Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age

Objective: Study aimed to identify the prevalence of falls and associated contributory factors among older Malaysians.Methods: A cross sectional study among community dwelling older adults aged 50 years and above. Self-administered questionnaires on history of falls in the previous 12 months, physic...

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Autores principales: Asmidawati Ashari, Tengku Aizan Hamid, Mohd Rizal Hussain, Rahimah Ibrahim, Keith D. Hill
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/865b841af03b40a0986dea0a76effdb2
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spelling oai:doaj.org-article:865b841af03b40a0986dea0a76effdb22021-11-30T18:53:30ZPrevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age2296-256510.3389/fpubh.2021.610504https://doaj.org/article/865b841af03b40a0986dea0a76effdb22021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.610504/fullhttps://doaj.org/toc/2296-2565Objective: Study aimed to identify the prevalence of falls and associated contributory factors among older Malaysians.Methods: A cross sectional study among community dwelling older adults aged 50 years and above. Self-administered questionnaires on history of falls in the previous 12 months, physical assessment and computerized and clinical measures of balance were assessed on a single occasion.Results: Forty nine (31.0%) participants fell, with 4.4% reported having multiple falls within the previous 12 months. Slips were the most prevalent cause of falls, accounting for 49% of falls. More than half (54.5%) of falls occurred in the afternoon while participants walked inside the home (32.7%), outside home (30.6%), and 36.7% were in community areas. More than half of respondents were identified as having turning instability. Step Test, turn sway, depression, physical activity level and edge contrast sensitivity were significantly worse for fallers (p < 0.05). Multiple logistic regression analysis showed that turning performance, visual acuity and back pain were significantly associated with falls risk, accounting for 72% of the variance of risk factors for falls among studied population.Conclusion: Falls are common among community dwelling older Malaysians. The findings provide information of falls and falls risk factors among community dwelling older adults in Malaysia. Future intervention studies should target locally identified falls risk factors. This study has highlighted the importance of instability during turning as an important fall risk factor.Asmidawati AshariAsmidawati AshariAsmidawati AshariTengku Aizan HamidMohd Rizal HussainRahimah IbrahimRahimah IbrahimKeith D. HillKeith D. HillFrontiers Media S.A.articleaccidental fallsrisk factorscommunity dwellingolder adultbalancePublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic accidental falls
risk factors
community dwelling
older adult
balance
Public aspects of medicine
RA1-1270
spellingShingle accidental falls
risk factors
community dwelling
older adult
balance
Public aspects of medicine
RA1-1270
Asmidawati Ashari
Asmidawati Ashari
Asmidawati Ashari
Tengku Aizan Hamid
Mohd Rizal Hussain
Rahimah Ibrahim
Rahimah Ibrahim
Keith D. Hill
Keith D. Hill
Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age
description Objective: Study aimed to identify the prevalence of falls and associated contributory factors among older Malaysians.Methods: A cross sectional study among community dwelling older adults aged 50 years and above. Self-administered questionnaires on history of falls in the previous 12 months, physical assessment and computerized and clinical measures of balance were assessed on a single occasion.Results: Forty nine (31.0%) participants fell, with 4.4% reported having multiple falls within the previous 12 months. Slips were the most prevalent cause of falls, accounting for 49% of falls. More than half (54.5%) of falls occurred in the afternoon while participants walked inside the home (32.7%), outside home (30.6%), and 36.7% were in community areas. More than half of respondents were identified as having turning instability. Step Test, turn sway, depression, physical activity level and edge contrast sensitivity were significantly worse for fallers (p < 0.05). Multiple logistic regression analysis showed that turning performance, visual acuity and back pain were significantly associated with falls risk, accounting for 72% of the variance of risk factors for falls among studied population.Conclusion: Falls are common among community dwelling older Malaysians. The findings provide information of falls and falls risk factors among community dwelling older adults in Malaysia. Future intervention studies should target locally identified falls risk factors. This study has highlighted the importance of instability during turning as an important fall risk factor.
format article
author Asmidawati Ashari
Asmidawati Ashari
Asmidawati Ashari
Tengku Aizan Hamid
Mohd Rizal Hussain
Rahimah Ibrahim
Rahimah Ibrahim
Keith D. Hill
Keith D. Hill
author_facet Asmidawati Ashari
Asmidawati Ashari
Asmidawati Ashari
Tengku Aizan Hamid
Mohd Rizal Hussain
Rahimah Ibrahim
Rahimah Ibrahim
Keith D. Hill
Keith D. Hill
author_sort Asmidawati Ashari
title Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age
title_short Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age
title_full Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age
title_fullStr Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age
title_full_unstemmed Prevalence, Circumstances, and Risk Factors of Falls Among Community Dwelling Members of University of the Third Age
title_sort prevalence, circumstances, and risk factors of falls among community dwelling members of university of the third age
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/865b841af03b40a0986dea0a76effdb2
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