Association between chronic diseases and falls among a sample of older people in Finland

Milla Immonen (Corresponding Author), Marianne Haapea, Heidi Similä, Heidi Enwald, Niina Keränen, Maarit Kangas, Raija Korpelainen, Timo Jämsä

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Abstract

Background: Falls are a major problem for older people and recurrent fallers are especially prone to severe consequences due to falls. This study investigated the association between chronic conditions and falls. MethodsResponses from 872 older persons (age 65–98) to a health questionnaire were used in the analyses. Characteristics and disease prevalence between recurrent fallers, one-time fallers and non-fallers were compared. A hierarchical clustering method was applied to find combinations of chronic conditions that were associated with recent recurrent falling. ResultsThe results showed that recurrent fallers had a higher number of diseases (median 4, interquartile range, IQR = 2.0–5.0) compared to non-fallers (median 2, IQR = 1.0–3.0). Eight clusters were formed based on the data. The participants in the low chronic disease cluster were younger, more physically active, not frail, and had fewer geriatric conditions. Multiple chronic disease cluster participants were older, less physically active, overweight (body mass index, BMI > 30), at risk of malnutrition, and had more geriatric conditions. Significantly increased risk of recurrent falls relative to the low chronic cluster was found for respondents in the osteoporosis cluster and multiple chronic disease cluster (OR = 5.65, 95% confidence interval CI: 1.23–25.85, p = 0.026, and OR = 13.42, 95% CI: 2.47–72.96, p = 0.002, respectively). None of the clusters were associated with increased risk of one-time falling. ConclusionsThe results implicate that the number of chronic diseases is related with risk of recurrent falling. Furthermore, the results implicate the potential of identifying certain combinations of chronic diseases that increase fall risk by analyzing health record data, although further studies are needed with a larger population sample.
Original languageEnglish
Article number225
Pages (from-to)225
Number of pages1
JournalBMC Geriatrics
Volume20
Issue number1
DOIs
Publication statusPublished - 26 Jun 2020
MoE publication typeA1 Journal article-refereed

Keywords

  • Falls
  • recurrent falls
  • fall risk
  • chronic diseases
  • older adults
  • geriatrics
  • gerontology
  • aging

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