Master Program in Global Health and Development, College of Public Health, Taipei Medical University, Taipei, Taiwan.
The International Institute of Migration and Development (IIMAD), Kerala, India.
J Appl Gerontol. 2023 Nov;42(11):2207-2218. doi: 10.1177/07334648231184950. Epub 2023 Jun 20.
The association of poor nutritional status with falls-related injuries other than fractures is unclear. Although there are sex differences in poor nutritional status and the rate of falls-related injuries, whether the impacts of poor nutritional status on falls-related injuries differ by sex is unclear. We investigated whether baseline poor nutritional status predicted injurious falls, fall-related minor injuries, and fractures at 3-year follow-up and whether these relationships differed by sex among community-dwelling older adults ( = 3257). We found that being at risk of malnutrition at baseline significantly predicted injurious falls but not minor injuries and fractures at follow-up. Compared to older males at risk of malnutrition at baseline, females at risk of malnutrition were significantly more likely to have injurious falls and minor injuries later. Being at risk of malnutrition predicted injurious falls, especially among older females. Regular nutritional screenings among older females should be implemented to provide prompt interventions against falls.
营养不良与骨折以外的与跌倒相关的伤害之间的关系尚不清楚。尽管营养不良和跌倒相关伤害的发生率存在性别差异，但营养不良对跌倒相关伤害的影响是否因性别而异尚不清楚。我们调查了基线时的营养不良状况是否预测了 3 年后的伤害性跌倒、跌倒相关的轻微伤害和骨折，以及这些关系是否因性别而异（n = 3257）。我们发现，基线时存在营养不良风险显著预测了伤害性跌倒，但不能预测轻微伤害和骨折的发生。与基线时存在营养不良风险的老年男性相比，女性的伤害性跌倒和轻微伤害的可能性更高。营养不良风险预测了伤害性跌倒，尤其是老年女性。应定期对老年女性进行营养筛查，以便及时采取干预措施预防跌倒。
