Environmental and physical factors predisposing middle-aged and older Japanese adults to falls and fall-related fractures in the home
Environmental and physical factors predisposing middle-aged and older Japanese adults to falls and fall-related fractures in the home
复制标题
导致日本中老年人在家中跌倒和跌倒相关骨折的环境和物理因素
DOI：
10.1111/ggi.13494
复制
发表时间：
2018
影响因子：
3.3
通讯作者：
Okata Junichiro
中科院分区：
文献类型：
--
作者：
Tanaka Tomoki;Matsumoto Hiroshige;Son Bo-Kyung;Imaeda Shujirou;Uchiyama Emiko;Taniguchi Sakiko;Nishino Akiko;Miura Takahiro;Tanaka Toshiaki;Otsuki Toshio;Nishide Kazuhiko;Iijima Katsuya;Okata Junichiro
AimTo identify environmental and physical factors that predispose mid-aged Japanese adults to福尔斯and fall-related fractions in the home.MethodsA cross-sectional survey was carried out in 2014.在日本，向15，000名社区居住的成年人分发了自填问卷。总体粗应答率为13%。使用多重插补分析1561例年龄≥40岁的个体的缓解数据，以分析缺失数据。我们根据人口统计学、身体和环境因素，包括年龄、性别、长期护理保险认证、房屋类型和无障碍住房，评估了在过去3年中无骨折和跌倒相关骨折的福尔斯。在经历跌倒的人中，11%经历了跌倒相关的骨折。这些人更有可能是女性（OR 2.4，95.0% CI 1.1-5.1），具有LTCI认证（OR 3.9，95.0% CI 1.6-9.4），并生活在屏障式住宅中（OR 4.0，95.0%CI 1.6-9.8），调整协变量后。除了人口统计学和身体因素外，对跌倒相关骨折至关重要。为了降低日本中老年人跌倒相关骨折的发生率，有必要采用考虑物理和环境因素的多学科方法。Geriatr Gerontol Int 2018; 18：1372-1377。
AimTo identify environmental and physical factors that predispose middle‐aged and older Japanese adults to falls and fall‐related fractures in the home.MethodsA cross‐sectional survey was carried out in 2014. Self‐administered questionnaires were distributed to 15 000 community‐dwelling adults in Japan. The overall crude response rate was 13%. Response data were analyzed from 1561 individuals aged ≥40 years using multiple imputation to analyze missing data. We evaluated falls without fractures and fall‐related fractures during the previous 3 years according to demographic, physical and environmental factors, including age, sex, long‐term care insurance certification, type of house and barrier‐free housing.ResultsOf the 1561 adults (mean age 68.1 ± 13.0 years), 28% experienced a fall in the home. Among the individuals who experienced a fall, 11% experienced fall‐related fractures. These individuals were more likely to be women (OR 2.4, 95.0% CI 1.1–5.1), have LTCI certification (OR 3.9, 95.0% CI 1.6–9.4) and be living in a barrier home (OR 4.0, 95.0% CI 1.6–9.8), after adjustment for covariates.ConclusionsEnvironmental factors, such as living in a barrier home, are critical for fall‐related fractures, in addition to demographic and physical factors. A multidisciplinary approach that considers both physical and environmental factors is necessary for reducing the incidence of fall‐related fractures among middle‐aged and older Japanese adults.Geriatr Gerontol Int 2018; 18: 1372–1377.