Association between falls and depressive symptoms or visual impairment among Japanese young-old adults
Association between falls and depressive symptoms or visual impairment among Japanese young-old adults
复制标题
日本年轻人跌倒与抑郁症状或视力障碍之间的关联
DOI：
10.1111/ggi.12487
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发表时间：
2015
影响因子：
3.3
通讯作者：
Tamakoshi A
中科院分区：
文献类型：
--
作者：
Kojima R;Ukawa S;Ando M;Kawamura T;Wakai K;Tsushita M;Tamakoshi A
AimTo调查之间的关联福尔斯和自我报告的抑郁症状或视力障碍的年轻老年adults.MethodsA共1904名参与者（986名男性和918名女性）年龄64岁，从1996年至2005年，一个特定年龄的队列研究，在日新，日本，参加了本研究。使用老年抑郁量表评估抑郁症状。使用自填问卷评估视力损害。结局变量为70岁时自我报告的损伤性福尔斯跌倒。多变量比值比（OR）和95%置信区间（CI）的抑郁症状和视力损害的发病率福尔斯进行了计算，使用logistic回归模型和调整可能的混杂factors.ResultsOverall，77（7.8%）男性和126（13.7%）女性报告福尔斯在过去的1年中，在70岁。在调整潜在混杂因素后，女性中抑郁症状和视力障碍与福尔斯显著相关（OR分别为1.70，95% CI 1.09-2.62; OR 2.34，95% CI 1.45-3.71），但在男性中不相关。在调整了潜在的混杂因素后，患有这两种疾病的女性发生福尔斯的风险显著增加（OR 3.50，95% CI 1.65-7.13）;结论64岁时的抑郁症状和视力损害与日本女性70岁时福尔斯跌倒风险增加显著相关，但与年龄相关性不显著。男人这两种症状的结合与跌倒风险有更大的关联。Geriatr Gerontol Int 2015; 16：384-391。
AimTo investigate the association between falls and self‐reported depressive symptoms or visual impairment among young‐old adults.MethodsA total of 1904 participants (986 men and 918 women) aged 64 years from the New Integrated Suburban Seniority Investigation Project from 1996 to 2005, an age‐specific cohort study in Nisshin, Japan, took part in the present study. Depressive symptoms were evaluated using the Geriatric Depression Scale. Visual impairment was assessed using a self‐administered questionnaire. The outcome variable was self‐reported injurious falls at the age of 70 years. Multivariate odds ratios (OR) and 95% confidence intervals (CI) of depressive symptoms and visual impairment for the incidence of falls were calculated using logistic regression models and adjusted for possible confounding factors.ResultsOverall, 77 (7.8%) men and 126 (13.7%) women reported falls within the past 1 year at age 70 years. Among women, depressive symptoms and visual impairment were significantly associated with falls after adjusting for potential confounders (OR 1.70, 95% CI 1.09–2.62; OR 2.34, 95% CI 1.45–3.71, respectively), but not among men. Women with both conditions had a significantly increased risk of falls after adjusting for potential confounders (OR 3.50, 95% CI 1.65–7.13) compared with those with neither condition; the association was not significant among men.ConclusionsDepressive symptoms and visual impairment at age 64 years were significantly associated with an increased risk of falls at age 70 years in Japanese women but not in men. The combination of the two symptoms had an even greater association with fall risk.Geriatr Gerontol Int 2015; 16: 384–391.