Zwart Marta, Azagra-Ledesma Rafael, Díaz-Herrera Miguel Ángel, Pujol Jesus, Saez Marc, Aguyé-Batista Amada
Family Medicine, Health Center Can Gibert del Pla, Institut Català de la Salut (ICS), c/San Sebastian 9, 17005 Girona, Spain.
Department of Medicine, Universitat de Girona (UdG), c/Emili Grahit 77, Campus Centro, 17003 Girona, Spain.
J Clin Med. 2025 Jan 30;14(3):925. doi: 10.3390/jcm14030925.
This study aims to assess how fractures and fear of falling affect health-related quality of life (HRQoL) in men (≥50 years) across different domains. Design: Observational study.
Primary care.
237 men aged 50-90 years.
Age, frac-tures, fear of falling, EQ-5D. A total of 122 men (51.47% of the male cohort) participated, the mean age was 69 ± 5 (≥65-74 years 26.2%, ≥75-84 years 21.3%, ≥85 years 9.8%). Poorer EQ-5D scores were observed in men ≥ 65 years with fractures in the pain domain ( = 0.04), while men < 65 showed better scores in mobility ( = 0.04), self-care ( = 0.04), daily activities ( = 0.04), and anxiety/depression ( = 0.01). Fear of falling significantly impacted HRQoL across all ages, with men ≥ 65 reporting worse mobility ( = 0.02) and higher anxiety/depression ( = 0.01), while men < 65 experienced less pain ( = 0.00). This study shows a relationship between frac-tures, fear of falling, and the perception of the various dimensions of HRQoL in older men. It highlights the need for targeted interventions and follow-up systems to monitor recovery and address fears of falling in men aged 65 and above post-fracture.
本研究旨在评估骨折和跌倒恐惧如何在不同领域影响50岁及以上男性的健康相关生活质量(HRQoL)。设计:观察性研究。
初级保健。
237名年龄在50 - 90岁的男性。
年龄、骨折、跌倒恐惧、EQ - 5D。共有122名男性(占男性队列的51.47%)参与,平均年龄为69±5岁(65 - 74岁占26.2%,75 - 84岁占21.3%,85岁及以上占9.8%)。在疼痛领域有骨折的65岁及以上男性的EQ - 5D得分较差(P = 0.04),而65岁以下男性在活动能力(P = 0.04)、自我护理(P = 0.04)、日常活动(P = 0.04)和焦虑/抑郁(P = 0.01)方面得分较好。跌倒恐惧在所有年龄段都对HRQoL有显著影响,65岁及以上男性报告活动能力较差(P = 0.02)和焦虑/抑郁程度较高(P = 0.01),而65岁以下男性疼痛较轻(P = 0.00)。本研究表明骨折、跌倒恐惧与老年男性HRQoL各维度认知之间存在关联。它强调了需要有针对性的干预措施和随访系统来监测康复情况,并解决65岁及以上男性骨折后对跌倒的恐惧。