TY  - JOUR
PY  - 2018//
TI  - An epidemiological study of the risk factors of bicycle-related falls among Japanese older adults
JO  - Journal of epidemiology
A1  - Sakurai, Ryota
A1  - Kawai, Hisashi
A1  - Suzuki, Hiroyuki
A1  - Ogawa, Susumu
A1  - Kim, Hunkyung
A1  - Watanabe, Yutaka
A1  - Hirano, Hirohiko
A1  - Ihara, Kazushige
A1  - Obuchi, Shuichi
A1  - Fujiwara, Yoshinori
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0917-5040
UR  - http://dx.doi.org/10.2188/jea.JE20180162
ID  - ref1
ER  -