Percentage height of center of mass is associated with the risk of falls among elderly women: A case–control study

2011 ◽  
Vol 34 (2) ◽  
pp. 208-212 ◽  
Author(s):  
Cláudio W.L. Almeida ◽  
Charlles H.M. Castro ◽  
Paulo G. Pedreira ◽  
Roberto E. Heymann ◽  
Vera L. Szejnfeld
2014 ◽  
Vol 5 ◽  
pp. S184-S185
Author(s):  
P.K. Song ◽  
L.X. Li ◽  
Q.Q. Man ◽  
C.R. Wang ◽  
L.P. Meng ◽  
...  

2017 ◽  
Vol 30 (7) ◽  
pp. 941-946 ◽  
Author(s):  
Manuel E. Machado-Duque ◽  
Juan Pablo Castaño-Montoya ◽  
Diego A. Medina-Morales ◽  
Alejandro Castro-Rodríguez ◽  
Alexandra González-Montoya ◽  
...  

ABSTRACTBackground:To determine the association between the use of opioids and benzodiazepines and the risk of falls with hip fracture in populations older than 65 years in Colombia.Methods:A case-control study with patients older than 65 years with diagnosis of hip fracture. Two controls were obtained per case. The drugs dispensed in the previous 30 days were identified. Sociodemographic, diagnostic, pharmacological (opioids and benzodiazepines), and polypharmacy variables were analyzed. A logistic regression model was used to analyze the risk of fall with hip fracture while using these drugs.Results:We included 287 patients with hip fractures and 574 controls. There was a female predominance (72.1%) and a mean age of 82.4 ± 8.0 years. Of the patients, 12.7% had been prescribed with opioids and 4.2% with benzodiazepines in the previous month. The adjusted multivariate analysis found that using opioids (OR:4.49; 95%CI:2.72–7.42) and benzodiazepines (OR:3.73; 95%CI:1.60–8.70) in the month prior to the event was significantly associated with a greater probability of suffering a fall with hip fracture.Conclusions:People who are taking opioids and benzodiazepines have increased risk for hip fracture in Colombia. Strategies to educate physicians regarding the pharmacology of older adults should be strengthened.


2016 ◽  
Vol 12 ◽  
pp. P984-P984
Author(s):  
Kyung Ja Chang ◽  
Mi-ae Bae ◽  
Won Cha ◽  
So-Hyun Park ◽  
Ranran Gao

2021 ◽  
Author(s):  
Jignasa Mehta ◽  
Gabriela Czanner ◽  
Simon Harding ◽  
David Newsham ◽  
Jude Robinson

Abstract Background Falls are the second leading cause of accidental deaths worldwide mainly in older people. Older people have poor vision and published evidence suggests that it is a risk factor for falls. Less than half of falls clinics assess vision as part of the multi-factorial assessment of older adults at risk of falls despite vision being an essential input for postural stability. The aim of our study was to investigate the relationship between all clinically assessed visual functions and falls amongst older adults in a prospective observational individually age-matched case control study. Methods Visual acuity (VA), contrast sensitivity (CS), depth perception, binocular vision and binocular visual field were measured using routinely used clinical methods in falls participants (N = 83) and non-falls participants (N = 83). Data were also collected on socio-demographic factors, general health, number of medications, health quality, fear of falling and physical activity. Logistic regression analysis was carried out to determine key visual and non-visual risk factors for falls whilst adjusting for confounding covariates. Results Older adults have an increased risk of experiencing a fall if they have reduced visual function (odds ratio (OR): 3.49, 1.64–7.45, p = 0.001), specifically impaired stereoacuity worse than 85” of arc (OR: 3.4, 1.20–9.69, p = 0.02) and reduced (by 0.15 log unit) high spatial frequency CS (18 cpd) (OR:1.40, 1.12–1.80, p = 0.003). Older adults with a hearing impairment are also at higher risk of falls (OR: 3.18, 95% CI: 1.36–7.40, p = 0.007). The risk decreases with living in a less deprived area (OR: 0.74, 0.64–0.86, < 0.001), or socialising more out of the home (OR: 0.75, 0.60–0.93, p = 0.01). Conclusions The combination of social, behavioural and biological determinants are significant predictors of a fall. The non-visual risk factors include older adults, living in deprived neighbourhoods, socialising less outside of the home and those who have a hearing impairment. Impaired functional visual measures; depth perception and contrast are significant visual risk factors for falls above visual acuity.


1996 ◽  
Vol 25 (2) ◽  
pp. 97-101 ◽  
Author(s):  
LINDY CLEMSON ◽  
ROBERT G. CUMMING ◽  
MARYANNE ROLAND

2009 ◽  
Vol 12 (9) ◽  
pp. 1540-1547 ◽  
Author(s):  
Liping Meng ◽  
Jun Liu ◽  
Jian Zhang ◽  
Chunrong Wang ◽  
Qingqing Man ◽  
...  

AbstractObjectiveTo investigate the possible dietary risk factors for anaemia in rural elderly women.DesignCase–control study conducted in 2005. Cases and matched controls were interviewed in person to elicit information on lifestyle, diet and individual health. Main foods and nutrients were calculated by three 24 h recalls; intake data of tea, edible oils and spices were from an FFQ.SettingFourteen villages in two counties of Guangxi Province, south-west China.SubjectsFour hundred and twenty anaemic cases and 433 matched controls, aged 50–75 years.ResultsThe mean consumption of animal foods for cases (82·4 g/d) was significantly lower than for controls (91·0 g/d), similarly for egg consumption (3·8 g/d for cases and 5·8 g/d for controls; P < 0·05). The absolute value of the Dietary Balance Index, low bound score (DBI_LBS) was significantly higher for cases than for controls (P < 0·05). Intakes of energy, protein, carbohydrate, vitamin A (retinol equivalents, RE), vitamin B1, riboflavin and Ca were significantly lower in cases than in controls (P < 0·05). There was no significant difference in Fe intake between the two groups. High intake of vitamin A (RE) was inversely associated with anaemia (quartile 4 v. quartile 1: OR = 0·6, P for linear trend = 0·02). The absolute value of DBI_LBS was positively related to anaemia (quartile 4 v. quartile 1: OR = 0·4, P for linear trend < 0·0001).ConclusionFor rural elderly women in south-west China, anaemia had a strong positive association with undernutrition and a negative association with vitamin A intake. Dietary Fe intake was not found to be an independent risk factor for anaemia.


2018 ◽  
Vol 31 (2) ◽  
pp. 63-69 ◽  
Author(s):  
Manuel E. Machado-Duque ◽  
Juan Pablo Castaño-Montoya ◽  
Diego A. Medina-Morales ◽  
Alejandro Castro-Rodríguez ◽  
Alexandra González-Montoya ◽  
...  

Background/Objective: To determine the association between the use of anticholinergic drugs and the risk of falls with hip fracture in a population older than 60 years. Methods: A case–control study in patients older than 60 years with a diagnosis of hip fracture. All drugs dispensed during the previous 30 days were identified. Sociodemographic, clinical, pharmacological (drugs according to the Anticholinergic Risk Scale [ARS]), and polypharmacy variables were analyzed. Measurements: Falls with hip fracture and type of drug according to the ARS. Results: A total of 300 patients with hip fracture and 600 controls were included. The mean age was 81.6 ± 8.9 years, with female predominance (71.3%). The use of drugs with moderate (odds ratio [OR]: 1.97, 95% confidence interval [CI]: 1.19-3.27) or high ARS scores (OR: 1.83, 95% CI: 1.13-2.96) increased the probability of fracture. Conclusions: There was an association between the use of drugs with anticholinergic properties and the probability of hip fracture in elderly patients and it was possible to establish the level of risk.


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