Relations of osteoporosis and follow-up duration to recurrent falls in older men and women
Relations of osteoporosis and follow-up duration to recurrent falls in older men and women
复制标题
DOI：
10.1007/s00198-013-2549-5
复制
发表时间：
2014-03-01
影响因子：
4
通讯作者：
Chen, C. -Y.
中科院分区：
文献类型：
--
作者：
Lin, M. -R.;Hwang, H. -F.;Chen, C. -Y.
男性和女性之间以及两种随访时间长度之间的风险因素存在差异。骨质疏松症与女性复发性跌倒显著相关，而与男性无关。骨质疏松症与过去一年跌倒的关系在随访中下降，而镇静剂和催眠药的关系仍然存在。一项前瞻性研究，在老年男性和女性中进行为期6个月和12个月的随访，调查骨质疏松症和复发性跌倒之间的关系。总共有204名男性和447名女性因跌倒而去急诊室就诊。对于男性来说，在6个月或12个月时，摔倒的风险与骨质疏松症没有显著关联。有跌倒史的男性在6个月和12个月时跌倒的可能性分别为127%和100%。不使用助行器的男性在12个月时跌倒的可能性比使用助行器的男性高97%。患有骨质疏松症的女性在6个月和12个月时摔倒的可能性分别为246和104%。有跌倒史的女性在6个月和12个月时摔倒的可能性分别为129%和66%。服用镇静剂和催眠药的妇女在6个月和12个月时摔倒的可能性分别为75%和102%。与同龄女性相比，患有抑郁症的女性在6个月时跌倒的可能性高出138%，而使用助行器的女性在12个月时跌倒的可能性高出59%。骨质疏松症与老年女性跌倒有关，但与老年男性无关。确定老年人复发性跌倒的危险因素可能受到随访时间长短的影响，因为它们的关联随着时间的推移而减少。
There were differences in risk factors between men and women and between two follow-up time lengths. Osteoporosis was significantly associated with recurrent falls for women but not for men. The relationship of osteoporosis with falls in the past year decreased during follow-up, while those of sedatives and hypnotics remained.A prospective study to investigate relationships between osteoporosis and recurrent falls at two follow-up lengths of 6 and 12 months in older men and women.In total, 204 men and 447 women who visited an emergency department due to a fall were recruited.For men, the risk of falling was not significantly associated with osteoporosis at 6 or 12 months. Men with a fall history were 127 and 100 %, respectively, more likely to have a fall at 6 and 12 months than those without. Men who did not use walking aids were 97 % more likely to have a fall at 12 months than those who did. Women with osteoporosis were 246 and 104 %, respectively, more likely to have a fall at 6 and 12 months than those without. Women with a fall history were 129 and 66 %, respectively, more likely to have a fall at 6 and 12 months than those without. Women taking sedatives and hypnotics were 75 and 102 %, respectively, more likely to have a fall at 6 and 12 months than their counterparts. Women with depression were 138 % more likely to have a fall at 6 months and those using walking aids were 59 % more likely to have a fall at 12 months, compared to their counterparts.Osteoporosis is association with falls for older women but not for older men. Identifying risk factors for recurrent falls in older people may be affected by the follow-up length, as their associations are reduced over time.