Association between the Number of Musculoskeletal Disease Diagnoses and Falls in Community-Dwelling Older Adults: A Cross-Sectional Study

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  • WADA Takashi
    Rehabilitation Division, Tottori University Hospital
  • MATSUMOTO Hiromi
    Rehabilitation Division, Tottori University Hospital
  • OSAKI Mari
    Rehabilitation Division, Tottori University Hospital Department of Rehabilitation, Tottori University Hospital
  • HAGINO Hiroshi
    Rehabilitation Division, Tottori University Hospital Department of Rehabilitation, Tottori University Hospital School of Health Science, Faculty of Medicine, Tottori University

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  • 地域在住高齢者における診断された運動器疾患数と転倒発生の関連についての横断的研究
  • チイキ ザイジュウ コウレイシャ ニ オケル シンダン サレタ ウンドウキ シッカンスウ ト テントウ ハッセイ ノ カンレン ニ ツイテ ノ オウダンテキ ケンキュウ

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Abstract

<p>【Objective】The purpose of this study was to clarify the relationship between falling and the number of musculoskeletal disease diagnoses in older adults and the risk factors for falling among older adults with musculoskeletal disease.【Methods】After a yearly medical check-up provided by their town of residence, 273 subjects were screened; of these, 223 subjects met our eligibility criteria. A history of a previous fracture, diagnosis of a musculoskeletal disease, pain (visual analogue scale (VAS)), muscle mass, grip strength, and gait parameters were assessed. Subjects were also asked about a history of falls in the year preceding the questionnaire. Subjects were divided into two groups based on their self-reported fall history: the nonfall group (no fall) and the fall group (one or more falls). Eighty-six older adults had a diagnosis of musculoskeletal disease (one or more).【Results】Thirty-eight subjects (17.0%) reported previous falls. In the multivariate analysis,three or more musculoskeletal disease diagnoses were a significant risk factor for falling in these individuals (OR 5.322, 95% CI 1.085-26.099， p=0.039). In subjects who had a diagnosis of musculoskeletal disease, 19 subjects (22.1%) reported previous falls. The severity of leg and low back pain (OR 1.042, 95% CI 1.016-1.069, p=0.002) and a history of a previous fracture (OR 5.422, 95% CI 1.323-22.217, p=0.019) were determined to be significant risk factors for falling in the subjects who had a diagnosis of musculoskeletal disease.【Conclusions】These findings suggested that the number of musculoskeletal disease diagnoses might increase the risk of falling in older adults. The severity of pain in the leg and low back and a history of a previous fracture were associated with falling among older adults with musculoskeletal disease.</p>

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