Prevalence and Risk Factors Associated with Injurious Falls Among Community-Dwelling Older Adults in Indonesia

Overview

Journal Curr Gerontol Geriatr Res

Specialty Geriatrics

Date 2018 Jul 5

PMID 29971097

Citations 12

Authors

Supa Pengpid

Karl Peltzer

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the prevalence and health correlates of fall-related injury in a national population-based community-dwelling sample of older Indonesians.

Methods: Participants were 6698 older adults, 50 years and older (median age 58.0 years, IQR=11.0, and age range of 50-101 years), who took part in in the Indonesia Family Life Survey (IFLS-5) in 2014-15. They provided information about sociodemographic, various health variables, including a falling down and received treatment history in the last two years.

Results: Overall, 12.8% had one or more fall-related injuries in the past two years, 14.0% among women and 11.5% among men, 7.6% had a single fall, and 5.2% multiple fall-related injuries in the past two years. In multivariable logistic regression models, having two or more chronic conditions, urinary problems, and functional disability was independently associated with multiple fall-related injuries in the past two years in both sexes. Sex-specific risk factors were former tobacco use, having or having had a cataract, sleep disturbance, and sleep impairment in men and poorer economic background, depression symptoms, and low cognitive functioning in women.

Conclusion: A significant proportion of older adults in Indonesia have fall-related injury. Several homogenous between the sexes and sex-specific risk factors for fall-related injury were identified that can help in designing fall-prevention strategies.

Citing Articles

The Relationship between the Activity Balance Confidence and Mobility Tests among Older Adults in Indonesia.

Susilowati I, Sabarinah S, Nugraha S, Alimoeso S, Hasiholan B, Pengpid S J Aging Res. 2022; 2022:4140624.

PMID: 35832731 PMC: 9273457. DOI: 10.1155/2022/4140624.

Effects of Otago Exercise Program on serum Interleukin-6 level in older women.

Gde Agung Mahendra I, Subadi I, Wardhani I, Satyawati R, Pawana I, Melaniani S Ann Med Surg (Lond). 2022; 78:103733.

PMID: 35600169 PMC: 9114448. DOI: 10.1016/j.amsu.2022.103733.

Association between daily activities and fall in older adults: an analysis of longitudinal ageing study in India (2017-18).

Nagarkar A, Kulkarni S BMC Geriatr. 2022; 22(1):203.

PMID: 35287596 PMC: 8922744. DOI: 10.1186/s12877-022-02879-x.

Cognitive frailty is a robust predictor of falls, injuries, and disability among community-dwelling older adults.

Rivan N, Singh D, Shahar S, Wen G, Rajab N, Che Din N BMC Geriatr. 2021; 21(1):593.

PMID: 34696720 PMC: 8543922. DOI: 10.1186/s12877-021-02525-y.

Older Adults with Hypertension: Prevalence of Falls and Their Associated Factors.

Abu Bakar A, Abdul Kadir A, Idris N, Mohd Nawi S Int J Environ Res Public Health. 2021; 18(16).

PMID: 34444005 PMC: 8392439. DOI: 10.3390/ijerph18168257.

References

. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015; 386(9995):743-800. PMC: 4561509. DOI: 10.1016/S0140-6736(15)60692-4. View

Mancini C, Williamson D, Binkin N, Michieletto F, De Giacomi G . [Epidemiology of falls among the elderly]. Ig Sanita Pubbl. 2007; 61(2):117-32. View

Katz S, Ford A, Moskowitz R, Jackson B, JAFFE M . STUDIES OF ILLNESS IN THE AGED. THE INDEX OF ADL: A STANDARDIZED MEASURE OF BIOLOGICAL AND PSYCHOSOCIAL FUNCTION. JAMA. 1963; 185:914-9. DOI: 10.1001/jama.1963.03060120024016. View

Lord S, Smith S, Menant J . Vision and falls in older people: risk factors and intervention strategies. Clin Geriatr Med. 2010; 26(4):569-81. DOI: 10.1016/j.cger.2010.06.002. View

Chiarelli P, Mackenzie L, Osmotherly P . Urinary incontinence is associated with an increase in falls: a systematic review. Aust J Physiother. 2009; 55(2):89-95. DOI: 10.1016/s0004-9514(09)70038-8. View

Lukaszyk C, Harvey L, Sherrington C, Keay L, Tiedemann A, Coombes J . Risk factors, incidence, consequences and prevention strategies for falls and fall-injury within older indigenous populations: a systematic review. Aust N Z J Public Health. 2016; 40(6):564-568. DOI: 10.1111/1753-6405.12585. View

Jiang J, Long J, Ling W, Huang G, Guo X, Su L . Incidence of fall-related injury among old people in mainland China. Arch Gerontol Geriatr. 2015; 61(2):131-9. DOI: 10.1016/j.archger.2015.06.003. View

Rubenstein L . Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006; 35 Suppl 2:ii37-ii41. DOI: 10.1093/ageing/afl084. View

Zhang D, He Y, Liu M, Yang H, Wu L, Wang J . [Study on incidence and risk factors of fall in the elderly in a rural community in Beijing]. Zhonghua Liu Xing Bing Xue Za Zhi. 2016; 37(5):624-8. DOI: 10.3760/cma.j.issn.0254-6450.2016.05.007. View

10.

Iaboni A, Flint A . The complex interplay of depression and falls in older adults: a clinical review. Am J Geriatr Psychiatry. 2013; 21(5):484-92. PMC: 4880473. DOI: 10.1016/j.jagp.2013.01.008. View

11.

Jitapunkul S, Songkhla M, Chayovan N, Chirawatkul A, Choprapawon C, Kachondham Y . Falls and their associated factors: a national survey of the Thai elderly. J Med Assoc Thai. 1998; 81(4):233-42. View

12.

Lukaszyk C, Radford K, Delbaere K, Ivers R, Rogers K, Sherrington C . Risk factors for falls among older Aboriginal and Torres Strait Islander people in urban and regional communities. Australas J Ageing. 2017; 37(2):113-119. DOI: 10.1111/ajag.12481. View

13.

Brassington G, King A, Bliwise D . Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64-99 years. J Am Geriatr Soc. 2000; 48(10):1234-40. DOI: 10.1111/j.1532-5415.2000.tb02596.x. View

14.

Lawton M, Brody E . Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969; 9(3):179-86. View

15.

Chang V, Do M . Risk factors for falls among seniors: implications of gender. Am J Epidemiol. 2015; 181(7):521-31. DOI: 10.1093/aje/kwu268. View

16.

Yeong U, Tan S, Yap J, Choo W . Prevalence of falls among community-dwelling elderly and its associated factors: A cross-sectional study in Perak, Malaysia. Malays Fam Physician. 2017; 11(1):7-14. PMC: 5405326. View

17.

Schiller J, Kramarow E, Dey A . Fall injury episodes among noninstitutionalized older adults: United States, 2001-2003. Adv Data. 2007; (392):1-16. View

18.

Yu L, Buysse D, Germain A, Moul D, Stover A, Dodds N . Development of short forms from the PROMIS™ sleep disturbance and Sleep-Related Impairment item banks. Behav Sleep Med. 2012; 10(1):6-24. PMC: 3261577. DOI: 10.1080/15402002.2012.636266. View

19.

Craig C, Marshall A, Sjostrom M, Bauman A, Booth M, Ainsworth B . International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8):1381-95. DOI: 10.1249/01.MSS.0000078924.61453.FB. View

20.

Ren J, Waclawczyk A, Hartfield D, Yu S, Kuang X, Zhang H . Analysis of fall injuries by body mass index. South Med J. 2014; 107(5):294-300. DOI: 10.1097/SMJ.0000000000000097. View