Outdoor falls among middle-aged and older adults: A neglected public health problem
Outdoor falls among middle-aged and older adults: A neglected public health problem
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DOI：
10.2105/ajph.2005.083055
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发表时间：
2006-07-01
影响因子：
12.7
通讯作者：
Kelsey, Jennifer L.
中科院分区：
文献类型：
--
作者：
Li, Wenjun;Keegan, Theresa H. M.;Kelsey, Jennifer L.
目标。尽管老年人室内跌倒的危险因素已得到充分研究，但人们对室外跌倒的病因知之甚少。我们研究了中老年人户外跌倒的危险因素。方法。我们分析了骨折病例对照研究对照组 (N = 2193) 中 45 岁及以上参与者去年最近一次跌倒的数据。该研究于 1996 年至 2001 年间在北加州 5 个 Kaiser Permanente 医疗中心进行。结果。在大多数年龄段中，跌倒发生在户外的频率高于室内。报告休闲时间体力活动较多的参与者在户外跌倒的风险较高，而健康状况较差的参与者在室内跌倒的风险较高。大多数户外跌倒（73%）是由环境因素引起的，例如不平坦的表面以及被物体绊倒或滑倒，通常发生在人行道、路缘石和街道上。步行（47.3%）是最常见的跌倒相关活动。结论。 45 岁及以上成年人的户外跌倒通常归因于可改变的环境因素。随着老年人积极生活方式的广泛推广，迫切需要改善老年人的户外环境。
Objectives. Although risk factors for indoor falls among older individuals have been well studied, little is known about the etiology of outdoor falls. We examined risk factors for outdoor falls among middle-aged and older adults.Methods. We analyzed data on the most recent fall during the past year among participants aged 45 years and older in the control group (N = 2193) of a case-control study of fractures. The study was conducted at 5 Northern California Kaiser Permanente Medical Centers between 1996 and 2001.Results. Falls occurred outdoors more often than indoors among most age groups. Studs participants who reported more leisure-time physical activity had a higher risk for outdoor falls, and participants who were in poorer health had a greater risk for indoor falls. Most outdoor falls (73%) were precipitated by environmental factors, such as uneven surfaces and tripping or slipping on objects, and usually occurred on sidewalks, curbs, and streets. Walking (47.3%) was the most common fall-related activity.Conclusions. Outdoor falls among adults aged 45 years and older were frequently attributable to modifiable environmental factors. With the widespread promotion of active lifestyles among older people, improvements in their outdoor environment are urgently needed.