Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study
Objectives: While the negative impact of falls in older persons has been recognized, the association between knee pains and falls remains inconclusive due to underreporting and undertreatment of knee pain. This study was conducted to evaluate the relationship between knee pain and knee pain severity...
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| Format: | Article |
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Frontiers Media
2019
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| author | Mat, Sumaiyah Razack, Azad Hassan Abdul Lim, Jasmine Khong, Su Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin |
| author_facet | Mat, Sumaiyah Razack, Azad Hassan Abdul Lim, Jasmine Khong, Su Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin |
| author_sort | Mat, Sumaiyah |
| collection | UM |
| description | Objectives: While the negative impact of falls in older persons has been recognized, the association between knee pains and falls remains inconclusive due to underreporting and undertreatment of knee pain. This study was conducted to evaluate the relationship between knee pain and knee pain severity with falls risk and to further determine factors which influence this potential relationship. Design: This was cross-sectional study from the Malaysian Elders Longitudinal Research (MELoR) study. Setting: Urban community dwellers in a middle-income South East Asian country. Participants: One thousand two hundred twelve of a representative sample of community dwelling older persons aged 55 years and older. Outcome measures: Falls in the preceding 12 months and knee pain were collected during a home-based computer-assisted interview. Physical and functional performance were measured using the Timed Up and Go test and the Katz and Lawton scales, respectively. Psychological status was determined using the Depression Anxiety and Stress Scale (DASS-21). Results: Of the 1,212 participants included in this analysis, knee pain was present in 402 (33.17%) individuals (124 (30.85%) mild, 210 (52.24%) moderate, 68 (16.92%) severe). The presence of knee pain was associated with increased risk of falls [odds Ratio, OR(95% confidence interval, CI): 1.81 (1.37–2.38)]. Severe knee pain was an independent predictor for falls after adjustment for functional impairment and psychological status. Mild, moderate, and severe knee pain had a specific indirect effect on falls through reducing functional impairment, which in turn increases their psychological concern. Conclusion: Future studies should explore this relationship prospectively and evaluate whether interventions which alleviate psychological concerns and improve function will reduce falls risk in those with mild to moderate knee pain. © Copyright © 2019 Mat, Razack, Lim, Khong, Kamaruzzaman, Chin, Abbas, Hairi, Othman and Tan. |
| first_indexed | 2024-03-06T06:01:36Z |
| format | Article |
| id | um.eprints-24036 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T06:01:36Z |
| publishDate | 2019 |
| publisher | Frontiers Media |
| record_format | dspace |
| spelling | um.eprints-240362020-03-17T05:22:50Z http://eprints.um.edu.my/24036/ Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study Mat, Sumaiyah Razack, Azad Hassan Abdul Lim, Jasmine Khong, Su Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin R Medicine Objectives: While the negative impact of falls in older persons has been recognized, the association between knee pains and falls remains inconclusive due to underreporting and undertreatment of knee pain. This study was conducted to evaluate the relationship between knee pain and knee pain severity with falls risk and to further determine factors which influence this potential relationship. Design: This was cross-sectional study from the Malaysian Elders Longitudinal Research (MELoR) study. Setting: Urban community dwellers in a middle-income South East Asian country. Participants: One thousand two hundred twelve of a representative sample of community dwelling older persons aged 55 years and older. Outcome measures: Falls in the preceding 12 months and knee pain were collected during a home-based computer-assisted interview. Physical and functional performance were measured using the Timed Up and Go test and the Katz and Lawton scales, respectively. Psychological status was determined using the Depression Anxiety and Stress Scale (DASS-21). Results: Of the 1,212 participants included in this analysis, knee pain was present in 402 (33.17%) individuals (124 (30.85%) mild, 210 (52.24%) moderate, 68 (16.92%) severe). The presence of knee pain was associated with increased risk of falls [odds Ratio, OR(95% confidence interval, CI): 1.81 (1.37–2.38)]. Severe knee pain was an independent predictor for falls after adjustment for functional impairment and psychological status. Mild, moderate, and severe knee pain had a specific indirect effect on falls through reducing functional impairment, which in turn increases their psychological concern. Conclusion: Future studies should explore this relationship prospectively and evaluate whether interventions which alleviate psychological concerns and improve function will reduce falls risk in those with mild to moderate knee pain. © Copyright © 2019 Mat, Razack, Lim, Khong, Kamaruzzaman, Chin, Abbas, Hairi, Othman and Tan. Frontiers Media 2019 Article PeerReviewed Mat, Sumaiyah and Razack, Azad Hassan Abdul and Lim, Jasmine and Khong, Su Yen and Kamaruzzaman, Shahrul Bahyah and Chin, Ai-Vyrn and Abbas, Azlina Amir and Hairi, Noran Naqiah and Othman, Sajaratulnisah and Tan, Maw Pin (2019) Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study. Frontiers in Medicine, 6. p. 277. ISSN 2296-858X, DOI https://doi.org/10.3389/fmed.2019.00277 <https://doi.org/10.3389/fmed.2019.00277>. https://doi.org/10.3389/fmed.2019.00277 doi:10.3389/fmed.2019.00277 |
| spellingShingle | R Medicine Mat, Sumaiyah Razack, Azad Hassan Abdul Lim, Jasmine Khong, Su Yen Kamaruzzaman, Shahrul Bahyah Chin, Ai-Vyrn Abbas, Azlina Amir Hairi, Noran Naqiah Othman, Sajaratulnisah Tan, Maw Pin Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study |
| title | Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study |
| title_full | Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study |
| title_fullStr | Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study |
| title_full_unstemmed | Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study |
| title_short | Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study |
| title_sort | factors determining the increased risk of falls in individuals with knee pain in the malaysian elders longitudinal research melor study |
| topic | R Medicine |
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