Citation

Nitz JC, Low Choy NL. Climacteric 2008; 1-6.

Affiliation

University of Queensland, Physiotherapy, Brisbane, Australia.

Copyright

(Copyright © 2008, Informa - Taylor and Francis Group)

DOI

10.1080/13697130802398517

PMID

18802814

Abstract

Objective This study aimed to report falls and identify factors that might predict a fall in women aged between 40 and 80 years and thus provide evidence of earlier falls and need for morbidity preventive intervention. Design and participants A prospective cohort study design over 5 years. Personal demographic data of age, co-morbidities, number of prescribed medications, falls, activity level and living situation were obtained at face-to-face interview. Height, weight, body mass index and postural stability were measured in participating women living independently in the community. Results Women were categorized into age decade cohorts, with 463 remaining at the year 5 assessment. At baseline, 8% of the women in their forties, 14% in their fifties, 25% in their sixties and 40% in their seventies had fallen in the previous 12 months. Over the 5-year study period, 21% of women in their forties and fifties, 31% of women in their sixties and 47% in their seventies had fallen. Multiple fallers mostly comprised women in their sixties and seventies. Parametric modeling and the classification tree approach revealed age and number of co-morbidities to be most predictive of a fall. Women<60 years old had an increased risk of a fall by 8% and women>60 years an increased risk of a fall by 35% with every additional co-morbidity. Stability and other demographics were not predictive of falling. Conclusions For women over 40 years old, the number of co-morbidities increased the risk of a fall. The falls risk escalated with additional co-morbidities if they were over 60 years. Preventive program participation to maintain good health beginning by the forties appears vital to prevent falls.

Language: en