Abstract

Purpose: Currently, the injury and fatality rate associated with falling has gradually caused the attention of the scientists all over the world. However, the study on the risk factors causing the falling of elderly in southwest China is few. Therefore, this study aimed to cover this shortage to provide references for clinical care. Methods: epidemiological study was conducted on 823 elderly residents in Chongqing. Structured questionnaire was adopted to know about the basic information, living status, tumbling history and disease history of the subjects and some assessment tools such as International Physical Activity Questionnaire, Simple Nutrition Assessment Questionnaire and Cognitive Function Questionnaire were also applied for study. Results: 1) in the last year, 15.7% of the over 65-year-old elderly were falling in southwest China, which was obviously higher than that in western countries. 2) In terms of risk factors causing falling of the elderly, the top five risk factors were malnutrition, leg pain, drinking alcohol, poor eyesight and poor health status, the risk of falling of the elderly with such factors were 3.513, 3.266, 2.974, 1.912 and 1.905 times the risk of falling of those without such factors respectively. Conclusions: In the last year, there was a high proportion of the elderly in Southwest China who falling, mainly falling outdoors. The elderly with malnutrition, lower limbs pain, habit of drinking, poor eyesight and self-reported bad health status were at higher risk of falling.

Keywords:

Falling, malnutrition, nutrition, nutrition assessment, the elderly,

References

1. Chang, H.J., Y.F. Chang, Y.C. Yang, C.Y. Chen, C.S. Chang, C.W. Tu et al., 2010. Epidemiological survey of falls and associated risk factors in old females in an aging community. Taiwan Geriatr. Gerontol., 5(1): 50-61.
   
2. Chen, Y.Z., L.H. Lin and S.F. Jian, 2002. The correlation research between the Hospitalized patients with traumatic falls factors and the consumption of medical resources. TZU Chi Nurs. J., 3: 66-77.
   
3. Chu, L.W., A.Y. Chiu and I. Chi, 2006. Impact of falls on the balance, gait, and activities of daily living functioning in community-dwelling Chinese older adults. J. Gerontol. A-Biol., 61(4): 399-404.
   
4. Clough-Gorr, K.M., T. Erpen, G. Gillmann, W. von Renteln-Kruse, S. Iliffe, J.C. Beck and A.E. Stuck, 2008. Preclinical disability as a risk factor for falls in community-dwelling older adults. J. Gerontol. A-Biol., 63(3): 314-320.
   
5. Cumming, R.G., 1998. Epidemiology of medication-related falls and fractures in the elderly. Drug. Aging, 12(1): 43-53.
   
6. Findorff, M.J., J.F. Wyman, J.A. Nyman and C.F. Croghan, 2007. Measuring the direct healthcare costs of a fall injury event. Nurs. Res., 56(4): 283-287.
   CrossRef    PMid:17625468    Direct Link
7. Fink, A., R.D. Hays, A.A. Moore and J.C. Beck, 1996. Alcohol-related problems in older persons. Determinants, consequences, and screening. Arch. Intern. Med., 156(11): 1150-1156.
   CrossRef    PMid:8639009    Direct Link
8. Gassmann, K.G., R. Rupprecht and E. Freiberger, 2009. Predictors for occasional and recurrent falls in community-dwelling older people. Z. Gerontol. Geriatr., 42(1): 3-10.
   CrossRef    PMid:18327690    Direct Link
9. Gazzotti, C., A. Albert, A. Pepinster and J. Petermans, 2000. Clinical usefulness of the mini nutritional assessment (MNA) scale in geriatric medicine. J. Nutr. Health Aging, 4(3): 176-181.
   PMid:10936907    Direct Link
10. Gill, T., A.W. Taylor and A. Pengelly, 2005. A population-based survey of factors relating to the prevalence of falls in older people. Gerontology, 51(5): 340-345.
    CrossRef    PMid:16110237    Direct Link
11. Guigoz, Y., B. Vellas and P.J. Garry, 1996. Assessing the nutritional status of the elderly: The mini nutritional assessment as part of the geriatric evaluation. Nutr. Rev., 54(1): S59-S65.
    CrossRef    PMid:8919685    
12. Health and Welfare Department of the Ministry of Health, 2013. A Long-Term Follow-Up Survey of the Physical and Mental Status of the Elderly in the Elderly. Retrieved from: https://olap.hpa.gov.tw/search/ListHealth1.aspx? (Accessed on: August 20, 2013)
    Direct Link
13. Howland, J., E.W. Peterson, W.C. Levin, L. Fried, D. Pordon and S. Bak, 1993. Fear of falling among the community-dwelling elderly. J. Aging Health, 5(2): 229-243. http://www.ncbi.nlm.nih.gov/pubmed/10125446.
    CrossRef    PMid:10125446    Direct Link
14. Kelsey, J.L., S.D. Berry, E. Procter-Gray, L. Quach, U.S. Nguyen, W. Li, D.P. Kiel, L.A. Lipsitz and M.T. Hannan, 2010. Indoor and outdoor falls in older adults are different: The maintenance of balance, independent living, intellect, and Zest in the elderly of boston study. J. Am. Geriatr. Soc., 58(11): 2135-2141.
    CrossRef    PMid:20831726 PMCid:PMC2975756    Direct Link
15. Landi, F., G. Onder, M. Cesari, C. Barillaro, A. Russo, R. Bernabei et al., 2005. Psychotropic medications and risk for falls among community-dwelling frail older people: an observational study. J. Gerontol. A Biol. Sci. Med. Sci., 60(5): 622-626.
    CrossRef    PMid:15972615    Direct Link
16. Li, L.L., Z.L. Li, F.F. Du and C.Z. Li, 2012. Study on the influence of the aging of population consumption in Shanghai. Labor Secur. World, 4: 58-61.
    
17. Lin, Y.B., C.S. Chang, H.J. Chang et al., 2012. The prevalence of and factors associated with falls by elderly rural males. Taiwan J. Fam. Med., 22: 1-10.
    
18. Moreland, J.D., J.A. Richardson, C.H. Goldsmith and C.M. Clase, 2004. Muscle weakness and falls in older adults: A systematic review and meta-analysis. J. Am. Geriatr. Soc., 52(7): 1121-1129.
    CrossRef    PMid:15209650    Direct Link
19. Morrison, A., T. Fan, S.S. Sen and L. Weisenfluh, 2013. Epidemiology of falls and osteoporotic fractures: A systematic review. Clinicoecon Outcomes Res., 5: 9-18. http://www.ncbi.nlm.nih.gov/pubmed/23300349.
    PMid:23300349    Direct Link
20. Pfeiffer, E., 1975. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J. Am. Geriatr. Soc., 23(10): 433-441.
    CrossRef    PMid:1159263    Direct Link
21. Qu, N.N. and K.J. Li, 2004. Study on the reliability and validity of international physical activity questionnaire (Chinese Vision, IPAQ). Zhonghua Liu Xing Bing Xue Za Zhi, 25(3): 265-268.
    PMid:15200945    Direct Link
22. Sohng, K.Y., J.S. Moon, H.H. Song, K.S. Lee and Y.S. Kim, 2004. Risk factors for falls among the community-dwelling elderly in Korea. Taehan Kanho Hakhoe Chi, 34(8): 1483-1490.
    CrossRef    PMid:15687791    Direct Link
23. Stump, T.E., C.M. Callahan and H.C. Hendrie, 2001. Cognitive impairment and mortality in older primary care patients. J. Am. Geriatr. Soc., 49(7): 934-940.
    CrossRef    PMid:11527485    
24. Sturnieks, D.L., A. Tiedemann, K. Chapman, B. Munro, S.M. Murray and S.R. Lord, 2004. Physiological risk factors for falls in older people with lower limb arthritis. J. Rheumatol., 31(11): 2272-2279.
    PMid:15517643    Direct Link
25. Talbot, L.A., R.J. Musiol, E.K. Witham and E. Jeffery Metter, 2005. Falls in young, middle-aged and older community dwelling adults: Perceived cause, environmental factors and injury. BMC Public Health, 5: 86.
    CrossRef    PMid:16109159 PMCid:PMC1208908    Direct Link
26. Tinetti, M.E. and C.S. Williams, 1997. Falls, injuries due to falls, and the risk of admission to a nursing home. N. Engl. J. Med., 337(18): 1279-1284.
    CrossRef    PMid:9345078    Direct Link
27. Wang, S., 2010. Empirical analysis on the relation between population aging and resident consumption in China: Based on the data from 1978 to 2007. Northwest Populat. J., 1: 68-71.
    

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