AN EPIDEMIOLOGIC-STUDY OF FALLS IN OLDER COMMUNITY-DWELLING WOMEN - THE RANDWICK FALLS AND FRACTURES STUDY
AN EPIDEMIOLOGIC-STUDY OF FALLS IN OLDER COMMUNITY-DWELLING WOMEN - THE RANDWICK FALLS AND FRACTURES STUDY
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DOI：
10.1111/j.1753-6405.1993.tb00143.x
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发表时间：
1993-09-01
期刊：
影响因子：
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通讯作者：
ANSTEY, KJ
中科院分区：
文献类型：
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作者：
LORD, SR;WARD, JA;ANSTEY, KJ
74名年龄在65岁至99岁之间（平均年龄74.6岁）的女性从社区中随机挑选，参加了一项研究，以确定健康和生活方式因素是否与跌倒有关。在调查前的12个月里，66.1%的受试者没有摔倒过，19.7%的人摔倒过一次，14.2%的人摔倒过两次或两次以上。在室外摔倒的妇女比例随着年龄的增长而下降，而在家中摔倒在平地上的妇女比例相应增加。据报道，最常见的跌倒原因是绊倒、滑倒和失去平衡。一些人（27%）因跌倒而受伤，受伤的比例随着年龄的增长而增加。那些认为自己的健康和平衡能力受损的人、日常生活活动受到限制的人、接受社区服务的人、服用精神活性药物的人以及服用四种或四种以上药物的人跌倒的次数明显更多。另一方面，那些参加有计划的锻炼和每周运动7个小时或更长时间的人摔倒的次数更少。吸烟和饮酒与跌倒没有显著关联。逐步逻辑回归分析显示，视力差、不活动和主观跌倒风险是与跌倒独立且显著相关的变量。这些发现强调了降低老年人跌倒风险的可能干预策略。
Seven hundred and four women aged between 65 and 99 years (mean age 74.6 years), who were randomly selected from the community, took part in a study to determine whether health and lifestyle factors were associated with falls. In the 12 months before the survey, 66.1 per cent of the subjects experienced no falls, 19.7 per cent fell once and 14.2 per cent fell on two or more occasions. The proportion of women who fell outside the home decreased with age, with a corresponding increase in the proportion who fell inside the home on a level surface. The most common causes of falls reported were trips, slips and loss of balance. Some (27 per cent) suffered injuries as a result of a fall, and the proportion suffering injuries increased with age. Those who rated their health and balance as impaired, those with a limitation in activities of daily living, those receiving community services, those taking psychoactive drugs, and those taking four or more drugs had significantly more falls. On the other hand, those taking part in planned exercise and those active for seven or more hours per week had fewer falls. Smoking and alcohol consumption were not significantly associated with falls. Stepwise logistic regression analysis revealed poor vision, inactivity and subjective fall risk as variables that were independently and significantly associated with falling. These findings highlight possible intervention strategies for reducing falls risk in older people.