{"title":"虚弱过渡和工作相关跌倒：一项对老年工人的前瞻性队列研究。","authors":"Ryutaro Matsugaki, Masayoshi Zaitsu, Akira Ogami","doi":"10.1097/JOM.0000000000003536","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine longitudinal associations between changes in frailty status and risk of work-related falls among older workers.</p><p><strong>Methods: </strong>A prospective cohort study was conducted on Japanese workers aged 60-75 years in a tertiary industry. Frailty was assessed using the Frailty Screening Index at baseline and 1-year follow-up. Participants were categorized into four groups: stable non-frail, frailty recovery, newly frail, and persistently frail. Work-related falls in the past 12 months were self-reported at the 2-year follow-up visit.</p><p><strong>Results: </strong>The persistently frail group was significantly associated with a higher risk of falls; frailty recovery was not associated with increased risk. Newly frail participants exhibited a trend toward increased falls, although the difference was not statistically significant.</p><p><strong>Conclusions: </strong>Frailty management is an essential part of work-related fall-prevention strategies for older workers.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Frailty Transitions and Work-related Falls: A Prospective Cohort Study Among Older Workers.\",\"authors\":\"Ryutaro Matsugaki, Masayoshi Zaitsu, Akira Ogami\",\"doi\":\"10.1097/JOM.0000000000003536\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To examine longitudinal associations between changes in frailty status and risk of work-related falls among older workers.</p><p><strong>Methods: </strong>A prospective cohort study was conducted on Japanese workers aged 60-75 years in a tertiary industry. Frailty was assessed using the Frailty Screening Index at baseline and 1-year follow-up. Participants were categorized into four groups: stable non-frail, frailty recovery, newly frail, and persistently frail. Work-related falls in the past 12 months were self-reported at the 2-year follow-up visit.</p><p><strong>Results: </strong>The persistently frail group was significantly associated with a higher risk of falls; frailty recovery was not associated with increased risk. Newly frail participants exhibited a trend toward increased falls, although the difference was not statistically significant.</p><p><strong>Conclusions: </strong>Frailty management is an essential part of work-related fall-prevention strategies for older workers.</p>\",\"PeriodicalId\":94100,\"journal\":{\"name\":\"Journal of occupational and environmental medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of occupational and environmental medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/JOM.0000000000003536\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of occupational and environmental medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JOM.0000000000003536","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Frailty Transitions and Work-related Falls: A Prospective Cohort Study Among Older Workers.
Objective: To examine longitudinal associations between changes in frailty status and risk of work-related falls among older workers.
Methods: A prospective cohort study was conducted on Japanese workers aged 60-75 years in a tertiary industry. Frailty was assessed using the Frailty Screening Index at baseline and 1-year follow-up. Participants were categorized into four groups: stable non-frail, frailty recovery, newly frail, and persistently frail. Work-related falls in the past 12 months were self-reported at the 2-year follow-up visit.
Results: The persistently frail group was significantly associated with a higher risk of falls; frailty recovery was not associated with increased risk. Newly frail participants exhibited a trend toward increased falls, although the difference was not statistically significant.
Conclusions: Frailty management is an essential part of work-related fall-prevention strategies for older workers.
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