Fall-associated difficulty with activities of daily living in functionally independent individuals aged 65 to 69 in the United States: a cohort study.

TitleFall-associated difficulty with activities of daily living in functionally independent individuals aged 65 to 69 in the United States: a cohort study.
Publication TypeJournal Article
Year of Publication2013
AuthorsSekaran, NK, Choi, H, Hayward, RA, Langa, KM
JournalJ Am Geriatr Soc
Volume61
Issue1
Pagination96-100
Date Published2013 Jan
ISSN Number1532-5415
KeywordsAccidental 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.

DOI10.1111/jgs.12071
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/23311555?dopt=Abstract

Endnote Keywords

falls/Fall prevention/disability/disability/older adults/ADL/IADL/activities of daily living/Mobility/functional impairment/health Status

Endnote ID

69762

Alternate JournalJ Am Geriatr Soc
Citation Key7929
PubMed ID23311555
PubMed Central IDPMC3807864
Grant ListR01 AG027010 / AG / NIA NIH HHS / United States
R01 AG030155 / AG / NIA NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States