Association of motor index scores with fall incidence among community-dwelling older people.
Association of motor index scores with fall incidence among community-dwelling older people.
复制标题
社区老年人运动指数评分与跌倒发生率的关联
DOI：
10.1186/s12877-022-03680-6
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发表时间：
2022-12-30
期刊：
影响因子：
4.1
通讯作者：
Wang, Jingfeng
中科院分区：
文献类型：
--
作者：
Liu, Xiao;Abudukeremu, Ayiguli;Jiang, Yuan;Cao, Zhengyu;Wu, Maoxiong;Zheng, Kai;Ma, Jianyong;Sun, Runlu;Chen, Zhiteng;Chen, Yangxin;Zhang, Yuling;Wang, Jingfeng
关键词：
已经研究了几种运动功能障碍，以预测社区居住的老年人未来的跌倒风险。然而，没有研究测试精细运动指数（FINEA）和粗大运动指数（Grossa）预测跌倒风险以及特定跌倒类型的能力。我们调查了FINEA/GROSSA评分与跌倒风险、可解释的福尔斯和无法解释的福尔斯的关系。共纳入了来自爱尔兰老龄化纵向研究（TILDA）队列的6267名年龄≥ 50岁的社区居住成年人。首先，在一项横断面研究中评估了FINEA和GROSSA评分与总福尔斯史、有原因的福尔斯史和无原因的福尔斯史的相关性，并在随访2年后通过Poisson回归分析在前瞻性队列中进一步验证。我们发现，高FINEA和GROSSA评分与几乎所有的跌倒史呈正相关（FINEA评分：总福尔斯：校正患病率[aPR] = 1.28，P = 0.009;解释性福尔斯：aPR = 1.15，P = 0.231;不明原因的福尔斯：aPR = 1.88，P < 0.001; GROSSA评分：总福尔斯：aPR = 1.39，P < 0.001;解释的福尔斯：aPR = 1.28，P = 0.012;不明原因的福尔斯：aPR = 2.18，P < 0.001）。随访2年后，高FINEA评分与总福尔斯（校正率比[aRR] = 1.42，P = 0.016）和解释性福尔斯（aRR = 1.51，P = 0.020）发生率增加相关，但与原因不明的福尔斯（aRR = 1.41，P = 0.209）无关。高Grossa评分与不明原因的福尔斯发生率增加相关（aRR = 1.57，P = 0.041），与总福尔斯（aRR = 1.21，P = 0.129）或可解释的福尔斯（aRR = 1.07，P = 0.656）无关。与在FINEA或GROSSA中没有限制的个体相比，在两个指标中有限制的个体有更高的福尔斯风险，包括总福尔斯（aRR = 1.35，P = 0.002），解释的福尔斯（aRR = 1.31，P = 0.033）和原因不明的福尔斯（aRR = 1.62，P = 0.004）。FINEA评分与意外福尔斯正相关，而GROSSA评分与不明原因的福尔斯正相关。两项指标均受损的组显示出明显更高的可解释和无法解释的福尔斯跌倒风险。应进一步研究FINEA或GROSSA评分，作为筛选和识别社区居住成年人跌倒高风险的可能工具。在线版本包含补充材料，可通过10.1186/s12877-022-03680-6获得。
Several kinds of motor dysfunction have been studied for predicting future fall risk in community-dwelling older individuals. However, no study has tested the ability of the fine motor index (FINEA) and gross motor index (GROSSA) to predict the risk of falling, as well as the specific fall type. We investigated the associations of FINEA/GROSSA scores with fall risk, explained falls, and unexplained falls. A total of 6267 community-dwelling adults aged ≥ 50 years from the Irish Longitudinal Study on Aging (TILDA) cohort were included. First, the associations of FINEA and GROSSA scores with the history of total falls, explained falls and unexplained falls were assessed in a cross-sectional study and further verified in a prospective cohort after 2 years of follow-up by Poisson regression analysis. We found that high FINEA and GROSSA scores were positively associated with almost all fall histories (FINEA scores: total falls: adjusted prevalence ratio [aPR] = 1.28, P = 0.009; explained falls: aPR = 1.15, P = 0.231; unexplained falls: aPR = 1.88, P < 0.001; GROSSA scores: total falls: aPR = 1.39, P < 0.001; explained falls: aPR = 1.28, P = 0.012; unexplained falls: aPR = 2.18, P < 0.001) in a cross-sectional study. After 2 years of follow-up, high FINEA scores were associated with an increased incidence of total falls (adjusted rate ratio [aRR] = 1.42, P = 0.016) and explained falls (aRR = 1.51, P = 0.020) but not with unexplained falls (aRR = 1.41, P = 0.209). High GROSSA scores were associated with an increased incidence of unexplained falls (aRR = 1.57, P = 0.041) and were not associated with either total falls (aRR = 1.21, P = 0.129) or explained falls (aRR = 1.07, P = 0.656). Compared with individuals without limitations in either the FINEA or GROSSA, individuals with limitations in both indices had a higher risk of falls, including total falls (aRR = 1.35, P = 0.002), explained falls (aRR = 1.31, P = 0.033) and unexplained falls (aRR = 1.62, P = 0.004). FINEA scores were positively associated with accidental falls, while GROSSA scores were positively associated with unexplained falls. The group for whom both measures were impaired showed a significantly higher risk of both explained and unexplained falls. FINEA or GROSSA scores should be investigated further as possible tools to screen for and identify community-dwelling adults at high risk of falling. The online version contains supplementary material available at 10.1186/s12877-022-03680-6.
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DOI：
10.4103/ijcm.ijcm_491_19
发表时间：
2020-10
期刊：
Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
影响因子：
--
作者：
Monachan D;Vargese SS;Johny V;Mathew E
通讯作者：
Mathew E
影响因子：
6.3
作者：
Montero-Odasso, Manuel;Speechley, Mark
通讯作者：
Speechley, Mark
DOI：
10.1017/s071498081000070x
发表时间：
2011-01-01
影响因子：
1.9
作者：
Peel, Nancye May
通讯作者：
Peel, Nancye May
影响因子：
120.7
作者：
Lee, Robert Y.;Brumback, Lyndia C.;Kross, Erin K.
通讯作者：
Kross, Erin K.
影响因子：
6.7
作者：
CAMPBELL, AJ;BORRIE, MJ;FITZGERALD, JL
通讯作者：
FITZGERALD, JL