Falls in Community-Dwelling Older Adults with Lower Back or Knee Pain Are Associated with Cognitive and Emotional Factors

被引：13

作者：

Hirase, Tatsuya ^{[1
]}

Makizako, Hyuma ^{[2
]}

Okubo, Yoshiro ^{[3
]}

Lord, Stephen R. ^{[3
]}

Okita, Minoru ^{[1
]}

Nakai, Yuki ^{[2
]}

Takenaka, Toshihiro ^{[4
]}

Kubozono, Takuro ^{[5
]}

Ohishi, Mitsuru ^{[5
]}

机构：

[1] Nagasaki Univ, Dept Phys Therapy Sci, Grad Sch Biomed Sci, Nagasaki 8528520, Japan

[2] Kagoshima Univ, Fac Med, Sch Hlth Sci, Dept Phys Therapy, Kagoshima 8908544, Japan

[3] Neurosci Res Australia, Falls Balance & Injury Res Ctr, Sydney, NSW 2031, Australia

[4] Tarumizu Chuo Hosp, Tarumizu Municipal Med Ctr, Kagoshima 8912124, Japan

[5] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Med & Hypertens, Kagoshima 8908520, Japan

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2020年 / 17卷 / 14期

关键词：

aged; accidental falls; pain; mild cognitive impairment; depressive symptoms; CHRONIC MUSCULOSKELETAL PAIN; RISK-FACTORS; EXECUTIVE FUNCTION; CONSEQUENCES; DEPRESSION; PREVALENCE; SARCOPENIA; VALIDITY; BALANCE;

D O I：

10.3390/ijerph17144960

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

(1) Background: The present study aimed to examine physical, cognitive and emotional factors affecting falls in community-dwelling older adults with and without pain; (2) Methods: Data from 789 older adults who participated in a community-based health survey were analyzed. Participants completed questionnaires on the presence of pain and previous falls. Muscle weakness (handgrip strength < 26.0 kg for men and < 18.0 kg for women) and low skeletal muscle mass (appendicular skeletal muscle mass index < 7.0 kg/m(2)for men and < 5.7 kg/m(2)for women) were determined. Mild cognitive impairment (MCI) and depressive symptoms were assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool and 15-item geriatric depression scale (GDS-15), respectively; (3) Results: In participants with pain, MCI and GDS-15 were associated with previous falls after adjusting for age, sex, education and medication use. In participants without pain, muscle weakness and low skeletal muscle mass were associated with previous falls when adjusting for the above covariates; (4) Conclusions: Falls in participants with pain were associated with cognitive and emotional factors, whereas falls in those without pain were associated with physical factors. Fall prevention interventions for older adults with pain may require tailored strategies to address cognitive and emotional factors.

引用

页码：1 / 8

页数：8

共 35 条

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