Hu Yifan, Ren Qiang
Linyi Central Hospital, Linyi, Shandong 276401, China.
The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250355, China.
Prev Med Rep. 2025 Jul 21;57:103184. doi: 10.1016/j.pmedr.2025.103184. eCollection 2025 Sep.
Chronic pain and joint dysfunction caused by arthritis are significantly association with the daily living abilities of the elderly. This study aimed to identify key factors associated with falls in osteoarthritis patients, with particular focus on the role of daily activity limitations.
Using data from the 2020 China Health and Retirement Longitudinal Study, the Activities of Daily Living Scale for the elderly was utilized to measure activities of daily living. Univariate analysis of falls in arthritis patients was conducted using Chi-square tests and -tests. Multivariable logistic regression was employed to explore the fall situation in elderly arthritis patients and its association with activities of daily living (ADL), basic activities of daily living (BADL), and instrumental activities of daily living (IADL).
Both unadjusted and adjusted models showed significant associations between functional limitations and fall risk in older adults with arthritis: ADL (OR = 1.075 [1.04, 1.11] and OR = 1.096 [1.03, 1.11], respectively), BADL (OR = 1.209 [1.11, 1.32] and OR = 1.188 [1.08, 1.31], respectively), and IADL (OR = 1.088 [1.04, 1.14] and OR = 1.076 [1.02, 1.14], respectively). BADL demonstrated the strongest effect (18.8 % increased risk per 1-point worsening). In the exercise subgroup, these associations persisted but were attenuated, with BADL remaining most predictive (OR = 1.36 [1.16, 1,59] and OR = 1.19 [1.12, 1.59], respectively).
To reduce the fall risk in arthritis patients, attention should be given to maintaining elderly arthritis patients' ADL, appropriately adjusting exercise regimens, and minimizing the health risks associated with falls.
关节炎引起的慢性疼痛和关节功能障碍与老年人的日常生活能力显著相关。本研究旨在确定骨关节炎患者跌倒的关键因素，特别关注日常活动受限的作用。
利用2020年中国健康与养老追踪调查的数据，采用老年人日常生活活动量表来测量日常生活活动。使用卡方检验和t检验对关节炎患者的跌倒情况进行单因素分析。采用多变量逻辑回归来探讨老年关节炎患者的跌倒情况及其与日常生活活动（ADL）、基本日常生活活动（BADL）和工具性日常生活活动（IADL）的关联。
未调整和调整后的模型均显示，关节炎老年患者的功能受限与跌倒风险之间存在显著关联：ADL（OR分别为1.075[1.04,1.11]和1.096[1.03,1.11]）、BADL（OR分别为1.209[1.11,1.32]和1.188[1.08,1.31]）和IADL（OR分别为1.088[1.04,1.14]和1.076[1.02,1.14]）。BADL的影响最强（每恶化1分，风险增加18.8%）。在运动亚组中，这些关联仍然存在但有所减弱，BADL仍然是最具预测性的（OR分别为1.36[1.16,1.59]和1.19[1.12,1.59]）。
为降低关节炎患者的跌倒风险，应注意维持老年关节炎患者的ADL，适当调整运动方案，并尽量减少与跌倒相关的健康风险。
