Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis
Background and objectiveThe prevalence of falls among older adults living in the community is ~30% each year. The impacts of falls are not only confined to the individual but also affect families and the community. Injury from a fall also imposes a heavy financial burden on patients and their famili...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.1019094/full |
| _version_ | 1797959797865185280 |
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| author | Ying Li Lingyu Hou Hanping Zhao Rongrong Xie Yue Yi Xiaorong Ding |
| author_facet | Ying Li Lingyu Hou Hanping Zhao Rongrong Xie Yue Yi Xiaorong Ding |
| author_sort | Ying Li |
| collection | DOAJ |
| description | Background and objectiveThe prevalence of falls among older adults living in the community is ~30% each year. The impacts of falls are not only confined to the individual but also affect families and the community. Injury from a fall also imposes a heavy financial burden on patients and their families. Currently, there are different reports on the risk factors for falls among older adults in the community. A retrospective analysis was used in this study to identify risk factors for falls in community-dwelling older adults. This research aimed to collect published studies to find risk factors for falls in community-dwelling older adults.MethodsWe searched for literature from the founding of PubMed, EMBASE, the Cochrane Library, the Web of Science, the China National Knowledge Infrastructure (CNKI), the China Science and Technology Periodicals Database (VIP), and the Wanfang database until September 2022. The studies were selected using inclusion and exclusion criteria. We collected information from relevant studies to compare the impact of potential risk factors such as age, female gender, fear of falling, history of falls, unclear vision, depression, and balance disorder on falls among community-dwelling older adults.ResultsA total of 31 studies were included with 70,868 community seniors. A significant risk factor for falls in the community of older adults was dementia (2.01, 95% CI: 1.41–2.86), age (1.15, 95% CI: 1.09–1.22), female gender (1.52, 95% CI: 1.27–1.81), fear of falling (2.82, 95% CI: 1.68–4.74), history of falls (3.22, 95% CI: 1.98–5.23), vision unclear (1.56, 95% CI: 1.29–1.89), depression (1.23, 95% CI: 1.10–1.37), and balance disorder (3.00, 95% CI: 2.05–4.39).ConclusionThis study provides preliminary evidence that falls among community-dwelling older adults are associated with factors such as age, female gender, fear of falling, history of falls, unclear vision, depression, and balance disorders. The results of this research may help improve clinician awareness, risk stratification, and fall prevention among community-dwelling older adults.Systematic review registrationidentifier INPLASY2022120080. |
| first_indexed | 2024-04-11T00:36:44Z |
| format | Article |
| id | doaj.art-2c73fe2b94b942459678a39adb378a30 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-11T00:36:44Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-2c73fe2b94b942459678a39adb378a302023-01-06T16:25:47ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-01-01910.3389/fmed.2022.10190941019094Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysisYing Li0Lingyu Hou1Hanping Zhao2Rongrong Xie3Yue Yi4Xiaorong Ding5School of Nursing, Weifang University of Science and Technology, Weifang, Shandong, ChinaNursing Department, Peking University Shenzhen Hospital, Shenzhen, ChinaSchool of Nursing, Weifang University of Science and Technology, Weifang, Shandong, ChinaWuxi Mental Health Center, Wuxi, Jiangsu, ChinaDepartment of Neurology, Shandong Guoxin Senior Care Group Laiwu Central Hospital, Jinan, ChinaNursing Department, Peking University Shenzhen Hospital, Shenzhen, ChinaBackground and objectiveThe prevalence of falls among older adults living in the community is ~30% each year. The impacts of falls are not only confined to the individual but also affect families and the community. Injury from a fall also imposes a heavy financial burden on patients and their families. Currently, there are different reports on the risk factors for falls among older adults in the community. A retrospective analysis was used in this study to identify risk factors for falls in community-dwelling older adults. This research aimed to collect published studies to find risk factors for falls in community-dwelling older adults.MethodsWe searched for literature from the founding of PubMed, EMBASE, the Cochrane Library, the Web of Science, the China National Knowledge Infrastructure (CNKI), the China Science and Technology Periodicals Database (VIP), and the Wanfang database until September 2022. The studies were selected using inclusion and exclusion criteria. We collected information from relevant studies to compare the impact of potential risk factors such as age, female gender, fear of falling, history of falls, unclear vision, depression, and balance disorder on falls among community-dwelling older adults.ResultsA total of 31 studies were included with 70,868 community seniors. A significant risk factor for falls in the community of older adults was dementia (2.01, 95% CI: 1.41–2.86), age (1.15, 95% CI: 1.09–1.22), female gender (1.52, 95% CI: 1.27–1.81), fear of falling (2.82, 95% CI: 1.68–4.74), history of falls (3.22, 95% CI: 1.98–5.23), vision unclear (1.56, 95% CI: 1.29–1.89), depression (1.23, 95% CI: 1.10–1.37), and balance disorder (3.00, 95% CI: 2.05–4.39).ConclusionThis study provides preliminary evidence that falls among community-dwelling older adults are associated with factors such as age, female gender, fear of falling, history of falls, unclear vision, depression, and balance disorders. The results of this research may help improve clinician awareness, risk stratification, and fall prevention among community-dwelling older adults.Systematic review registrationidentifier INPLASY2022120080.https://www.frontiersin.org/articles/10.3389/fmed.2022.1019094/fullcommunityolder adultsrisk factorsmeta-analysissystematic review |
| spellingShingle | Ying Li Lingyu Hou Hanping Zhao Rongrong Xie Yue Yi Xiaorong Ding Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis Frontiers in Medicine community older adults risk factors meta-analysis systematic review |
| title | Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis |
| title_full | Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis |
| title_fullStr | Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis |
| title_full_unstemmed | Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis |
| title_short | Risk factors for falls among community-dwelling older adults: A systematic review and meta-analysis |
| title_sort | risk factors for falls among community dwelling older adults a systematic review and meta analysis |
| topic | community older adults risk factors meta-analysis systematic review |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.1019094/full |
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