Prevalence and risk factors for falls among community-dwelling adults in Riyadh area

Objectives This study aimed to assess fall prevalence, identify related risk factors, and establish cut-off scores for fall risk measures among community-dwelling adults in Riyadh region of Saudi Arabia. Methods A cross-sectional study was conducted in community, Riyadh city, Saudi Arabia. A sample...

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Main Authors: Aqeel M. Alenazi, Maram F. Alanazi, Ragab K. Elnaggar, Mohammed M. Alshehri, Bader A. Alqahtani, Ahmed S. Alhowimel, Norah A. Alhwoaimel, Ahmad D. Alanazi, Mazyad A. Alotaibi, Sattam M. Almutairi, Mohammed S. Alghamdi, Saad M. Bindawas
Format: Article
Language:English
Published: PeerJ Inc. 2023-12-01
Series:PeerJ
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Online Access:https://peerj.com/articles/16478.pdf
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author Aqeel M. Alenazi
Maram F. Alanazi
Ragab K. Elnaggar
Mohammed M. Alshehri
Bader A. Alqahtani
Ahmed S. Alhowimel
Norah A. Alhwoaimel
Ahmad D. Alanazi
Mazyad A. Alotaibi
Sattam M. Almutairi
Mohammed S. Alghamdi
Saad M. Bindawas
author_facet Aqeel M. Alenazi
Maram F. Alanazi
Ragab K. Elnaggar
Mohammed M. Alshehri
Bader A. Alqahtani
Ahmed S. Alhowimel
Norah A. Alhwoaimel
Ahmad D. Alanazi
Mazyad A. Alotaibi
Sattam M. Almutairi
Mohammed S. Alghamdi
Saad M. Bindawas
author_sort Aqeel M. Alenazi
collection DOAJ
description Objectives This study aimed to assess fall prevalence, identify related risk factors, and establish cut-off scores for fall risk measures among community-dwelling adults in Riyadh region of Saudi Arabia. Methods A cross-sectional study was conducted in community, Riyadh city, Saudi Arabia. A sample of 276 Saudi citizens aged ≥40 years who were able to read and write in Arabic. Fall history and number of falls in the past 12 months were determined via self-reports. Variables assessed included demographic information, self-reported chronic diseases, depressive symptoms, and back pain severity. Results Participants were classified as either fallers (n = 28, 10.14%) or non-fallers. Fallers were more likely to have arthritis (odds ratio [OR]: 7.60, p = 0.001), back pain (OR: 5.22, p = 0.002), and higher depressive symptom scores (OR: 1.09, p = 0.013) than non-fallers. The number of reported falls was significantly associated with an elevated body mass index (incidence rate ratio [IRR]: 1.09, p = 0.045), arthritis (IRR: 8.74, p < 0.001), back pain (IRR: 4.08, p = 0.005), neurological diseases (IRR: 13.75, p < 0.007), and depressive symptoms (IRR: 1.08, p = 0.005). Cut-off scores predictive of falls associated with back pain and depressive symptoms were 1.5 (sensitivity: 0.61; specificity: 0.79; area under the curve [AUC]: 0.70) and 11.5 score (sensitivity: 0.57; specificity: 0.76; AUC: 0.66), respectively. Conclusions The prevalence of falls was relatively low among the individuals considered in this study. Chronic conditions, back pain severity, and depressive symptoms were determined to be associated with falls among community-dwelling individuals in Saudi Arabia.
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spelling doaj.art-2184a61914254688af62f64013f03cb42023-12-08T15:05:11ZengPeerJ Inc.PeerJ2167-83592023-12-0111e1647810.7717/peerj.16478Prevalence and risk factors for falls among community-dwelling adults in Riyadh areaAqeel M. Alenazi0Maram F. Alanazi1Ragab K. Elnaggar2Mohammed M. Alshehri3Bader A. Alqahtani4Ahmed S. Alhowimel5Norah A. Alhwoaimel6Ahmad D. Alanazi7Mazyad A. Alotaibi8Sattam M. Almutairi9Mohammed S. Alghamdi10Saad M. Bindawas11Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Riyadh, Saudi ArabiaOccupational Therapy, Sydney University, Sydney, New South Wales, AustraliaHealth and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Riyadh, Saudi ArabiaPhysical Therapy, Jazan University, Jazan, Jazan, Saudi ArabiaHealth and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Riyadh, Saudi ArabiaHealth and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Riyadh, Saudi ArabiaHealth and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Riyadh, Saudi ArabiaDepartment of Rehabilitation Science, Majmaah University, Majmaah, Riyadh, Saudi ArabiaHealth and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Riyadh, Saudi ArabiaDepartment of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraydah, Qassim, Saudi ArabiaDepartment of Medical Rehabilitation Sciences, Umm Al-Qura University, Makkah, Saudi ArabiaDepartment of Rehabilitation Sciences, King Saud University, Riyadh, Saudi ArabiaObjectives This study aimed to assess fall prevalence, identify related risk factors, and establish cut-off scores for fall risk measures among community-dwelling adults in Riyadh region of Saudi Arabia. Methods A cross-sectional study was conducted in community, Riyadh city, Saudi Arabia. A sample of 276 Saudi citizens aged ≥40 years who were able to read and write in Arabic. Fall history and number of falls in the past 12 months were determined via self-reports. Variables assessed included demographic information, self-reported chronic diseases, depressive symptoms, and back pain severity. Results Participants were classified as either fallers (n = 28, 10.14%) or non-fallers. Fallers were more likely to have arthritis (odds ratio [OR]: 7.60, p = 0.001), back pain (OR: 5.22, p = 0.002), and higher depressive symptom scores (OR: 1.09, p = 0.013) than non-fallers. The number of reported falls was significantly associated with an elevated body mass index (incidence rate ratio [IRR]: 1.09, p = 0.045), arthritis (IRR: 8.74, p < 0.001), back pain (IRR: 4.08, p = 0.005), neurological diseases (IRR: 13.75, p < 0.007), and depressive symptoms (IRR: 1.08, p = 0.005). Cut-off scores predictive of falls associated with back pain and depressive symptoms were 1.5 (sensitivity: 0.61; specificity: 0.79; area under the curve [AUC]: 0.70) and 11.5 score (sensitivity: 0.57; specificity: 0.76; AUC: 0.66), respectively. Conclusions The prevalence of falls was relatively low among the individuals considered in this study. Chronic conditions, back pain severity, and depressive symptoms were determined to be associated with falls among community-dwelling individuals in Saudi Arabia.https://peerj.com/articles/16478.pdfFallingMental healthFallsMiddle agedElderlyDepressive symptoms
spellingShingle Aqeel M. Alenazi
Maram F. Alanazi
Ragab K. Elnaggar
Mohammed M. Alshehri
Bader A. Alqahtani
Ahmed S. Alhowimel
Norah A. Alhwoaimel
Ahmad D. Alanazi
Mazyad A. Alotaibi
Sattam M. Almutairi
Mohammed S. Alghamdi
Saad M. Bindawas
Prevalence and risk factors for falls among community-dwelling adults in Riyadh area
PeerJ
Falling
Mental health
Falls
Middle aged
Elderly
Depressive symptoms
title Prevalence and risk factors for falls among community-dwelling adults in Riyadh area
title_full Prevalence and risk factors for falls among community-dwelling adults in Riyadh area
title_fullStr Prevalence and risk factors for falls among community-dwelling adults in Riyadh area
title_full_unstemmed Prevalence and risk factors for falls among community-dwelling adults in Riyadh area
title_short Prevalence and risk factors for falls among community-dwelling adults in Riyadh area
title_sort prevalence and risk factors for falls among community dwelling adults in riyadh area
topic Falling
Mental health
Falls
Middle aged
Elderly
Depressive symptoms
url https://peerj.com/articles/16478.pdf
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