The relationship between symptoms of depression and falls in older adults: A case-control study.

JAR life Pub Date : 2025-07-10 eCollection Date: 2025-01-01 DOI:10.1016/j.jarlif.2025.100018

Manizheh Moshtaghi, Sadegh Kargarian-Marvasti, Pouya Farokhnezhad Afshar, Seyedeh Melika Kharghani Moghaddam, Fatemeh Bahramnezhad

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Abstract

Background: Fall is one of the most common and severe syndromes of older adults that causes disability. Depression is one of the disorders that can lead to many problems, but the results have been contradictory.

Objectives: This study aimed to determine the relationship between symptoms of depression and falls in older adults.

Design: This observational study.

Setting: We collected the data from the health records of older adults in comprehensive health service centers.

Participants: We selected two groups of older adults (60 years and above) as the case group (400 older adults with a history of falling) and the control group (400 older adults without a history of falling).

Measurements: The history of falling was based on the report of old people during a month ago. Symptoms of Depression has been assessed using the Goldberg General Health Questionnaire (GHQ-28).

Results: 62.5 % of the sample were old women. The elderly males were 74.6 ± 0.47 years, and the elderly women were 72.9 ± 0.34 years. There was no significant relationship between symptoms of depression and falls in older adults (OR = 1.321, P = 0.203). Age (over 75 years) (OR = 4.391, P < 0.001) and living alone (OR = 2.924, P < 0.001), and high school education (OR = 3.947, P = 0.008) are risk factors.

Conclusions: The symptoms of depression are not related to falls in older adults. However, being above 75 years old and living alone increases the risk of falls, and higher education reduces the risk of falls.

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老年人抑郁症状与跌倒之间的关系：一项病例对照研究

背景：跌倒是导致老年人残疾的最常见和最严重的综合征之一。抑郁症是可能导致许多问题的疾病之一，但结果是矛盾的。目的：本研究旨在确定老年人抑郁症状与跌倒之间的关系。设计：本观察性研究。背景：我们收集综合卫生服务中心老年人的健康记录。参与者：我们选择了两组老年人（60岁及以上）作为病例组（400名有跌倒史的老年人）和对照组（400名没有跌倒史的老年人）。测量方法：跌倒史以老年人一个月前的报告为依据。使用Goldberg一般健康问卷（GHQ-28）评估抑郁症状。结果：老年妇女占62.5%。老年男性74.6±0.47岁，老年女性72.9±0.34岁。老年人抑郁症状与跌倒无显著相关性（OR = 1.321, P = 0.203）。年龄（75岁以上）（OR = 4.391, P < 0.001）、独居（OR = 2.924, P < 0.001）、高中学历（OR = 3.947, P = 0.008）是危险因素。结论：老年人抑郁症状与跌倒无关。然而，75岁以上独居会增加跌倒的风险，而受过高等教育则会降低跌倒的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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JAR life

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