Is a fall just a fall: Correlates of falling in healthy older persons. The health, aging and body composition study

Nathalie De Rekeneire, Marjolein Visser, Rita Peila, Michael C. Nevitt, Jane A. Cauley, Frances Tylavsky, Eleanor M. Simonsick, Tamara B. Harris

Research output: Contribution to journalArticle

225 Citations (Scopus)

Abstract

OBJECTIVES: To identify factors associated with falling in well-functioning older people. DESIGN: Cross-sectional analyses of report of falls over the past 12 months using baseline data from the Health, Aging and Body Composition Study. SETTING: Clinic examinations in Pittsburgh, Pennsylvania, or Memphis, Tennessee. PARTICIPANTS: Three thousand seventy-five high-functioning black and white elderly aged 70 to 79 living in the community. MEASUREMENTS: Physical function assessed using self-report and performance measures. Health status indicators included diseases, medication use, and body composition measures. RESULTS: Almost one-quarter (24.1%) of women and 18.3% of men reported at least one fall within the year before the baseline examination. Fallers were more likely to be female; white; report more chronic diseases and medications; and have lower leg strength, poorer balance, slower 400-meter walk time, and lower muscle mass. In men, multivariate logistic regression models showed white race (adjusted odds ratio (OR) = 1.4, 95% confidence interval (CI) = 1.2-1.6), slower 6-meter walk speed (OR = 1.1, 95% CI = 1.0-1.3), poor standing balance (OR = 1.2, 95% CI = 1.0-1.4), inability to do 5 chair stands (OR = 1.7, 95% CI = 1.3-1.9), report of urinary incontinence (UI) (OR = 1.5, 95% CI = 1.1-2.0), and mid-quintile of leg muscle strength (OR = 0.6, 95% CI = 0.4-0.9) to be independently associated with report of falling. In women, benzodiazepine use (OR = 1.6, 95% CI = 1.0-2.6), UI (OR = 1.5, 95% CI = 1.2-1.9), and reported difficulty in rising from a chair (OR = 1.4, 95% CI = 1.2-1.6) were associated with past falls. CONCLUSION: Falls history needs to be screened in healthier older adults. Even for well-functioning older persons, specific correlates of falling can be identified to define those at risk.

Original languageEnglish (US)
Pages (from-to)841-846
Number of pages6
JournalJournal of the American Geriatrics Society
Volume51
Issue number6
DOIs
StatePublished - Jun 1 2003

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Accidental Falls
Body Composition
Odds Ratio
Confidence Intervals
Health
Urinary Incontinence
Leg
Logistic Models
Health Status Indicators
Body Weights and Measures
Muscle Strength
Benzodiazepines
Self Report
Chronic Disease
Cross-Sectional Studies
History

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

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Is a fall just a fall : Correlates of falling in healthy older persons. The health, aging and body composition study. / De Rekeneire, Nathalie; Visser, Marjolein; Peila, Rita; Nevitt, Michael C.; Cauley, Jane A.; Tylavsky, Frances; Simonsick, Eleanor M.; Harris, Tamara B.

In: Journal of the American Geriatrics Society, Vol. 51, No. 6, 01.06.2003, p. 841-846.

Research output: Contribution to journalArticle

De Rekeneire, Nathalie ; Visser, Marjolein ; Peila, Rita ; Nevitt, Michael C. ; Cauley, Jane A. ; Tylavsky, Frances ; Simonsick, Eleanor M. ; Harris, Tamara B. / Is a fall just a fall : Correlates of falling in healthy older persons. The health, aging and body composition study. In: Journal of the American Geriatrics Society. 2003 ; Vol. 51, No. 6. pp. 841-846.
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abstract = "OBJECTIVES: To identify factors associated with falling in well-functioning older people. DESIGN: Cross-sectional analyses of report of falls over the past 12 months using baseline data from the Health, Aging and Body Composition Study. SETTING: Clinic examinations in Pittsburgh, Pennsylvania, or Memphis, Tennessee. PARTICIPANTS: Three thousand seventy-five high-functioning black and white elderly aged 70 to 79 living in the community. MEASUREMENTS: Physical function assessed using self-report and performance measures. Health status indicators included diseases, medication use, and body composition measures. RESULTS: Almost one-quarter (24.1{\%}) of women and 18.3{\%} of men reported at least one fall within the year before the baseline examination. Fallers were more likely to be female; white; report more chronic diseases and medications; and have lower leg strength, poorer balance, slower 400-meter walk time, and lower muscle mass. In men, multivariate logistic regression models showed white race (adjusted odds ratio (OR) = 1.4, 95{\%} confidence interval (CI) = 1.2-1.6), slower 6-meter walk speed (OR = 1.1, 95{\%} CI = 1.0-1.3), poor standing balance (OR = 1.2, 95{\%} CI = 1.0-1.4), inability to do 5 chair stands (OR = 1.7, 95{\%} CI = 1.3-1.9), report of urinary incontinence (UI) (OR = 1.5, 95{\%} CI = 1.1-2.0), and mid-quintile of leg muscle strength (OR = 0.6, 95{\%} CI = 0.4-0.9) to be independently associated with report of falling. In women, benzodiazepine use (OR = 1.6, 95{\%} CI = 1.0-2.6), UI (OR = 1.5, 95{\%} CI = 1.2-1.9), and reported difficulty in rising from a chair (OR = 1.4, 95{\%} CI = 1.2-1.6) were associated with past falls. CONCLUSION: Falls history needs to be screened in healthier older adults. Even for well-functioning older persons, specific correlates of falling can be identified to define those at risk.",
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AU - De Rekeneire, Nathalie

AU - Visser, Marjolein

AU - Peila, Rita

AU - Nevitt, Michael C.

AU - Cauley, Jane A.

AU - Tylavsky, Frances

AU - Simonsick, Eleanor M.

AU - Harris, Tamara B.

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N2 - OBJECTIVES: To identify factors associated with falling in well-functioning older people. DESIGN: Cross-sectional analyses of report of falls over the past 12 months using baseline data from the Health, Aging and Body Composition Study. SETTING: Clinic examinations in Pittsburgh, Pennsylvania, or Memphis, Tennessee. PARTICIPANTS: Three thousand seventy-five high-functioning black and white elderly aged 70 to 79 living in the community. MEASUREMENTS: Physical function assessed using self-report and performance measures. Health status indicators included diseases, medication use, and body composition measures. RESULTS: Almost one-quarter (24.1%) of women and 18.3% of men reported at least one fall within the year before the baseline examination. Fallers were more likely to be female; white; report more chronic diseases and medications; and have lower leg strength, poorer balance, slower 400-meter walk time, and lower muscle mass. In men, multivariate logistic regression models showed white race (adjusted odds ratio (OR) = 1.4, 95% confidence interval (CI) = 1.2-1.6), slower 6-meter walk speed (OR = 1.1, 95% CI = 1.0-1.3), poor standing balance (OR = 1.2, 95% CI = 1.0-1.4), inability to do 5 chair stands (OR = 1.7, 95% CI = 1.3-1.9), report of urinary incontinence (UI) (OR = 1.5, 95% CI = 1.1-2.0), and mid-quintile of leg muscle strength (OR = 0.6, 95% CI = 0.4-0.9) to be independently associated with report of falling. In women, benzodiazepine use (OR = 1.6, 95% CI = 1.0-2.6), UI (OR = 1.5, 95% CI = 1.2-1.9), and reported difficulty in rising from a chair (OR = 1.4, 95% CI = 1.2-1.6) were associated with past falls. CONCLUSION: Falls history needs to be screened in healthier older adults. Even for well-functioning older persons, specific correlates of falling can be identified to define those at risk.

AB - OBJECTIVES: To identify factors associated with falling in well-functioning older people. DESIGN: Cross-sectional analyses of report of falls over the past 12 months using baseline data from the Health, Aging and Body Composition Study. SETTING: Clinic examinations in Pittsburgh, Pennsylvania, or Memphis, Tennessee. PARTICIPANTS: Three thousand seventy-five high-functioning black and white elderly aged 70 to 79 living in the community. MEASUREMENTS: Physical function assessed using self-report and performance measures. Health status indicators included diseases, medication use, and body composition measures. RESULTS: Almost one-quarter (24.1%) of women and 18.3% of men reported at least one fall within the year before the baseline examination. Fallers were more likely to be female; white; report more chronic diseases and medications; and have lower leg strength, poorer balance, slower 400-meter walk time, and lower muscle mass. In men, multivariate logistic regression models showed white race (adjusted odds ratio (OR) = 1.4, 95% confidence interval (CI) = 1.2-1.6), slower 6-meter walk speed (OR = 1.1, 95% CI = 1.0-1.3), poor standing balance (OR = 1.2, 95% CI = 1.0-1.4), inability to do 5 chair stands (OR = 1.7, 95% CI = 1.3-1.9), report of urinary incontinence (UI) (OR = 1.5, 95% CI = 1.1-2.0), and mid-quintile of leg muscle strength (OR = 0.6, 95% CI = 0.4-0.9) to be independently associated with report of falling. In women, benzodiazepine use (OR = 1.6, 95% CI = 1.0-2.6), UI (OR = 1.5, 95% CI = 1.2-1.9), and reported difficulty in rising from a chair (OR = 1.4, 95% CI = 1.2-1.6) were associated with past falls. CONCLUSION: Falls history needs to be screened in healthier older adults. Even for well-functioning older persons, specific correlates of falling can be identified to define those at risk.

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