Risk Factors for Falls and Fall-Related Injuries in Adults 85 Years of Age and Older
Published Date:2012 May-Jun
Source:Arch Gerontol Geriatr. 2011; 54(3):421-428.
Pubmed Central ID:PMC3236252
Funding:1T35AG029793-01/AG/NIA NIH HHS/United States
323 R49/CE00175/CE/NCIPC CDC HHS/United States
T35 AG029793/AG/NIA NIH HHS/United States
T35 AG029793-03/AG/NIA NIH HHS/United States
Falls are a leading cause of morbidity and mortality in older adults. No previous studies on risk factors for falls have focused on adults 85 years and older, the most rapidly growing segment of adults.
We examined demographic, health, and behavioral risk factors for falls and fall-related injuries in adults 65 years and older, with a particular focus on adults 85 years and older. We analyzed self-reported information from the Behavioral Risk Factor Surveillance System (BRFSS) for 2008.
Data was available for 120,923 people aged 65 or older and 12,684 people aged 85 or older. Of those aged 85 or older, 21.3% reported at least one fall in the past 3 months and 7.2% reported at least one fall related injury requiring medical care or limiting activity for a day or longer. Below average general health, male sex, perceived insufficient sleep, health problems requiring assistive devices, alcohol consumption, increasing body mass index and history of stroke were all independently associated with a greater risk of falls or fall related injuries. The greater risk of falling in those 85 years and older appeared to be due to the deterioration of overall health status with age; among those with excellent overall health status, there was no greater risk of falling in adults 85 years and older compared to those 65–84 years of age.
Our results suggest that those with risk factors for falls and fall-related injuries may be appropriate targets for evidence-based fall prevention programs.
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