Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Martinistr 52, Hamburg, 20246, Germany.
Arch Gerontol Geriatr. 2020 May-Jun;88:104020. doi: 10.1016/j.archger.2020.104020. Epub 2020 Jan 30.
The chances of experiencing a fall among those aged 60 years and older increase as risk factors accumulate. In the last few decades, several studies have identified different risk factors for falls in older people, including the role of social isolation and loneliness. This systematic review provides an overview of published literature that analyzes the bidirectional relation between falls and social isolation or loneliness.
Two databases (PubMed and Europe PMC) were used to search for publications investigating the relationship between falls, social isolation and/or loneliness in older people. Similar articles and references were screened against the inclusion criteria.
17 studies met the inclusion criteria and were included. Only a few studies assessed the association between falls and social isolation/loneliness among older people. Therefore, articles examining the association between falls and living alone status among people aged 60 and older were included as well. In all studies loneliness, social isolation, and living alone were significantly associated with falls in older people.
The findings emphasize the importance of the relationship between falls and social isolation, loneliness and living alone among older people. As there are only a few studies assessing the relationship between falls and loneliness or social isolation, further research in this field should be conducted. In particular, longitudinal studies that utilize standardized measurement instruments should be carried out.
随着风险因素的积累，60 岁及以上人群发生跌倒的几率会增加。在过去的几十年里，有几项研究已经确定了老年人跌倒的不同风险因素，包括社会隔离和孤独感的作用。本系统评价提供了已发表文献的概述，分析了跌倒与社会隔离或孤独感之间的双向关系。
使用两个数据库（PubMed 和 Europe PMC）搜索调查老年人跌倒、社会隔离和/或孤独感之间关系的出版物。针对纳入标准对相似的文章和参考文献进行了筛选。
符合纳入标准的研究有 17 项。只有少数研究评估了老年人跌倒与社会隔离/孤独感之间的关联。因此，也纳入了评估 60 岁及以上人群跌倒与独居状态之间关联的文章。在所有研究中，孤独感、社会隔离和独居与老年人跌倒显著相关。
研究结果强调了老年人跌倒与社会隔离、孤独感和独居之间关系的重要性。由于评估跌倒与孤独感或社会隔离之间关系的研究很少，因此应该在这一领域开展进一步的研究。特别是应该进行利用标准化测量工具的纵向研究。
