Does baseline depression increase the risk of unexplained and accidental falls in a cohort of community-dwelling older people? Data from The Irish Longitudinal Study on Ageing (TILDA)
Does baseline depression increase the risk of unexplained and accidental falls in a cohort of community-dwelling older people? Data from The Irish Longitudinal Study on Ageing (TILDA)
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DOI：
10.1002/gps.4770
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发表时间：
2018-02-01
影响因子：
4
通讯作者：
Kenny, Rose Anne
中科院分区：
文献类型：
--
作者：
Briggs, Robert;Kennelly, Sean P.;Kenny, Rose Anne
抑郁症单独增加老年人跌倒的风险，但这种关系的机制以及所涉及的具体跌倒类型尚不清楚。意外跌倒（AFs）是由于滑倒或绊倒，而不明原因的跌倒（UFs）的原因不是立即明显，可能包括未被识别的晕厥。方法：本纵向研究对一组50岁的社区居民进行了为期2年的随访，研究了基线抑郁与随后的意外和不明原因跌倒之间的关系。在流行病学研究中心抑郁量表上，基线抑郁被定义为16分。在随访中，评估了自上次访谈以来参与者的跌倒情况。结果抑郁组三分之一（228/647）的患者在随访中出现下降，而非抑郁组为22% （1388/6243）
BackgroundDepression independently increases the risk of falls in older people, but the mechanism for this relationship, as well as the specific falls type involved, remains unclear. Accidental falls (AFs) are due to slips or trips, while the cause of unexplained falls (UFs) is not immediately apparent and can include unrecognised syncope.MethodThis longitudinal study examines the relationship between baseline depression and subsequent falls, both accidental and unexplained, at 2-year follow-up in a cohort of community dwelling adults aged 50years. Baseline depression was defined as a score 16 on The Centre for Epidemiological Studies Depression Scale. At follow-up, participants were assessed regarding falls since last interview.ResultsOne-third (228/647) of the depressed group had fallen at follow-up, compared with 22% (1388/6243) of the nondepressed group (P