Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA.
Division of Rheumatology, Department of Internal Medicine, Hospital Universitario de Caracas, Universidad Central de Venezuela, Caracas, Venezuela.
Aging Clin Exp Res. 2018 Nov;30(11):1345-1351. doi: 10.1007/s40520-018-0950-9. Epub 2018 Apr 17.
Falls are a major cause of disability, morbidity, institutionalization, and mortality in older adults.
The purpose of the study was to examine the risk factors for falls among Mexican older adults aged 60 years and older.
This study included 6247 participants and their spouse or partner aged 60 years and older from the Mexican Health and Aging Study, an ongoing longitudinal study (2001-2012) conducted in Mexico. Measures included socio-demographics, falls, physical activity, comorbid conditions, pain, vertigo, vision and hearing impairments, urinary incontinence, lower extremity functional limitation, activities of daily living (ADLs), cognitive function, and depressive symptoms.
Mean age was 69.6 years (standard error = 0.18) and 51.8% were female. Forty percent reported one or more falls at baseline. Older age, being female, obesity, arthritis, fractures, stroke, suffering pain, vertigo, lower extremity functional limitations, physical activity, depressive symptoms, urinary incontinence, and ADL disability were significant factors associated with one or more falls over time.
Early detection and treatment of the risk factors for falls in this population will help improve the quality of life and reduce medical complications and health care costs.
跌倒在老年人中是导致残疾、发病、住院和死亡的主要原因。
本研究旨在探讨墨西哥 60 岁及以上老年人跌倒的危险因素。
这项研究包括 6247 名参与者及其 60 岁及以上的配偶或伴侣，他们来自正在进行的纵向研究（2001-2012 年）——墨西哥健康与老龄化研究。测量包括社会人口统计学、跌倒、身体活动、合并症、疼痛、眩晕、视力和听力障碍、尿失禁、下肢功能障碍、日常生活活动（ADL）、认知功能和抑郁症状。
平均年龄为 69.6 岁（标准误差=0.18），51.8%为女性。40%的人在基线时报告有一次或多次跌倒。随着时间的推移，年龄较大、女性、肥胖、关节炎、骨折、中风、疼痛、眩晕、下肢功能障碍、身体活动、抑郁症状、尿失禁和 ADL 残疾是与一次或多次跌倒相关的显著因素。
早期发现和治疗该人群跌倒的危险因素将有助于提高生活质量并降低医疗并发症和医疗保健成本。
