjand Longitudinal Aging Study (Blas) Publisher Pubmed



Mortazavi S1 ; Delbari A2 ; Vahedi M3 ; Fadayevatan R2 ; Moodi M4 ; Fakhrzadeh H5 ; Khorashadizadeh M4 ; Sobhani A5 ; Payab M6 ; Ebrahimpur M7 ; Ejtahed HS8 ; Sharifi F5
Authors
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Authors Affiliations
  1. 1. Department of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  2. 2. Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  3. 3. Department of Biostatistics and Epidemiology, Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  4. 4. Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
  5. 5. Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Non-communicable Disease Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Geriatrics Published:2023


Abstract

Background: Falling in the older adults has many irreparable consequences, including hospitalization to long-term care centers and loss of independence, depression and social isolation, financial burden, and death. The present study was conducted to estimate the incidence of falls and their associated factors among community-dwelling older adults. Methods: This program is a population-based prospective cohort study (≥ 60 years) in Birjand City from 2019 to 2020. A total of 1418 participants were included in the study, and 1344 participants were analyzed according to the inclusion criteria. Thirty-nine risk factors were evaluated. Basic information included demographic information, lifestyle factors, general health and medical history, and mental and functional health. Result: The incidence of falls among community-dwelling older adults in the previous approximately 24 months in the present study was 9.26% in women and 2.65% in men. In the multiple Cox proportional regression model based on fall risk factors, there was a strong significant relationship between male sex (HR = 0.37, CI = 0.21 to 0.64), being physically active (HR = 0.59, CI = 0.36 to 0.96), moderate-to-severe depression (HR = 2.97, CI = 1.47 to 6.01), severe depression (HR = 3.26, CI = 1.24 to 8.54), and high risk of falls according to the TUG test (HR = 1.73, CI = 1.10 to 2.72). Conclusions: Inactivity and depression were recognized as important factors in falls in older adults. It is recommended for older adults to have an active lifestyle to prevent falls and to prioritize the diagnosis and treatment of depression in older adults. Women as a group at higher risk should be considered in prevention programs. In addition, the use of the TUG test to identify high-risk older adults should be considered. © 2023, The Author(s).
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