Maria Manuela Moreno , Diego Andrés Chavarro-Carvajal , María Zuluaga , Andrés Peralta , Felipe Marín , Samir Aruachan , Carlos Alberto Cano-Gutiérrez
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引用次数: 0
Abstract
Introduction
The fear of falling syndrome is usually associated with functional impairment, depression, anxiety, poorer quality of life, and it has also been seen to have a higher prevalence in multimorbid people, those with polypharmacy, cardiovascular disease, and affective symptoms. Our study aims to evaluate the relationship between fear of falling in absence of a history of falls and exclusive life at home on a representative sample of older people in Colombia.
Materials and methods
This is a secondary study of the Health, Well-being, and Aging Survey in Colombia. The dependent variable considered in this study was the fear of falling without having fallen, while the exposure variable was exclusive homebound living. We conducted a descriptive and bivariate analysis of the sample, followed by a multivariate analysis adjusting for confounding variables.
Results
Among the 16,006 older adults included in the analysis, the mean age was 71.4 years, 53.84% were women; 35.44% reported a fear of falling without having experienced a fall, and 6.3% had an exclusive homebound lifestyle. Three regression models were conducted to examine the relationship between the fear of falling without prior falls and exclusive homebound living. The first model was adjusted for age, the second included adjustments for age, malnutrition, self-perceived health status, sarcopenia, and polypharmacy, and the third model incorporated the first 2 adjustments along with cardiovascular and musculoskeletal diseases. Model 1 revealed an OR of 1.27 (95% CI 1.28-1.45) with p < 0.001, while Models 2 and 3 both yielded an OR of 1.26 (95% CI 1.10-1.44), independently of the other variables (p < 0.001).
Conclusion
There is an association between fear of falling without having fallen and exclusive life at home. The foregoing provides evidence to include this characteristic as a complementary parameter in the evaluation of older adults suffering from fear of falling.
害怕跌倒综合征通常与功能损害、抑郁、焦虑、生活质量下降有关,而且在多重发病人群、有多种药物、心血管疾病和情感性症状的人群中发病率更高。我们的研究旨在评估哥伦比亚老年人代表性样本中没有跌倒史的人对跌倒的恐惧与家庭生活之间的关系。材料和方法这是哥伦比亚健康、福祉和老龄化调查的二次研究。本研究中考虑的因变量是对没有摔倒的恐惧,而暴露变量是完全居家生活。我们对样本进行了描述性和双变量分析,然后对混杂变量进行了多变量分析。结果纳入分析的16006名老年人中,平均年龄71.4岁,女性占53.84%;35.44%的人没有跌倒过,但有跌倒的恐惧,6.3%的人有完全宅在家的生活方式。我们使用三个回归模型来检验未曾跌倒过的跌倒恐惧与完全居家生活之间的关系。第一个模型对年龄进行了调整,第二个模型对年龄、营养不良、自我感知健康状况、肌肉减少症和多种药物进行了调整,第三个模型将前两个模型与心血管和肌肉骨骼疾病进行了调整。模型1显示OR为1.27 (95% CI 1.28-1.45), p <;模型2和模型3的OR均为1.26 (95% CI 1.10-1.44),独立于其他变量(p <;0.001)。结论没有摔倒就害怕摔倒与家庭生活排他性有一定关系。上述提供的证据,包括这一特点,作为一个补充参数,在评估老年人患跌倒恐惧。
期刊介绍:
Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.