A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults
This cohort study investigated the impact of chronic diseases on fall risk in middle-aged and older individuals, offering insights for fall prevention strategies. Analysing data from 4,670 participants aged 40+ years, we used a Cox proportional risk model to assess chronic disease types, numbers, an...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
De Gruyter
2023-07-01
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| Series: | Open Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/med-2023-0748 |
| _version_ | 1797778367708135424 |
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| author | Yang Xue Li Longxin Xie Fang Wang Zhang |
| author_facet | Yang Xue Li Longxin Xie Fang Wang Zhang |
| author_sort | Yang Xue |
| collection | DOAJ |
| description | This cohort study investigated the impact of chronic diseases on fall risk in middle-aged and older individuals, offering insights for fall prevention strategies. Analysing data from 4,670 participants aged 40+ years, we used a Cox proportional risk model to assess chronic disease types, numbers, and interactions with other factors on fall injury risk across age groups. Results showed that middle-aged adults with respiratory diseases had a 26% increased fall risk (hazard ratio [HR] = 1.26, 95% confidence interval [CI]: 1.05–1.48), and a linear dose–response relationship was observed between chronic disease number and fall risk (p < 0.001). The study also examined interaction effects of chronic diseases with gender, disability, and fall injury history. Female middle-aged and older adults with chronic diseases had a 67% higher fall risk than their male counterparts without chronic diseases (HR = 1.67, 95% CI: 1.36–1.88). In conclusion, chronically ill middle-aged and older adults have a higher fall risk, with high-risk groups including women, those with chronic diseases, and individuals with fall injury history. Fall prevention efforts should target middle-aged adults as well. |
| first_indexed | 2024-03-12T23:16:19Z |
| format | Article |
| id | doaj.art-50a63947ecf644b5bbe4ba2f3155a1be |
| institution | Directory Open Access Journal |
| issn | 2391-5463 |
| language | English |
| last_indexed | 2024-03-12T23:16:19Z |
| publishDate | 2023-07-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Open Medicine |
| spelling | doaj.art-50a63947ecf644b5bbe4ba2f3155a1be2023-07-17T05:25:15ZengDe GruyterOpen Medicine2391-54632023-07-01181i31110.1515/med-2023-0748A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adultsYang Xue0Li Longxin1Xie Fang2Wang Zhang3Department of Geriatrics, The General Hospital of Western Theater Command, Chengdu, P.R. ChinaDepartment of Geriatrics, The General Hospital of Western Theater Command, Chengdu, P.R. ChinaDepartment of Geriatrics, The General Hospital of Western Theater Command, Chengdu, P.R. ChinaDepartment of Geriatrics, The General Hospital of Western Theater Command, Chengdu, P.R. ChinaThis cohort study investigated the impact of chronic diseases on fall risk in middle-aged and older individuals, offering insights for fall prevention strategies. Analysing data from 4,670 participants aged 40+ years, we used a Cox proportional risk model to assess chronic disease types, numbers, and interactions with other factors on fall injury risk across age groups. Results showed that middle-aged adults with respiratory diseases had a 26% increased fall risk (hazard ratio [HR] = 1.26, 95% confidence interval [CI]: 1.05–1.48), and a linear dose–response relationship was observed between chronic disease number and fall risk (p < 0.001). The study also examined interaction effects of chronic diseases with gender, disability, and fall injury history. Female middle-aged and older adults with chronic diseases had a 67% higher fall risk than their male counterparts without chronic diseases (HR = 1.67, 95% CI: 1.36–1.88). In conclusion, chronically ill middle-aged and older adults have a higher fall risk, with high-risk groups including women, those with chronic diseases, and individuals with fall injury history. Fall prevention efforts should target middle-aged adults as well.https://doi.org/10.1515/med-2023-0748chronic diseasefall injuryrisk factorshealth managementcohort studies |
| spellingShingle | Yang Xue Li Longxin Xie Fang Wang Zhang A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults Open Medicine chronic disease fall injury risk factors health management cohort studies |
| title | A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults |
| title_full | A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults |
| title_fullStr | A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults |
| title_full_unstemmed | A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults |
| title_short | A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults |
| title_sort | prospective cohort study of the impact of chronic disease on fall injuries in middle aged and older adults |
| topic | chronic disease fall injury risk factors health management cohort studies |
| url | https://doi.org/10.1515/med-2023-0748 |
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