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History of Falls, Dementia, Lower Education Levels, Mobility Limitations, and Aging Are Risk Factors for Falls among the Community-Dwelling Elderly: A Cohort Study

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  • Yan-Yuh Lee

    (Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan)

  • Chien-Liang Chen

    (Division of Nephrology, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan
    Department of Medicine, National Yang-Ming University School of Medicine, Taipei 112, Taiwan)

  • I-Chen Lee

    (Department of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • I-Ching Lee

    (Ever Blessing Clinic, Kaohsiung 804, Taiwan)

  • Nai-Ching Chen

    (Department of Neurology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833, Taiwan)

Abstract

Background: Falling is a serious issue among elderly community dwellers, often resulting in disability. We aimed to investigate the risk factors for falls among elderly community dwellers. Methods: We recruited 232 participants from multiple community learning and care centers, who provided their information through questionnaires. They were divided into two groups, according to their falling events after a 1-year follow-up. Univariate and multivariate logistic regressions were used for statistical analysis. Results: A total of 64 participants reported a fall at the 1-year follow-up. The falling group comprised older and single people with lower education levels, higher rates of dementia, a history of falls, lower scores on the Mini-Mental State Examination, and more disability functions when compared to the non-falling group (all p < 0.05). The regression model showed that a history of falls (OR: 62.011; p < 0.0001), lower education levels (OR: 4.088; p = 0.039), mild dementia (OR: 20.729; p = 0.028), older age (OR: 1.176; p < 0.0001), walking for 300 m (OR: 4.153; p = 0.030), and running for 30 m (OR: 3.402; p = 0.015) were 1-year risk factors for falls. Conclusion: A history of falling, low education levels, aging, mild dementia, and certain mobility limitations were strong risk factors for future falling accidents in elderly Taiwanese community dwellers.

Suggested Citation

  • Yan-Yuh Lee & Chien-Liang Chen & I-Chen Lee & I-Ching Lee & Nai-Ching Chen, 2021. "History of Falls, Dementia, Lower Education Levels, Mobility Limitations, and Aging Are Risk Factors for Falls among the Community-Dwelling Elderly: A Cohort Study," IJERPH, MDPI, vol. 18(17), pages 1-9, September.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9356-:d:629169
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    References listed on IDEAS

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    1. Yu Mei O & Fatima El Fakiri, 2015. "Gender Differences in Risk Factors for Single and Recurrent Falls Among the Community-Dwelling Elderly," SAGE Open, , vol. 5(3), pages 21582440156, August.
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    Cited by:

    1. Yunmi Kim & Jiyun Kim, 2022. "Relationship between Anemia and Falls among Postmenopausal Women in Korea," IJERPH, MDPI, vol. 19(14), pages 1-10, July.

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