Sarcopenia as a risk factor for falls in elderly individuals: Results from the ilSIRENTE study

2012 ◽  
Vol 31 (5) ◽  
pp. 652-658 ◽  
Author(s):  
Francesco Landi ◽  
Rosa Liperoti ◽  
Andrea Russo ◽  
Silvia Giovannini ◽  
Matteo Tosato ◽  
...  
Author(s):  
Tânia Patrícia Cabo Relíquias ◽  
Carmen Dolores Roque Agostinho ◽  
Maria do Céu Marques

The objective of this chapter is to identify the risk factors and preponderant causes of falls in the hospital elderly inpatients. A survey on the search engines B-on, EBSCO, and Pubmed, followed by an analysis of the title and abstract is done. Afterwards, the authors analyze all the articles with full text available in Portuguese, Spanish, and English. The most common risk factor for falls in the analyzed articles was being aged above 65 years old. More than half of the articles also mentioned intrinsic factors such as mental disorder, mobility disorder, and use of medication. As for extrinsic factors associated with risk of falls, most of the articles mentioned the characteristics of bed/chair and the obstacles associated with the physical/environmental infrastructures. The prevention strategies for this phenomenon must consider each country and care unit specifically as well as the specific characteristics of its patients, aiming to promote the care quality.


2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Kazuhiko Arima ◽  
Satoshi Mizukami ◽  
Takayuki Nishimura ◽  
Yoshihito Tomita ◽  
Hiroki Nakashima ◽  
...  

Abstract Background Vitamin D deficiency is associated with osteoporosis, fracture, muscle weakness, falls, and osteoarthritis in adults. Elderly individuals are more likely to present with poor musculoskeletal conditions. Recently, several epidemiological studies have assessed the correlation between serum 25-hydroxyvitamin D (25(OH)D) levels and musculoskeletal conditions in elderly individuals. Main text Osteoporosis is a skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fracture. Numerous studies have shown a positive association between serum 25(OH)D levels and bone mineral density. Only a few studies have reported an association between serum 25(OH)D levels and quantitative ultrasound (QUS) parameters. Low serum 25(OH)D level may be a risk factor for hip fracture. However, data on the association between vitamin D deficiency and the incidence of non-hip fracture are contrasting. Falls are a major cause of mortality and morbidity in older adults. Several prospective population-based cohort studies have shown that low 25(OH)D levels are associated with an increased risk of falls. Reduced muscle strength and physical performance are risk factors for adverse events, including disability, institutionalization, and mortality. The role of vitamin D in musculoskeletal functionality (muscle weakness and physical performance) among elderly individuals is still controversial. Osteoarthritis (OA) is the most common form of arthritis and is a leading cause of disability among older adults. Data on the association between serum 25(OH)D levels and OA are contrasting. Conclusion Some studies have shown that vitamin D deficiency may be a risk factor for poor musculoskeletal conditions, such as osteoporosis, fracture, muscle weakness, falls, and osteoarthritis in adults. However, other studies did not find an association between serum 25(OH)D levels and musculoskeletal conditions.


2020 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
Vitri Rohima ◽  
Iwan Rusdi ◽  
Evi Karota

ABSTRAKLatar Belakang: Lansia merupakan tahap akhir pertumbuhan kehidupan manusia yang mengalami perubahan fisik maupun psikososial, dan salah satu aspek penting perubahan itu adalah resiko jatuh. Resiko jatuh pada lansia dipengaruhi oleh faktor intrinsik, faktor ekstrinsik, dan faktor situasional. Tujuan: penelitian ini untuk mengetahui hubungan resiko jatuh dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Metode: Penelitian ini merupakan studi deskriptif korelasi terhadap 70 responden lansia. Pengumpulan data dilakukan dengan menggunakan kuisioner faktorfaktor penyebab resiko jatuh dan kejadian resiko jatuh pada klien lansia. Hasil: umumnya klien berusia 60-74 (51%), beragama Islam (81%), dan keluarga tinggal serumah lebih dari 2 orang 84%. Hasil penelitian menunjukkan faktor penyebab resiko jatuh lansia terutama dari faktor situasional 26%, faktor intrinsik 17% dan tidak ada dari faktor ekstrinsik (0%). Berdasarkan kejadian resiko jatuh pada lansia adalah 46% beresiko tinggi, 36% beresiko rendah, dan 18% tidak beresiko. Hasil uji chi square menunjukkan adanya hubungan yang signifikan dari faktor intrinsik p=0,000, faktor ekstrinsik p=0,000 dan faktor situasional p=0,004 terhadap kejadian resiko jatuh. Kesimpulan: faktor-faktor resiko jatuh berhubungan dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Hasil penelitian ini dapat menjadi masukan bagi pelayanan kesehatan khususnya pelayanan asuhan keperawatan untuk meningkatkan edukasi kepada klien lansia dan keluarganya tentang dengan resiko jatuh dan pelayanan kesehatan dapat melakukan pengembangan program kegiatan pencegahan resiko jatuh pada lansia.Kata Kunci: Lansia, resiko jatuh, kejadian resiko jatuhRisk for Full Factor among the Elders in Puskesmas Medan Johor ABSTRACTBackground: Elderly is a process of human life experiencing various physical and psychosocial changes, and one important aspect due to these changes is the risk of falling among the elders. It is influenced by intrinsic, extrinsic, and situational factors. Aim: The purpose of this study was to determine the relationship between the risk of falls and the incidence of falls in elderly clients who visit to the Health Center. Method: This study is a descriptive study of correlation to 70 elderly people at the Puskesmas Medan Johor. The data were collected by using questionnaires of risk factors of fall and risk incidence of falls on the elders. Result: Demographic data are generally the elders aged 60-74 years (51%), Moslem (81%), family live at home more than 2 person (84%). The results of the study showed that the risk factor of falling elderly mainly from situational factor (26%), intrinsic factor (17%) and extrinsic factor (0%). Meanwhile, based on the risk incidence of falling on the elderly clients, the result is high risk (46%), low risk (36%), and no risk of fall (18%). The chi square test shows that there is significant correlation of intrinsic factor p=0.000, extrinsic factor p=0.000 and situational factor p=0.004 to fall risk event. Conclusion: There is a relationship between falling risk factors and the incidence of falls in elderly clients at the Puskesmas Medan Johor. This study provide recommendations for health services, especially nursing care services to provide education to elderly clients and their families related to the risk of falls in the elderly and the health centers can develop prevention programs to reduce the risk of falls in the elderly.Keywords: Elderly, a risk factor for falling, the risk of falling


2002 ◽  
Vol 47 (9) ◽  
pp. 875-879 ◽  
Author(s):  
AG Ahmed ◽  
Robin PD Menzies

Objective: To examine the psychosocial and clinical characteristics of male perpetrators of elderly and nonelderly homicides in the Canadian Prairies. Method: We examined data drawn from a study of 901 adult homicide offenders who were incarcerated or on parole between 1988 and 1992 in Alberta, Saskatchewan, and Manitoba. Results: Of those studied, 67 men were convicted of homicide involving 79 elderly victims, and 671 were convicted of homicide involving 675 nonelderly victims. Most perpetrators were single and engaged in irregular patterns of employment at the time of their index offence. Fourteen (20.8%) offenders with elderly victims had a history of psychiatric treatment, compared with 98 (14.6%) offenders with nonelderly victims; however, this difference was not statistically significant. Approximately 30% of both groups were diagnosed with personality disorders. A comparison of the index-offence characteristics showed no significant differences between the 2 groups. Conclusion: Our findings suggest that elderly individuals are more likely to be killed in their own homes by strangers. Social isolation appears to be a significant risk factor in cases of elderly homicide.


2021 ◽  
Vol 12 ◽  
Author(s):  
Rong-Ting Zhu ◽  
Zhen-Yu Ma ◽  
Cun-Xian Jia ◽  
Liang Zhou

Background: Late-life suicide is a severe public health problem in rural China; however, knowledge regarding the specific characteristics and risk factors for completed suicide via violent and non-violent methods among elderly individuals in rural China is limited.Methods: Subjects aged 60 years or older were selected from rural areas in Shandong, Hunan, and Guangxi provinces in China. This study was a 1:1 matched case-control design conducted by using the psychological autopsy method.Results: According to the univariate analyses, the presence of mental disorder, higher degree of depression, loneliness, lack of social support, hopelessness, impulsivity, and increased quantity of life events were associated with suicide in both violent and non-violent methods. For violent suicide, another risk factor was the lack of pesticides at home. For non-violent suicide, other risk factors were not currently married, family suicide history, and alcohol use disorder (P < 0.05). Variables that remained in the logistic regression model were the severity of depressive symptoms for both violent and non-violent suicide. For non-violent suicide, the degree of hopelessness was another independent risk factor. In addition, violent suicides were more likely to lack pesticides at home, choose the spring season and have an increased quantity of life events than those who died by suicide via non-violent methods.Conclusion: The major risk factor for both violent and non-violent suicide was the severity of depressive symptoms. Suicide prevention measures that focus on depression among this vulnerable population are urgently needed. Moreover, the characteristics of suicides via violent methods differed from those via non-violent methods among elderly individuals. Suicide prevention efforts should be tailored to the specific characteristics of the different suicide methods utilized by older adults in rural areas.


2017 ◽  
Vol 46 (6) ◽  
pp. 964-970 ◽  
Author(s):  
Jonas Johansson ◽  
Anna Nordström ◽  
Yngve Gustafson ◽  
Göran Westling ◽  
Peter Nordström

2005 ◽  
Vol 53 (9) ◽  
pp. 1631-1632 ◽  
Author(s):  
Mitsuyoshi Yoshida ◽  
Hidehiko Morikawa ◽  
Yayoi Kanehisa ◽  
Tsuyoshi Taji ◽  
Kazuhiro Tsuga ◽  
...  

Rev Rene ◽  
2017 ◽  
Vol 18 (5) ◽  
pp. 663
Author(s):  
Alice Gabrielle de Sousa Costa ◽  
Ana Railka de Souza Oliveira-Kumakura ◽  
Thelma Leite de Araujo ◽  
Natália Barreto de Castro ◽  
Viviane Martins da Silva ◽  
...  

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