Healthy Aging as an Intervention to Minimize Injury from Falls among Older People
Healthy Aging as an Intervention to Minimize Injury from Falls among Older People
复制标题
健康老龄化作为减少老年人跌倒伤害的干预措施
DOI：
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发表时间：
2007
影响因子：
5.2
通讯作者：
R. McClure
中科院分区：
文献类型：
--
作者：
N. Peel;H. Bartlett;R. McClure
摘要：随着全球人口老龄化的趋势，许多国家正在采取健康老龄化政策，以最大限度地减少残疾并提高延长寿命的质量。 老年人的福尔斯是通常与衰老相关的功能下降的主要原因。基于一项量化健康老龄化因素与社区老年人跌倒相关髋部骨折风险之间关系的研究，本文讨论了促进健康老龄化作为预防福尔斯损伤的基于人群的干预措施的证据。为了检查健康老龄化对跌倒相关髋部骨折风险的保护作用，对387名参与者进行了一项病例对照研究。65岁及以上因跌倒相关髋部骨折住院的患者与通过选民名册抽样招募的社区对照组相匹配。在面对面访谈期间，进行了一项旨在评估生活方式风险因素的问卷调查，这些因素被确定为健康老龄化的决定因素。在调整了健康状况和人口统计学因素后，许多生活方式因素对髋部骨折的风险具有显著的独立保护作用。这些措施包括从不吸烟，适度饮酒，积极活动，保持正常体重，积极预防保健。心理社会因素包括有支持性的环境和个人资源，以科普压力。这项研究确定了一系列与跌倒相关髋部骨折相关的可改变的生活方式因素，表明“健康老龄化”范式为预防福尔斯损伤提供了一种全面的方法，从而支持采取健康老龄化政策，以延长老年人的优质生活年限。
Abstract: With global trends toward population aging, many countries are adopting healthy aging policies to minimize disability and increase quality in the extended years of life. Falls in older people are a major contributor to functional decline generally associated with aging. Based on a study quantifying the relationship between healthy aging factors and risk of fall‐related hip fracture in community‐dwelling older people, this paper discusses evidence for the promotion of healthy aging as a population‐based intervention for prevention of injuries from falls. To examine the protective effect of healthy aging on the risk of fall‐related hip fractures, a case–control study was conducted with 387 participants. Persons aged 65 and over hospitalized with a fall‐related hip fracture were matched with community‐based controls recruited via electoral roll sampling. A questionnaire designed to assess lifestyle risk factors, identified as determinants of healthy aging, was administered during face‐to‐face interviews. After adjustment for health status and demographic factors, a number of lifestyle factors were seen to have a significant independent protective effect on the risk of hip fracture. These included never smoking, moderate alcohol consumption, being active, maintaining normal weight, and being proactive in preventive health care. Psychosocial factors included having supportive environments and personal resources to cope with stress. This study identified a range of modifiable lifestyle factors associated with fall‐related hip fracture, suggesting that the “healthy aging” paradigm offers a comprehensive approach to falls injury prevention, and thus supports the adoption of healthy aging policies to extend years of quality life among older persons.
DOI：
10.1001/jama.1995.03520410042024
发表时间：
1995-05
期刊：
JAMA
影响因子：
--
作者：
M. Tinetti;S. Inouye;T. Gill;J. Doucette
通讯作者：
M. Tinetti;S. Inouye;T. Gill;J. Doucette