Journal List > J Korean Acad Community Health Nurs > v.30(2) > 1128978

Park and Shin: Predictors of Accidental Falls in the Community-dwelling Elderly by Age

Abstract

Purpose

The purpose of this study is to identify risk factors of accidental falls by age in the Korean elderly.

Methods

The study subjects included 10,242 community-dwelling elders aged 65 or over. The data were analyzed by logistic regression analysis.

Results

The risk factors of accidental falls in the younger old group (aged 65~74) include fear of falling (OR=16.28, 95% CI: 12.03~22.03), depression (OR=1.24, 95% CI: 1.06~1.44), and hearing impairment (OR=1.20, 95% CI: 1.01~1.43). The risk factors of accidental falls in the older old group (aged 75~84) include fear of falling (OR=11.54, 95% CI: 7.04~18.93), muscle strength (OR=1.36, 95% CI: 1.15~1.60), number of chronic disease (OR=1.65, 95% CI: 1.09~2.50), and presence of spouse (OR=1.27, 95% CI: 1.06~1.51). The risk factors of accidental falls in the oldest old group (aged 85 years old or older) include fear of falling (OR=8.05, 95% CI: 1.85~34.98) and exercise (OR=2.91, 95% CI: 1.36~6.24). Fear of falling is defined as a common factor in the all age groups.

Conclusion

Different strategies should be developed for age groups to prevent elderly falls with understanding of contributing factors of falls in each group.

Figures and Tables

Table 1

Characteristics of Demographics, Health related behaviors, Physical and Mental Health (N=10,242)

jkachn-30-141-i001

Beginning olders=65~74 year; Middle olders=75~84 year; The oldest olders=over 85 year; ADL=activities of daily living; IADL=instrumental activities of daily living; No.=number;Scheffé post hoc test.

Table 2

Characteristics of Falling (N=10,242)

jkachn-30-141-i002

Beginning olders=65~74 year; Middle olders=75~84 year; The oldest olders=over 85 year.

Table 3

Predictors of Fall by Age groups (N=10,242)

jkachn-30-141-i003

Reference: Presence of spouse=with spouse, Duration of exercise≥30, Hearing impairment=no, Limitation of Muscle strength=no, No. of chronic disease=none, Fear of falling=none, Depression=no; Beginning olders=65~74 year; Middle olders=75~84 year; The oldest olders=over 85 year; CI=confidence interval; No.=number; OR=odds ratio.

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TOOLS
ORCID iDs

Nan Ju Park
https://orcid.org/0000-0003-4685-0716

Yong Soon Shin
https://orcid.org/0000-0002-9854-9549

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