| Autor: |
Tomoki, Tanaka, Hiroshige, Matsumoto, Bo-Kyung, Son, Shujirou, Imaeda, Emiko, Uchiyama, Sakiko, Taniguchi, Akiko, Nishino, Takahiro, Miura, Toshiaki, Tanaka, Toshio, Otsuki, Kazuhiko, Nishide, Katsuya, Iijima, Junichiro, Okata |
| Rok vydání: |
2017 |
| Předmět: |
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| Zdroj: |
Geriatricsgerontology international. 18(9) |
| ISSN: |
1447-0594 |
| Popis: |
To identify environmental and physical factors that predispose middle-aged and older Japanese adults to falls and fall-related fractures in the home.A cross-sectional survey was carried out in 2014. Self-administered questionnaires were distributed to 15 000 community-dwelling adults in Japan. The overall crude response rate was 13%. Response data were analyzed from 1561 individuals aged ≥40 years using multiple imputation to analyze missing data. We evaluated falls without fractures and fall-related fractures during the previous 3 years according to demographic, physical and environmental factors, including age, sex, long-term care insurance certification, type of house and barrier-free housing.Of the 1561 adults (mean age 68.1 ± 13.0 years), 28% experienced a fall in the home. Among the individuals who experienced a fall, 11% experienced fall-related fractures. These individuals were more likely to be women (OR 2.4, 95.0% CI 1.1-5.1), have LTCI certification (OR 3.9, 95.0% CI 1.6-9.4) and be living in a barrier home (OR 4.0, 95.0% CI 1.6-9.8), after adjustment for covariates.Environmental factors, such as living in a barrier home, are critical for fall-related fractures, in addition to demographic and physical factors. A multidisciplinary approach that considers both physical and environmental factors is necessary for reducing the incidence of fall-related fractures among middle-aged and older Japanese adults. Geriatr Gerontol Int 2018; 18: 1372-1377. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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