Prevalence of Falls and Fall-Related Outcomes in Older Adults with Self-Reported Vision Impairment
Prevalence of Falls and Fall-Related Outcomes in Older Adults with Self-Reported Vision Impairment
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DOI：
10.1111/jgs.15628
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发表时间：
2019-02-01
影响因子：
6.3
通讯作者：
Stagg, Brian C.
中科院分区：
文献类型：
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作者：
Ehrlich, Joshua R.;Hassan, Shirin E.;Stagg, Brian C.
目的：在一项对患有自述视力障碍(VI)的老年人进行的全国性代表性研究中，确定跌倒、跌倒恐惧和活动受限的患病率。设计：小组调查数据的横断面分析。SETTING：国家健康和老龄化趋势研究，2011-2016年间每年对65岁及以上的美国联邦医疗保险受益人进行的具有全国代表性的调查。对象：受访者(N=11,558)，他们对36,229项参与者的观察做出了贡献。测量：我们进行了Logistic回归，以计算过去一年中超过1次跌倒、过去一个月内任何跌倒的未调整和调整的患病率。结果：报告VI的参与者的加权比例为8.6%(95%可信区间=8.0-9.2%)。在过去一年中，有自我报告的VI的参与者中，有1次以上跌倒的未调整患病率为27.6%(95%CI=25.5-29.7%)，而没有自我报告的VI的参与者为13.2%(95%CI=12.7-13.7%)。在自我报告的VI的受试者中，FOF的患病率为48.3%(95%CI=46.1-50.6%)，FOF限制活动的患病率为50.8%(95%CI为47.3-54.2%)，而在没有自我报告VI的参与者中，FOF发生率为26.7%(95%CI=25.9-27.5%)，FOF限制性活动度为33.9%(95%CI=32.4-35.4%)。在调整了社会人口学和潜在的混杂因素后，所有跌倒和跌倒相关结果的患病率在那些自我报告的VI患者中仍然显著更高。结论：在自我报告VI的老年人中，由于FOF而导致的跌倒、FoF和活动受限的患病率很高。这是第一项提供具有全国代表性的数据的研究，这些数据表明在这一人群中需要治疗可避免的VI并开发干预措施来预防跌倒和跌倒相关结果。
OBJECTIVES: To determine the prevalence of falls, fear of falling (FoF), and activity limitation due to FoF in a nationally representative study of older adults with self-reported vision impairment (VI).DESIGN: Cross-sectional analysis of panel survey data.SETTING: National Health and Aging Trends Study, a nationally representative survey administered annually from 2011 to 2016 to U.S. Medicare beneficiaries aged 65 and older.PARTICIPANTS: Respondents (N=11,558) who contributed 36,229 participant observations.MEASUREMENTS: We performed logistic regression to calculate the unadjusted and adjusted prevalence of self-reported history of more than 1 fall in the past year, any fall in the past month, FoF, and activity limitation due to FoF in participants with and without self-reported VI.RESULTS: The weighted proportion of participants reporting VI was 8.6% (95% confidence interval (CI)=8.0-9.2%). The unadjusted prevalence of more than 1 fall in the past year was 27.6% (95% CI=25.5-29.7%) in participants with self-reported VI and 13.2% (95% CI=12.7-13.7%) in those without self-reported VI. In respondents with self-reported VI, the prevalence of FoF was 48.3% (95% CI=46.1-50.6%) and of FoF limiting activity was 50.8% (95% CI 47.3-54.2%), and in those without self-reported VI, the prevalence of FoF was 26.7% (95% CI=25.9-27.5%) and of FoF limiting activity was 33.9% (95% CI=32.4-35.4%). The prevalence of all fall and fall-related outcomes remained significantly higher among those with self-reported VI after adjusting for sociodemographics and potential confounders.CONCLUSION: The prevalence of falls, FoF, and activity limitation due to FoF is high in older adults with self-reported VI. This is the first study to provide nationally representative data on the prevalence of fall-related outcomes in older Americans with self-reported VI. These findings demonstrate the need to treat avoidable VI and to develop interventions to prevent falls and fall-related outcomes in this population.