Combined Impact of Physical Frailty and Social Isolation on Rate of Falls in Older Adults
| Autor: | Hiroyuki Umegaki, Aiko Inoue, Hiroyuki Shimada, Toshio Hayashi, Masafumi Kuzuya, Chi Hsien Huang, Taeko Makino |
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| Rok vydání: | 2020 |
| Předmět: |
Male
030309 nutrition & dietetics Cross-sectional study Frail Elderly Medicine (miscellaneous) Poison control Falls in older adults Logistic regression law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Weight loss Medicine Humans 030212 general & internal medicine Social isolation Geriatric Assessment Aged Aged 80 and over 0303 health sciences Nutrition and Dietetics business.industry Confounding Cross-Sectional Studies Social Isolation Accidental Falls Female Geriatrics and Gerontology medicine.symptom business Demography |
| Zdroj: | The journal of nutrition, healthaging. 24(3) |
| ISSN: | 1760-4788 |
| Popis: | The aim of this study was to examine the impact of the combination of physical frailty and social isolation on falling in community-dwelling older adults. A cross-sectional study of data obtained at registration in a randomized control trial. Community-based study of participants recruited from Toyota, Japan. 380 community-dwelling older adults (47.9% women, mean age = 72.3 ± 4.6 years). Participants were categorized as non-frail or pre-frail/frail based on the Fried frailty criteria (slowness, weakness, exhaustion, low activity, and weight loss). Social isolation was examined using the Lubben Social Network Scale (LSNS-6), and scores lower than 12 points indicated social isolation. Participants were divided into four groups depending on pre-frail/frail status and social isolation, and experiences of multiple falls over the past year were compared between the groups. Participants were classified into robust (n = 193), physical frailty (PF; n = 108), social isolation (SI; n = 43), and PF with SI (PF+SI; n = 36) groups. A total of 38 (10.0%) participants reported multiple falls. Logistic regression analysis showed that PF and SI groups were not independently associated with falling (PF: OR 1.64, 95% CI 0.65–4.16, SI: OR 2.25, 95% CI 0.77–6.58), while PF+SI group was significantly associated with falling compared with the robust group (OR 3.06, 95% CI 1.00–9.34, p = 0.049) after controlling for confounding factors. Our findings support the assertion that coexistence with physical frailty and social isolation were associated with falling in the older adults. |
| Databáze: | OpenAIRE |
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