Division of Physical Therapy Science, Graduate Course of Health and Social Work, Kanagawa University of Human Services, Kanagawa 238-8522, Japan.
Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW 2031, Australia.
Int J Environ Res Public Health. 2023 Jun 2;20(11):6040. doi: 10.3390/ijerph20116040.
(1) Background: This prospective study aimed to identify predictors of falls and fall-related fractures in community-dwelling older people with pain; (2) Methods: Participants comprised 389 community-dwelling older people aged 70+ years who had musculoskeletal pain in the neck, back, hip, leg/knee and/or feet. Demographic, anthropometric, balance, mobility, cognitive function, psychological status and physical activity level measures were obtained at baseline. Falls were monitored with monthly falls calendars for 12 months. Logistic regression analyses were performed to identify predictors of falls and fall-related fractures during a 12-month follow-up; (3) Results: Of the 389 participants, 175 (45.0%) and 20 (5.1%) reported falls and fall-related fractures during the 12-month follow-up, respectively. Greater postural sway on foam, more depressive symptoms and lower physical activity levels at baseline were associated with falls during the 12-month follow-up. Slower walking speed at baseline was associated with fall-related fractures during the 12-month follow-up. These associations remained significant after adjusting for age, sex, body mass index, comorbidities and medication use; (4) Conclusions: This study suggests poor balance, low mood and a less active lifestyle are predictors of falls, and slower walking speed predicts fall-related fractures among community-dwelling older people with pain.
(1) 背景：本前瞻性研究旨在确定有疼痛的社区居住老年人中发生跌倒和与跌倒相关骨折的预测因素；(2) 方法：参与者包括 389 名 70 岁以上患有颈部、背部、臀部、腿部/膝盖和/或脚部肌肉骨骼疼痛的社区居住老年人。在基线时获得了人口统计学、人体测量学、平衡、移动性、认知功能、心理状态和身体活动水平的测量值。使用每月的跌倒日历监测 12 个月内的跌倒情况。进行逻辑回归分析以确定 12 个月随访期间跌倒和与跌倒相关骨折的预测因素；(3) 结果：在 389 名参与者中，分别有 175 名（45.0%）和 20 名（5.1%）在 12 个月的随访期间报告了跌倒和与跌倒相关的骨折。基线时在泡沫上的姿势摆动更大、更多的抑郁症状和较低的身体活动水平与 12 个月随访期间的跌倒有关。基线时较慢的步行速度与 12 个月随访期间与跌倒相关的骨折有关。在调整年龄、性别、体重指数、合并症和药物使用后，这些关联仍然显著；(4) 结论：这项研究表明，平衡差、情绪低落和生活方式不活跃是跌倒的预测因素，而步行速度较慢则预示着有疼痛的社区居住老年人中与跌倒相关的骨折。
