A Prospective Study of Relationships between Fall-Related Accidents in the Elderly Living in the Community and their Physical, Psychological, and Cognitive Functions

MURATA Shin, OTAO Hiroshi, MURATA Jun, HORIE Jun, MIYAZAKI Junya, MIZOTA Katsuhiko

doi:10.1589/rika.24.807

[Purpose] We carried out a prospective study of falls in community-living elderly for a year and examined the factors in their fall. [Subjects] The subjects were 133 elderly people (average age 73.9 ± 5.6 years) who didn't have severe cognitive symptoms and were receiving certified long-term care needs. Thirty-five subjects had a fall during the year (falls group) and 98 subjects did not (no-fall group). [Methods] We evaluated subjects' physical, cognitive and psychological functions for the baseline survey, and compared the results of falls group and no-fall group. [Results] In comparison of the baseline characteristics, foot-gripping strength, one-leg standing time, the TMIG index of competence scores, attention function and subjective view of health of the falls group were significantly lower than those of the no-fall group. However, in logistic regression analysis with the dependent variable as "fall experience in a year", the odds ratios of all items showed no significant difference. [Conclusion] These results suggest that specific physical, cognitive and psychological functions of community-living elderly show correlation with fall, but single factors are not determining factors of falls.<br>

A Prospective Study of Relationships between Fall-Related Accidents in the Elderly Living in the Community and their Physical, Psychological, and Cognitive Functions

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