Sutin Angelina R, Luchetti Martina, Stephan Yannick, Canada Brice, Terracciano Antonio
Florida State University College of Medicine, Tallahassee, FL, USA.
Euromov, University of Montpellier, Montpellier, Occitanie, France.
Gerontol Geriatr Med. 2024 Mar 6;10:23337214241236039. doi: 10.1177/23337214241236039. eCollection 2024 Jan-Dec.
Purpose in life is an aspect of well-being that is associated with better health outcomes in older adulthood. We examine the association between purpose in life and likelihood of a recent fall and risk of an incident fall over time. Purpose in life and falls were reported concurrently and falls were reported again up to 16 years later in four established longitudinal studies of older adults (total = 25,418). A random-effects meta-analysis of the four samples indicated that purpose was associated with a 14% lower likelihood of having fallen recently at baseline (meta-analytic = 0.88, 95% CI [0.84-0.92]). Among participants who reported no falls at baseline ( = 15,632), purpose was associated with a nearly 10% lower risk of an incident fall over the up to 16-year follow-up (meta-analytic HR = 0.92, 95% CI [0.90-0.94]). These associations were independent of age, sex, race, ethnicity, and education, were not moderated by these factors, and persisted controlling for physical activity and disease burden. Purpose in life is a meaningful aspect of well-being that may be useful to identify individuals at risk for falling, particularly among individuals without traditional risk factors, and be a target of intervention to reduce fall risk.
生活目的是幸福感的一个方面，与老年人更好的健康结果相关。我们研究了生活目的与近期跌倒可能性以及随时间发生跌倒风险之间的关联。在四项针对老年人的既定纵向研究（总计 = 25418人）中，同时报告了生活目的和跌倒情况，并且在长达16年后再次报告了跌倒情况。对这四个样本进行的随机效应荟萃分析表明，生活目的与基线时近期跌倒可能性降低14%相关（荟萃分析 = 0.88，95%置信区间[0.84 - 0.92]）。在基线时报告无跌倒的参与者（= 15632人）中，生活目的与长达16年随访期间发生跌倒的风险降低近10%相关（荟萃分析风险比 = 0.92，95%置信区间[0.90 - 0.94]）。这些关联独立于年龄、性别、种族、民族和教育程度，不受这些因素的调节，并且在控制身体活动和疾病负担后仍然存在。生活目的是幸福感的一个有意义的方面，可能有助于识别跌倒风险个体，特别是在没有传统风险因素的个体中，并且可成为降低跌倒风险干预措施的目标。
