scholarly journals Factors associated with occasional and recurrent falls in Mexican community-dwelling older people

PLoS ONE ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. e0192926 ◽  
Author(s):  
Marcela Agudelo-Botero ◽  
Liliana Giraldo-Rodríguez ◽  
Juana Catalina Murillo-González ◽  
Dolores Mino-León ◽  
Esteban Cruz-Arenas
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
Factors Associated ◽  
Recurrent Falls ◽  
Mexican Community ◽  
Community Dwelling Older People

scholarly journals Predictors of Major Depressive Disorder in Older People

2021 ◽  
Vol 18 (22) ◽  
pp. 11894
Author(s):  
Susana Sousa ◽  
Constança Paúl ◽  
Laetitia Teixeira
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Older People ◽  
Social Factors ◽  
Common Mental Disorders ◽  
Community Dwelling ◽  
Major Depressive ◽  
Factors Associated ◽  
Status Mobility ◽  
Community Dwelling Older People

Major depressive disorder (MDD) is one of the most common mental disorders in older people. There are several biological, psychological, and social factors associated with this disorder. This study aimed to describe the depressive state to identify the associated factors and potential predictors of MDD in a population of community-dwelling older people with probable MDD. The sample consisted of 378 participants with probable dementia, with 47.3% of them presenting MDD. The factors that were found to be associated with MDD were sex, living status, mobility, and nutritional status. Knowing the factors that can predict a condition such as MDD is extremely important, both for prevention and for the customization of interventions.

scholarly journals Impact of Malnutrition on Low Muscle Mass in Community-Dwelling Older People in Singapore: Findings from the SHIELD study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 80-80
Author(s):  
Siew Ling Tey ◽  
Samuel Teong Huang Chew ◽  
Yatin Berde ◽  
Geraldine Baggs ◽  
Choon How How ◽  
...  
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Bone Mass ◽  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Risk Category ◽  
Calf Circumference ◽  
Factors Associated ◽  
Community Dwelling Older People

Abstract Objectives Malnutrition contributes to loss of muscle mass. There is limited information on the prevalence of low muscle mass in community-dwelling older people who are (not) at risk of malnutrition. Factors associated with muscle mass are also not well characterized. This cross-sectional study aimed to determine the prevalence of low appendicular skeletal muscle mass index (ASMI; ASM/height2) in older people with normal nutritional status (Malnutrition Universal Screening Tool, MUST risk category = low) and those at risk of malnutrition (MUST risk category = medium or high), and to determine factors associated with ASMI. Methods Strengthening Health In ELDerly through nutrition (SHIELD) is a study involving 1211 (400 with normal nutritional status and 811 at risk of malnutrition) community-dwelling older people aged ≥65 years in Singapore. Low ASMI was determined by bioelectrical impedance analysis (Asian Working Group for Sarcopenia, 2014). Results One in five (20.6%) nourished participants had low ASMI vs. four in five (81.3%) participants at risk of malnutrition had low ASMI (P < 0.0001). Older people with low ASMI were more likely to be admitted to the hospital, had longer length of stay, 25-hydroxyvitamin D deficiency, and lower education level, compared to those with normal ASMI (all P ≤ 0.0472). In the multiple linear regression model, age (coefficient, b = −0.013 kg/m2; P < 0.001), gender (female: b = −0.963 kg/m2; P < 0.001), calf circumference (b = 0.042 kg/m2; P < 0.001), bone mass (b = 0.593 kg/m2; P < 0.001), BMI (b = 0.129 kg/m2; P < 0.001), and Physical Activity Scale for the Elderly (PASE) score (b = 0.001 kg/m2; P = 0.048) were associated with ASMI. Conclusions Community-dwelling older people at risk of malnutrition had four-fold greater risk of having low ASMI as compared to nourished counterparts. Increasing age was associated with lower ASMI, whereas calf circumference, bone mass, BMI, PASE score, and being male were positively associated with ASMI. These findings highlight the importance of screening for low muscle mass and maintaining muscle health as part of the overall malnutrition management in this population group. Funding Sources The Economic Development Board of Singapore, Abbott Nutrition, and Changi General Hospital funded this study.

scholarly journals A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people

2015 ◽  
Vol 27 (7) ◽  
pp. 1071-1087 ◽  
Author(s):  
C. C. Hughes ◽  
I. I. Kneebone ◽  
F. Jones ◽  
B. Brady
Keyword(s):  
Older People ◽  
Psychological Factors ◽  
Community Dwelling ◽  
Activity Level ◽  
Future Research ◽  
Negative Consequences ◽  
Factors Associated ◽  
Moderate Evidence ◽  
Tentative Evidence ◽  
Community Dwelling Older People

ABSTRACTBackground:Four constructs are encompassed by the term “falls-related psychological concerns” (FrPC); “fear of falling” (FOF), “falls-related self-efficacy” (FSe), “balance confidence” (BC) and “outcome expectancy” (OE). FrPC are associated with negative consequences including physical, psychological, and social. Identifying factors associated with FrPC could inform interventions to reduce these concerns.Methods:Sixty-two empirical papers relating to psychological factors associated with FrPC in community-dwelling older people (CDOP) were reviewed. Four levels of evidence were used when evaluating the literature: good, moderate, tentative, and none.Results:Evidence that anxiety predicted FOF, BC, and OE was tentative. Moderate evidence was found for anxiety predicting FSe. Good evidence was found for depression predicting FSe. Moderate evidence was found for depression predicting both FOF and BC. No evidence was found for depression predicting OE. Tentative evidence was found for FSe predicting depression. Good and moderate evidence was found for quality of life (QoL) being predicted by FOF and BC respectively. Tentative evidence was found for FSe predicting QoL. Moderate evidence was found for QoL predicting both FSe and BC. No evidence was found for QoL predicting FOF. Good and moderate evidence was found for activity avoidance/restriction (AA/AR) being predicted by FOF and FSe respectively. Tentative evidence was found for BC and OE predicting AA/AR, as well as for AA/AR predicting FOF. Moderate evidence for activity level (AL) predicting FOF was identified, however the evidence of this predicting FSe and BC was tentative. Evidence for FOF, FSe, and BC predicting AL was tentative as was evidence to suggest FOF predicted coping.Conclusions:Mixed evidence has been found for the association of psychological factors in association with FrPCs. Future research should employ theoretically grounded concepts, use multivariate analysis and longitudinal designs.

Prevalence and factors associated with xerostomia and hyposalivation among community-dwelling older people in Japan

Gerodontology ◽  
2013 ◽  
Vol 33 (1) ◽  
pp. 20-27 ◽  
Author(s):  
Yuki Ohara ◽  
Hirohiko Hirano ◽  
Hideyo Yoshida ◽  
Shuichi Obuchi ◽  
Kazushige Ihara ◽  
...  
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older People

SUN-LB650: Prevalence and Factors Associated with Low Muscle Mass in Community-Dwelling Older People in Singapore

2019 ◽  
Vol 38 ◽  
pp. S301
Author(s):  
S.L. Tey ◽  
S.T.H. Chew ◽  
C.H. How ◽  
M. Yalawar ◽  
G. Baggs ◽  
...  
Keyword(s):  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older People

scholarly journals Falls and fear of falling among Israeli community-dwelling older people: a cross-sectional national survey

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Dvora Frankenthal ◽  
Mor Saban ◽  
Dolev Karolinsky ◽  
Miri Lutski ◽  
Shelley Sternberg ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Older People ◽  
Fear Of Falling ◽  
Functional Decline ◽  
Female Gender ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Factors Associated ◽  
Walking Aids ◽  
Community Dwelling Older People

Abstract Background Falls and fear of falling are a major problem for older people and a leading cause of functional decline and institutionalization. There is limited data on the prevalence of falls in a 12-month period among Israeli older adults. Our main objective was to evaluate the prevalence of falls among Israeli community-dwelling older people aged ≥65 years and to identify factors associated with falls and fear of falling. Methods A national cross-sectional interview survey was conducted between February 2018 and April 2019 by the Israeli Center for Disease Control. The prevalence of falls was assessed by asking participants about falling within the 12 months prior to the survey. Fear of falling was assessed by asking participants about the fear of future falls. Multivariate analysis was used to identify factors associated with falls and with fear of falling. Results From 5281 households that were eligible for inclusion in this study, 3242 participants (61.4%) completed the survey. Falling at least once in the past year was reported by 23.8% of the respondents and fear of falling by 48.2%. The majority of the participants (91.1%) reported that they had never received any instruction about fall prevention from their medical care provider. In the multivariate analysis, falls and fear of falling were each a risk factor for the other; and were also significantly associated with female gender, major functional difficulties, the use of walking aids, cardiac disease, diabetes mellitus and psychotropic medications. Conclusion The prevalence of falls and fear of falling among Israeli community-dwelling older people is comparable to the rates published in other countries. Efforts should be made to increase awareness about falls and their health consequences among older people. The development of specific interventions to target those at higher risk for falls and fear of falling is strongly recommended.

scholarly journals Factors associated with muscle mass in community-dwelling older people in Singapore: Findings from the SHIELD study

PLoS ONE ◽  
2019 ◽  
Vol 14 (10) ◽  
pp. e0223222 ◽  
Author(s):  
Siew Ling Tey ◽  
Samuel Teong Huang Chew ◽  
Choon How How ◽  
Menaka Yalawar ◽  
Geraldine Baggs ◽  
...  
Keyword(s):  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Factors Associated ◽  
Community Dwelling Older People

scholarly journals Prevalence and Associated Risk Factors of Falls among Rural Community-Dwelling Older People: A Cross-Sectional Study from Southern Sri Lanka

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Nirmala Gamage ◽  
Nirmala Rathnayake ◽  
Gayani Alwis
Keyword(s):  
Risk Factors ◽  
Sri Lanka ◽  
Older People ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Recurrent Falls ◽  
Community Dwelling Older People ◽  
Associated Risk Factors

Falls may cause devastating consequences in older people. Conducting surveys on falls and factors associated with falls will inform better preventive health practices among older people to improve their quality of life. This study aimed to assess the prevalence and associated risk factors of falls and recurrent falls among rural community-dwelling older people in Southern Sri Lanka. A cross-sectional study was conducted in Nagoda Divisional Secretariat area, Galle, with 300 participants (females=175) aged 65 years and above. An interviewer-administered questionnaire was used to collect the data. To assess the prevalence of falls, participants were asked if they had fallen in the past year, and if so how many times. If any individual reported two or more falls, it was considered a recurrent fall. Biological, behavioral, environmental, and socioeconomic factors were documented as potential risk factors for falls. Multivariate logistic regression was performed with adjusted Odds Ratio (OR). Mean (SD) age was 73 (6.7) years. The prevalence of falls and recurrent falls were reported as 34.3% (95%CI; 29.03-40.04) (n=103) and 9.6% (95%CI; 6.68-13.73) (n=29), respectively. Out of 103 fallers, 37 (35.9%) had sustained injuries, with 40.5% affecting the wrist and 24.3% the hip. The associated factors for falls were age (OR=0.1), gender (OR=3.0), diabetes mellitus (OR=2.7), balance or gait problems (OR=4.2), use of antihypertensive medication (OR=0.2), and use of at least one long-term medication (OR=3.5). Associated factors for recurrent falls were age (OR=0.3), hypertension (OR=3.7), balance or gait problems (OR=3.8), sleep disturbances (OR=2.0), use of antihypertensive medication (OR=0.1), and use of at least one long-term medication (OR=3.4). A high prevalence of falls and low prevalence of recurrent falls among older people were observed. Biological and behavioral factors were reported as associated risk factors. This information is important to inform strategies to prevent falls in older people in Sri Lanka.

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