Algarve Biomedical Center Research Institute (ABCRI), University of Algarve, 8005-139 Faro, Portugal.
Department of Nursing, University of Huelva, 21004 Huelva, Spain.
Int J Environ Res Public Health. 2022 Feb 16;19(4):2249. doi: 10.3390/ijerph19042249.
One in three people aged 65 years or older falls every year. Injuries associated with this event among the older population are a major cause of pain, disability, loss of functional autonomy and institutionalization. This study aimed to assess mobility and fall risk (FR) in community-living older people and to determine reliable and independent measures (health, social, environmental and risk factors) that can predict the mobility loss and FR. In total, 192 participants were included, with a mean age of 77.93 ± 8.38. FR was assessed by EASY-Care (EC) Standard 2010, the Tinetti Test and the Modified Falls Efficacy Scale (MFES). An exploratory analysis was conducted using the divisive non-hierarchical cluster method, aiming to identify a differentiator and homogeneous group of subjects (optimal group of variables) and to verify if that group shows differences in fall risk. Individually, the health, social, environmental and risk factor categories were not found to be an optimal group; they do not predict FR. The most significant predictor variables were a mix of the different categories, namely, the presence of pain, osteoarthritis (OA), and female gender. The finding of a profile that allows health professionals to be able to quickly identify people at FR will enable a reduction in injuries and fractures resulting from falls and, consequently, the associated costs.
三分之一的 65 岁及以上老年人每年都会跌倒。老年人中与该事件相关的伤害是导致疼痛、残疾、丧失功能自主性和住院的主要原因。本研究旨在评估社区居住老年人的活动能力和跌倒风险(FR),并确定可靠和独立的措施(健康、社会、环境和风险因素),以预测活动能力丧失和 FR。共有 192 名参与者,平均年龄为 77.93±8.38。FR 通过 EASY-Care(EC)标准 2010、Tinetti 测试和改良跌倒效能量表(MFES)进行评估。使用分裂非层次聚类方法进行了探索性分析,旨在识别一个区分和同质的受试者群体(最佳变量组),并验证该群体在跌倒风险方面是否存在差异。单独来看,健康、社会、环境和风险因素类别并不是最佳组,它们不能预测 FR。最显著的预测变量是不同类别中存在的疼痛、骨关节炎(OA)和女性性别等的混合。确定一个能够让卫生专业人员快速识别 FR 人群的特征,将有助于减少因跌倒导致的伤害和骨折,从而降低相关成本。