Factors Associated with Risk of Fall in Elderly Population

Risk of Fall in Elderly Population

Authors

  • Barirah Naseer
  • Hamza Dastgir
  • Ayesha Sadiq
  • Sumbal Salik
  • Nouman Abid
  • Musfira Tayyab

DOI:

https://doi.org/10.55735/hjprs.v2i3.84

Keywords:

Elderly Population, Fall Risk, Risk Factors

Abstract

Background: Fall-related injuries and complications are common in the elderly population. Falls can be induced by a variety of internal or extrinsic circumstances. In Pakistan, awareness about the risk factors associated with falls in the elderly population might be a great step in saving the expenses leading to the treatment of the elderly population. Objective: To determine the factors associated with fall risk in the elderly population. Methods: After taking approval from the ethical committee of the university, this cross-sectional study based on a research survey that included subjects above 60 years of age was conducted. Local Pakistani regions like Islamabad and Rawalpindi were included in the community. Individuals with neurological deficiencies or comorbid conditions, a history of falls, fractures or any surgery were excluded from the study. A sample size of 184 older participants was recruited in this study using non-probability convenient sampling. The self-structured questionnaire was used asking the older population about their age, previous history of falls and fears concerning falls while the outcome measuring scales used were the activities-specific balance confidence scale and the Berg balance scale. Results: Out of 184, there were 108 (55.97%) men and 81 (44.02%) women. The mean age was 69.76 ±8.5, with a minimum age of 60 and a maximum age of 108. When assessed using an activities-specific balance confidence scale, surgical history, medical history, incidents due to falls, and previous episodes of fall show a significant association with a minimum score of 15.12 and a maximum score of 99.30 with a mean of 68.83±24.39. On the contrary, medical history, history of fall injuries due to falls, and p-value less than 0.05 are significant factors when assessed using the Berg balance scale with a minimum score of 9 and a maximum score of 56 with a mean of 43.57±12.3. Conclusion: Elderly Females are at greater risk of falls while physical inactivity is another factor that leads to falling. There is no link between systemic, respiratory, or cardiac history and fall risk but problems in the vestibular system concerning the inner ear which controls balance are associated with falls in the elderly population.  

References

Singh A, Misra N. Loneliness, depression and sociability in old age. Industrial psychiatry journal 2009; 18(1): 51. DOI: 10.4103/0972-6748.57861

Warner G, Packer TL, Kervin E, Sibbald K, Audulv Å. A systematic review examining whether community-based self-management programs for older adults with chronic conditions actively engage participants and teach them patient-oriented self-management strategies. Patient education and counseling 2019; 102(12): 2162-82. https://doi.org/10.1016/j.pec.2019.07.002

Kowal P, Dowd JE. Definition of an older person. Proposed working definition of an older person in Africa for the MDS Project. World Health Organization, Geneva, doi 2001; 10(2.1): 5188.9286.

DOI: 10.13140/2.1.5188.9286

Lapp MM. Challenging the cognitive and physical reserve of aging adults through the development of a central New York aging readiness plan: State University of New York College of Environmental Science and Forestry; 2013. https://search.proquest.com/openview/31feb609c589d969afb0c6e1f3322fc8/1?pq-origsite=gscholar&cbl=18750

Chapman AR. A" violations approach" for monitoring the international covenant on economic, social and cultural rights. Hum Rts Q 1996; 18: 23.

https://heinonline.org/hol-cgi-bin/get_pdf.cgi?handle=hein.journals/hurq18&section=9

Heart T, Kalderon E. Older adults: are they ready to adopt health-related ICT? International journal of medical informatics 2013; 82(11): e209-e31. https://doi.org/10.1016/j.ijmedinf.2011.03.002

Bongaarts J, Zimmer Z. Living arrangements of older adults in the developing world: an analysis of demographic and health survey household surveys. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 2002; 57(3): S145-S57. https://doi.org/10.1093/geronb/57.3.S145

Meisner BA, Weir PL, Baker J. The relationship between aging expectations and various modes of physical activity among aging adults. Psychology of Sport and Exercise 2013; 14(4): 569-76.

https://doi.org/10.1016/j.psychsport.2013.02.007

Guralnik JM, Land KC, Blazer D, Fillenbaum GG, Branch LG. Educational status and active life expectancy among older blacks and whites. New England Journal of Medicine 1993; 329(2): 110-6.

DOI: 10.1056/NEJM199307083290208

Martin LG. The status of South Asia's growing elderly population. Journal of Cross-Cultural Gerontology 1990; 5(2): 93-117. https://doi.org/10.1007/BF00116568

Betzel RF, Byrge L, He Y, Goñi J, Zuo X-N, Sporns O. Changes in structural and functional connectivity among resting-state networks across the human lifespan. Neuroimage 2014; 102: 345-57.

https://doi.org/10.1016/j.neuroimage.2014.07.067

de Miranda JMA, Torres NPL, da Silva Toscano GA, et al. Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care. International Archives of Medicine 2017; 10. https://doi.org/10.3823/2316

Nilsson A, Wåhlin-Larsson B, Kadi F. Physical activity and not sedentary time per se influences on clustered metabolic risk in elderly community-dwelling women. PLoS One 2017; 12(4): e0175496. https://doi.org/10.1371/journal.pone.0175496

Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. The lancet 2013; 381(9868): 752-62. https://doi.org/10.1016/S0140-6736(12)62167-9

Cruz-Jentoft AJ, Kiesswetter E, Drey M, Sieber CC. Nutrition, frailty, and sarcopenia. Aging clinical and experimental research 2017; 29(1): 43-8. https://doi.org/10.1007/s40520-016-0709-0

Injuries WHO, Department VP, Organization WH, Injuries WHODo, Prevention V. The injury chart book: a graphical overview of the global burden of injuries: World Health Organization; 2002.

Ambrose AF, Paul G, Hausdorff JM. Risk factors for falls among older adults: a review of the literature. Maturitas 2013; 75(1): 51-61. https://doi.org/10.1016/j.maturitas.2013.02.009

Zecevic AA, Salmoni AW, Speechley M, Vandervoort AA. Defining a fall and reasons for falling: comparisons among the views of seniors, health care providers, and the research literature. The Gerontologist 2006; 46(3): 367-76. https://doi.org/10.1093/geront/46.3.367

Kannus P, Parkkari J, Koskinen S, et al. Fall-induced injuries and deaths among older adults. Jama 1999; 281(20): 1895-9. doi:10.1001/jama.281.20.1895

Tinetti ME, De Leon CFM, Doucette JT, Baker DI. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. Journal of gerontology 1994; 49(3): M140-M7. https://doi.org/10.1093/geronj/49.3.M140

Karlsson MK, Magnusson H, von Schewelov T, Rosengren BE. Prevention of falls in the elderly—a review. Osteoporosis international 2013; 24(3): 747-62. https://doi.org/10.1007/s00198-012-2256-7

Damián J, Pastor-Barriuso R, Valderrama-Gama E, de Pedro-Cuesta J. Factors associated with falls among older adults living in institutions. BMC geriatrics 2013; 13(1): 1-9. https://doi.org/10.1186/1471-2318-13-6

Bueno-Cavanillas A, Padilla-Ruiz F, Jiménez-Moléon JJ, Peinado-Alonso C, Gálvez-Vargas R. Risk factors in falls among the elderly according to extrinsic and intrinsic precipitating causes. European journal of epidemiology 2000; 16(9): 849-59. https://doi.org/10.1023/A:1007636531965

Frels C, Williams P, Narayanan S, Gariballa S. Iatrogenic causes of falls in hospitalised elderly patients: a case-control study. Postgraduate Medical Journal 2002; 78(922): 487-9. DOI: 10.1136/pmj.78.922.487

Nikolaus T, Bach M. Preventing falls in community‐dwelling frail older people using a home intervention team (HIT): results from the randomized Falls‐HIT trial. Journal of the American Geriatrics Society 2003; 51(3): 300-5. https://doi.org/10.1046/j.1532-5415.2003.51102.

Senn N, Monod S. Development of a comprehensive approach for the early diagnosis of geriatric syndromes in general practice. Frontiers in medicine 2015; 2: 78.

https://doi.org/10.3389/fmed.2015.00078

Chang JT, Morton SC, Rubenstein LZ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. Bmj 2004; 328(7441): 680.

doi: https://doi.org/10.1136/bmj.328.7441.680

Alexander BH, Rivara FP, Wolf ME. The cost and frequency of hospitalization for fall-related injuries in older adults. American journal of public health 1992; 82(7): 1020-3. https://doi.org/10.2105/AJPH.82.7.1020

Hoffman GJ, Hays RD, Shapiro MF, Wallace SP, Ettner SL. The costs of fall‐related injuries among older adults: Annual per‐faller, service component, and patient out‐of‐pocket costs. Health services research 2017; 52(5): 1794-816. https://doi.org/10.1111/1475-6773.12554

Chang VC, Do MT. Risk factors for falls among seniors: implications of gender. American journal of epidemiology 2015; 181(7): 521-31. https://doi.org/10.1093/aje/kwu268

Tinetti ME, Han L, Lee DS, et al. Antihypertensive medications and serious fall injuries in a nationally representative sample of older adults. JAMA internal medicine 2014; 174(4): 588-95.

doi:10.1001/jamainternmed.2013.14764

Gale CR, Cooper C, Aihie Sayer A. Prevalence and risk factors for falls in older men and women: The English Longitudinal Study of Ageing. Age and ageing 2016; 45(6): 789-94.

https://doi.org/10.1093/ageing/afw129

Sibley KM, Voth J, Munce SE, Straus SE, Jaglal SB. Chronic disease and falls in community-dwelling Canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions. BMC geriatrics 2014; 14(1): 1-11. https://doi.org/10.1177/0898264315608730

Kamil RJ, Betz J, Powers BB, et al. Association of hearing impairment with incident frailty and falls in older adults. Journal of aging and health 2016; 28(4): 644-60. https://doi.org/10.1186/1471-2318-14-22

Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC geriatrics 2014; 14(1): 1-14. https://doi.org/10.1186/1471-2318-14-14

Kvelde T, Lord SR, Close JC, et al. Depressive symptoms increase fall risk in older people, independent of antidepressant use, and reduced executive and physical functioning. Archives of gerontology and geriatrics 2015; 60(1): 190-5. https://doi.org/10.1016/j.archger.2014.09.003

Downloads

Published

11/30/2022

How to Cite

Naseer, B. ., Dastgir, H., Sadiq, A., Salik, S., Abid, N., & Tayyab, M. . (2022). Factors Associated with Risk of Fall in Elderly Population: Risk of Fall in Elderly Population. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 2(3), 221–231. https://doi.org/10.55735/hjprs.v2i3.84

Issue

Section

Articles

Categories

Most read articles by the same author(s)

1 2 > >>