Mobility device use in older adults and incidence of falls and worry about falling: findings from the 2011-2012 national health and aging trends study.

Mobility device use in older adults and incidence of falls and worry about falling: findings from the 2011-2012 national health and aging trends study.
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DOI:
10.1111/jgs.13393
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发表时间:
2015-05
影响因子:
6.3
通讯作者:
Patel KV
Patel KV
中科院分区:
医学1区
文献类型:
--
作者:
Gell NM;Wallace RB;LaCroix AZ;Mroz TM;Patel KV

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检查美国社区居住老年人中移动设备的使用率,并调查福尔斯的发生率,并根据所使用的移动设备的类型和数量对跌倒的担忧进行调查。对2011-2012年国家健康和老龄化趋势研究的横截面和纵向数据进行分析,在研究参与者家中进行面对面访谈,全国代表性的医疗保险受益人样本(N=7609)。参与者被问及移动设备的使用情况(例如,手杖、助行器、轮椅和踏板车)在最近一个月内,有一年的跌倒史,担心跌倒。2011年,24%的年龄≥65岁的成年人报告使用了移动设备,9.3%的人报告在上个月使用了多种设备。移动设备的使用随着年龄的增长而增加,并且与非白人种族/民族、女性、较低的教育水平、较高的多发病率和肥胖相关(所有P值< 0.001)。调整人口统计学、健康特征和身体功能后,福尔斯和复发性福尔斯的发生率与使用多种器械或任何一种特定类型的移动器械无关。与非使用者相比,仅使用手杖的使用者对跌倒的活动限制担忧明显更高。与之前的全国调查结果相比,报告使用移动设备的老年人比例更高,并且在使用任何设备的人中使用多种设备是常见的。与非移动设备使用者相比,移动设备使用与福尔斯发生率增加无关。仅使用手杖的用户可以通过限制活动来补偿对跌倒的担忧。
To examine mobility device use prevalence among community-dwelling older adults in the U.S. and to investigate the incidence of falls and worry about falling by the type and number of mobility devices used. Analysis of cross-sectional and longitudinal data from the 2011–2012 National Health and Aging Trends Study In-person interviews in the homes of study participants Nationally representative sample of Medicare beneficiaries(N=7609). Participants were asked about mobility device use (e.g., canes, walkers, wheelchairs and scooters) in the last month, one-year fall history and worry about falling. Twenty-four percent of adults age ≥65 reported mobility device use in 2011 and 9.3% reported using multiple devices within the last month. Mobility device use increased with advancing age and was associated with non-White race/ethnicity, female sex, lower education level, greater multi-morbidity, and obesity (all P-values < 0.001). Adjusting for demographic, health characteristics, and physical function, the incidence of falls and recurrent falls were not associated with the use of multiple devices or any one particular type of mobility device. Activity-limiting worry about falling was significantly higher in cane-only users, compared with non-users. The percentage of older adults reporting mobility device use is higher compared to results from previous national surveys and multiple device use is common among those who use any device. Mobility device use is not associated with increased incidence of falls compared to non-device users. Cane-only users may compensate for worry about falling by limiting activity.
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