Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo City, Tokyo 113-0033, Japan.
The Faculty of Medicine, The University of Tsukuba, 1-1-1 Tennodai, Tsukuba City 305-8575, Japan.
Int J Environ Res Public Health. 2023 Feb 1;20(3):2650. doi: 10.3390/ijerph20032650.
To prevent falls, community-dwelling older adults must maintain regular physical activities. This study aimed to explore the association between the prevention from going out and the incidence of falls among community-dwelling older adults during the COVID-19 pandemic. We conducted a prospective cohort study that consisted of 381 individuals aged 65 years or older, living in a local community in Japan, and ranging from being independent to being physically and cognitively frail. The finding revealed that among those who had been going out five or more times weekly pre-pandemic, the prevention from going out at the time of the first state of emergency (SOE) (AOR = 6.84; 95%CI = 1.51-31.02), having history of falls (AOR = 7.35; 95%CI = 1.81-29.84), participating in group gatherings (AOR = 6.09; 95%CI = 1.48-25.12), living with spouses (AOR = 0.08; 95%CI = 0.02-0.40), and living with other than spouse (AOR = 0.15; 95%CI = 0.03-0.73) were associated with the incidence of falls. The study highlights the importance of providing regular opportunities to go out to community-dwelling older adults in order to prevent falls.
为了预防跌倒,社区居住的老年人必须保持定期的身体活动。本研究旨在探讨在 COVID-19 大流行期间,社区居住的老年人避免外出与跌倒发生率之间的关系。我们进行了一项前瞻性队列研究,该研究包括 381 名年龄在 65 岁或以上、居住在日本当地社区、身体和认知能力从独立到虚弱不等的个体。研究结果表明,在那些在大流行前每周外出五次或更多次的人中,在第一次紧急状态(SOE)时避免外出(AOR=6.84;95%CI=1.51-31.02)、有跌倒史(AOR=7.35;95%CI=1.81-29.84)、参加团体聚会(AOR=6.09;95%CI=1.48-25.12)、与配偶同住(AOR=0.08;95%CI=0.02-0.40)和与配偶以外的人同住(AOR=0.15;95%CI=0.03-0.73)与跌倒发生率有关。该研究强调了为社区居住的老年人提供定期外出机会以预防跌倒的重要性。