@article{ref1,
title="An epidemiological study of the risk factors of bicycle-related falls among Japanese older adults",
journal="Journal of epidemiology",
year="2018",
author="Sakurai, Ryota and Kawai, Hisashi and Suzuki, Hiroyuki and Ogawa, Susumu and Kim, Hunkyung and Watanabe, Yutaka and Hirano, Hirohiko and Ihara, Kazushige and Obuchi, Shuichi and Fujiwara, Yoshinori",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Considering the rate of growth of the older population in several countries, accidental falls in older cyclists are expected to increase. However, the prevalence and correlates of bicycle-related falls (BR-falls) are unknown. The aim of the present study was to explore the characteristics of BR-falls, focusing on the risk factors. <br><br>METHODS: Seven-hundred and ninety-one older adults participated in a comprehensive baseline assessment including questions on bicycle use, BR-falls, lifestyle, and physical and cognitive evaluations. A cyclist was defined as a person who cycled at least a few times per month. The incidence of BR-falls in participants who did not report BR-falls at baseline was again ascertained three years later. Logistic regression analyses examined the predictors of BR-falls incidence. <br><br>RESULTS: At baseline, 395 older adults were cyclist and 45 (11.4%) of them had experienced BR-falls. Adjusted regression analysis showed that slower gait velocity, shorter one-leg standing time, and experience of falls (i.e., non-BR-falls) were associated with BR-falls. Among the 214 cyclists who did not report BR-falls at baseline and who participated in both baseline and follow-up assessments, 35 (16.4%) cyclists experienced BR-falls during the 3-year follow-up. Adjusted regression analysis revealed that higher body mass index and non-BR-falls were predictors of future incident of BR-falls, independent of physical function. <br><br>CONCLUSIONS: Our results showed that experience of falls, irrespective of bicycling, is an independent correlate and risk factor of BR-falls. This suggests that experience of falls and BR-falls may share the same risk factors.<p /> <p>Language: en</p>",
language="en",
issn="0917-5040",
doi="10.2188/jea.JE20180162",
url="http://dx.doi.org/10.2188/jea.JE20180162"
}