Associations among frailty status, hypertension, and fall risk in community-dwelling older adults
Objectives: Frailty and hypertension often coexist in older adults, which may lead to fall risks. This study aimed to examine the relationship between frailty status, hypertension, and fall risk. Methods: In this cross-sectional study, a total of 401 older adults were conveniently recruited from com...
| Váldodahkkit: | , , , , , |
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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Elsevier
2024-01-01
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| Ráidu: | International Journal of Nursing Sciences |
| Fáttát: | |
| Liŋkkat: | http://www.sciencedirect.com/science/article/pii/S2352013223001527 |
| _version_ | 1827365338947256320 |
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| author | Liping Teng Danhui Wang Zhou Zhou Jun Sun Min Zhu Renrong Wang |
| author_facet | Liping Teng Danhui Wang Zhou Zhou Jun Sun Min Zhu Renrong Wang |
| author_sort | Liping Teng |
| collection | DOAJ |
| description | Objectives: Frailty and hypertension often coexist in older adults, which may lead to fall risks. This study aimed to examine the relationship between frailty status, hypertension, and fall risk. Methods: In this cross-sectional study, a total of 401 older adults were conveniently recruited from communities in Wuxi, China, between September 2022 and November 2022. The fall risk self-assessment checklist from the Stopping Elderly Accidents, Deaths & Injuries (STEADI) Toolkit was used to evaluate their fall risks. The FRAIL scale questionnaire was used to assess frailty status. Participants’ demographic information and comorbidities were collected. Multivariate logistic regression, generalized additive model, and smooth curve fitting were used to analyze the association between frailty, hypertension, and fall risk. Results: Frailty had a strong association with increased prevalence of fall risk among the participants (OR 8.52, 95% CI 3.21–22.57; P < 0.001). Hypertension significantly increased the fall risk among older adults (OR 1.87, 95% CI 1.11–3.13; P = 0.019). The group with hypertension and frailty had the highest prevalence of fall risk (OR 12.24, 95% CI 3.51–42.65). Smooth curve fitting showed a nonlinear association between frailty and fall risk in hypertension status. In the progress of pre-frailty to frailty status, a higher tendency to fall was found among older adults with hypertension. Conclusions: Frailty status and hypertension independently and jointly influenced the increased prevalence of fall risk. Enhanced frailty and hypertension management may help decrease fall risk among this population. |
| first_indexed | 2024-03-08T08:26:54Z |
| format | Article |
| id | doaj.art-dd1906a4abf142b7b3136e601f9945be |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-03-08T08:26:54Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-dd1906a4abf142b7b3136e601f9945be2024-02-02T04:39:25ZengElsevierInternational Journal of Nursing Sciences2352-01322024-01-011111117Associations among frailty status, hypertension, and fall risk in community-dwelling older adultsLiping Teng0Danhui Wang1Zhou Zhou2Jun Sun3Min Zhu4Renrong Wang5Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, China; Traditional Chinese Medicine Hospital of Qinghai Province, Xining, Qinghai, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, ChinaDepartment of Cardiology, Jiangnan University Medical Center, Wuxi, Jiangsu, China; Corresponding authorObjectives: Frailty and hypertension often coexist in older adults, which may lead to fall risks. This study aimed to examine the relationship between frailty status, hypertension, and fall risk. Methods: In this cross-sectional study, a total of 401 older adults were conveniently recruited from communities in Wuxi, China, between September 2022 and November 2022. The fall risk self-assessment checklist from the Stopping Elderly Accidents, Deaths & Injuries (STEADI) Toolkit was used to evaluate their fall risks. The FRAIL scale questionnaire was used to assess frailty status. Participants’ demographic information and comorbidities were collected. Multivariate logistic regression, generalized additive model, and smooth curve fitting were used to analyze the association between frailty, hypertension, and fall risk. Results: Frailty had a strong association with increased prevalence of fall risk among the participants (OR 8.52, 95% CI 3.21–22.57; P < 0.001). Hypertension significantly increased the fall risk among older adults (OR 1.87, 95% CI 1.11–3.13; P = 0.019). The group with hypertension and frailty had the highest prevalence of fall risk (OR 12.24, 95% CI 3.51–42.65). Smooth curve fitting showed a nonlinear association between frailty and fall risk in hypertension status. In the progress of pre-frailty to frailty status, a higher tendency to fall was found among older adults with hypertension. Conclusions: Frailty status and hypertension independently and jointly influenced the increased prevalence of fall risk. Enhanced frailty and hypertension management may help decrease fall risk among this population.http://www.sciencedirect.com/science/article/pii/S2352013223001527AgedFrailtyFall riskHypertension |
| spellingShingle | Liping Teng Danhui Wang Zhou Zhou Jun Sun Min Zhu Renrong Wang Associations among frailty status, hypertension, and fall risk in community-dwelling older adults International Journal of Nursing Sciences Aged Frailty Fall risk Hypertension |
| title | Associations among frailty status, hypertension, and fall risk in community-dwelling older adults |
| title_full | Associations among frailty status, hypertension, and fall risk in community-dwelling older adults |
| title_fullStr | Associations among frailty status, hypertension, and fall risk in community-dwelling older adults |
| title_full_unstemmed | Associations among frailty status, hypertension, and fall risk in community-dwelling older adults |
| title_short | Associations among frailty status, hypertension, and fall risk in community-dwelling older adults |
| title_sort | associations among frailty status hypertension and fall risk in community dwelling older adults |
| topic | Aged Frailty Fall risk Hypertension |
| url | http://www.sciencedirect.com/science/article/pii/S2352013223001527 |
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