Title | Fall-associated difficulty with activities of daily living in functionally independent individuals aged 65 to 69 in the United States: a cohort study. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Sekaran, NK, Choi, H, Hayward, RA, Langa, KM |
Journal | J Am Geriatr Soc |
Volume | 61 |
Issue | 1 |
Pagination | 96-100 |
Date Published | 2013 Jan |
ISSN Number | 1532-5415 |
Keywords | Accidental Falls, Activities of Daily Living, Aged, Aging, Disability Evaluation, Disabled Persons, Female, Follow-Up Studies, Geriatric Assessment, Health Status, Humans, Male, Odds Ratio, Retrospective Studies, Risk Factors, United States, Wounds and Injuries |
Abstract | OBJECTIVES: To determine whether falling would be a marker for future difficulty with activities of daily (ADLs) that would vary according to fall frequency and associated injury. DESIGN: Longitudinal analysis. SETTING: Community. PARTICIPANTS: Nationally representative cohort of 2,020 community-living, functionally independent older adults aged 65 to 69 at baseline followed from 1998 to 2008. MEASUREMENTS: ADL difficulty. RESULTS: Experiencing one fall with injury (odds ratio (OR) = 1.78, 95% confidence interval (CI) = 1.29-2.48), at least two falls without injury (OR = 2.36, 95% CI = 1.80-3.09), or at least two falls with at least one injury (OR = 3.75, 95% CI = 2.55-5.53) in the prior 2 years was independently associated with higher rates of ADL difficulty after adjustment for sociodemographic, behavioral, and clinical covariates. CONCLUSION: Falling is an important marker for future ADL difficulty in younger, functionally independent older adults. Individuals who fall frequently or report injury are at highest risk. |
DOI | 10.1111/jgs.12071 |
User Guide Notes | |
Endnote Keywords | falls/Fall prevention/disability/disability/older adults/ADL/IADL/activities of daily living/Mobility/functional impairment/health Status |
Endnote ID | 69762 |
Alternate Journal | J Am Geriatr Soc |
Citation Key | 7929 |
PubMed ID | 23311555 |
PubMed Central ID | PMC3807864 |
Grant List | R01 AG027010 / AG / NIA NIH HHS / United States R01 AG030155 / AG / NIA NIH HHS / United States U01 AG009740 / AG / NIA NIH HHS / United States |