Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.
Department of Internal Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.
Int J Environ Res Public Health. 2021 Aug 4;18(16):8257. doi: 10.3390/ijerph18168257.
Falls are prominent health issues among older adults. Among hypertensive older adults, falls may have a detrimental effect on their health and wellbeing. The purpose of this study is to determine the prevalence of falls among hypertensive older adults and to identify the associated factors that contribute to their falls. This was a cross-sectional study conducted among two hundred and sixty-nine hypertensive older adults who were selected via systematic random sampling in two primary health clinics in Kuala Terengganu, Malaysia. Data on their socio-demographic details, their history of falls, medication history and clinical characteristics were collected. Balance and gait were assessed using the Performance Oriented Mobility Assessment (POMA). It was found that 32.2% of participants reported falls within a year. Polypharmacy (adjusted OR 2.513, 95% CI 1.339, 4.718) and diuretics (adjusted OR 2.803, 95% CI 1.418, 5.544) were associated with an increased risk of falls. Meanwhile, a higher POMA score (adjusted OR 0.940, 95% CI 0.886, 0.996) and the number of antihypertensives (adjusted OR 0.473, 95% CI 0.319, 0.700) were associated with a low incidence of falling among hypertensive older adults. Falls are common among hypertensive older adults. Older adults who are taking diuretics and have a polypharmacy treatment plan have a higher incidence of falls. However, older adults taking a higher number of anti-hypertensive medications specifically were not associated with an increased prevalence of falls.
跌倒在老年人中是一个突出的健康问题。在高血压老年人中，跌倒可能对他们的健康和幸福感产生不利影响。本研究旨在确定高血压老年人跌倒的发生率，并确定导致他们跌倒的相关因素。这是一项横断面研究，在马来西亚瓜拉登嘉楼的两家初级保健诊所中，通过系统随机抽样选择了 269 名高血压老年人。收集了他们的社会人口统计学细节、跌倒史、用药史和临床特征数据。使用性能导向移动评估（POMA）评估平衡和步态。结果发现，32.2%的参与者报告在一年内跌倒。多种药物治疗（调整后的 OR 2.513，95%CI 1.339，4.718）和利尿剂（调整后的 OR 2.803，95%CI 1.418，5.544）与跌倒风险增加相关。同时，较高的 POMA 评分（调整后的 OR 0.940，95%CI 0.886，0.996）和降压药数量（调整后的 OR 0.473，95%CI 0.319，0.700）与高血压老年人跌倒发生率较低相关。跌倒在高血压老年人中很常见。服用利尿剂和接受多种药物治疗方案的老年人跌倒发生率较高。然而，服用更多种降压药物的老年人与跌倒发生率增加无关。
