Physical Performance and Falling Risk Are Associated with Five-Year Mortality in Older Adults: An Observational Cohort Study

被引:8
|
作者
Salis, Francesco [1 ]
Mandas, Antonella [1 ,2 ]
机构
[1] Univ Cagliari, Dept Med Sci & Publ Hlth, SS 554 Bivio Sestu, I-09124 Cagliari, Italy
[2] Azienda Osped Univ Cagliari, Univ Hosp, I-09042 Monserrato, Italy
来源
MEDICINA-LITHUANIA | 2023年 / 59卷 / 05期
关键词
comprehensive geriatric assessment (CGA); physical performance; falling risk; mortality; elderly; EXERCISE; FRAILTY; PERSPECTIVES; PREVENTION; HEALTH; SCALE; STATE; AGE;
D O I
10.3390/medicina59050964
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Falls in older people have a significant impact on public health. The scientific literature has provided evidence about the necessity for older adults to be physically active, since it reduces the incidence of falls, several diseases, and deaths, and can even slow down some effects of aging. The primary aim of our study is to identify if physical performances and risk of falling are related to 1-, 2-, 3-, 4-, and 5-year mortality. Its secondary aim is to establish if people with both severely impaired physical performance and a high risk of falling also present impairment in other geriatric domains.Methods: In this prospective study, we enrolled subjects aged 65 years or more, subjected them to comprehensive assessment (including assessment of risk of falling, physical capacities, comorbidities, autonomies in daily living, cognitive abilities, mood, and nutritional status), and followed them for 5 years. Results: We included 384 subjects, 280 of whom were women (72.7%), with a median age of 81 years. Our results showed that physical performances and risk of falling are highly correlated to each other (rho = 0.828). After divided the sample into three groups (people without augmented risk of falling and able to perform adequate physical activity; people with moderate risk of falling and/or disability; people with severe risk of falling and/or disability), we found that the more severe the disability and risk of falling were, the more compromised the other geriatric domains were. Moreover, the survival probability progressively increased following the same trend, amounting to only 41% in severely compromised people, 51.1% in moderately compromised people, and 62.8% in people without physical compromise nor an augmented falling risk (p = 0.0124).Conclusions: Poor physical performance combined with a high risk of falling, correlated with each other, are associated with higher mortality and impairment in multiple domains in older adults.
引用
收藏
页数:11
相关论文
共 50 条
  • [1] FACTORS ASSOCIATED WITH FIVE-YEAR MORTALITY RATE IN OLDER POST HIP FRACTURE ADULTS
    Maher, N.
    Steen, G.
    Fallon, N.
    Dillon, A.
    Mahon, J.
    Browne, J.
    McCarroll, K.
    Walsh, J. B.
    Casey, M.
    OSTEOPOROSIS INTERNATIONAL, 2017, 28 : S477 - S477
  • [2] Objectively Measured Neighborhood Walkability and Change in Physical Activity in Older Japanese Adults: A Five-Year Cohort Study
    Kikuchi, Hiroyuki
    Nakaya, Tomoki
    Hanibuchi, Tomoya
    Fukushima, Noritoshi
    Amagasa, Shiho
    Oka, Koichiro
    Sallis, James F.
    Inoue, Shigeru
    INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2018, 15 (09)
  • [3] Types of social participation and psychological distress in Japanese older adults: A five-year cohort study
    Amagasa, Shiho
    Fukushima, Noritoshi
    Kikuchi, Hiroyuki
    Oka, Koichiro
    Takamiya, Tomoko
    Odagiri, Yuko
    Inoue, Shigeru
    PLOS ONE, 2017, 12 (04):
  • [4] Olfactory Impairment in Older Adults: Five-Year Incidence and Risk Factors
    Schubert, Carla R.
    Cruickshanks, Karen J.
    Klein, Barbara E. K.
    Klein, Ronald
    Nondahl, David M.
    LARYNGOSCOPE, 2011, 121 (04): : 873 - 878
  • [5] Oral bisphosphonates are associated with reduced mortality in frail older people: a prospective five-year study
    P. N. Sambrook
    I. D. Cameron
    J. S. Chen
    L. M. March
    J. M. Simpson
    R. G. Cumming
    M. J. Seibel
    Osteoporosis International, 2011, 22 : 2551 - 2556
  • [6] Oral bisphosphonates are associated with reduced mortality in frail older people: a prospective five-year study
    Sambrook, P. N.
    Cameron, I. D.
    Chen, J. S.
    March, L. M.
    Simpson, J. M.
    Cumming, R. G.
    Seibel, M. J.
    OSTEOPOROSIS INTERNATIONAL, 2011, 22 (09) : 2551 - 2556
  • [7] Risk of Sarcopenia, Hospitalization, and Mortality Among Malaysian Older Adults With Knee Pain: Five-Year Follow-up Study
    Chiew, Chiaw Lee
    Mat, Sumaiyah
    Kamaruzzaman, Shahrul Bahyah
    Chin, Ai-Vyrn
    Tan, Maw Pin
    ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH, 2024,
  • [8] Risk of Sarcopenia, Hospitalization, and Mortality Among Malaysian Older Adults With Knee Pain: Five-Year Follow-up Study
    Chiew, Chiaw Lee
    Mat, Sumaiyah
    Kamaruzzaman, Shahrul Bahyah
    Chin, Ai-Vyrn
    Tan, Maw Pin
    ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH, 2025, 37 (01) : 60 - 68
  • [9] ESTIMATION OF FEAR OF FALLING AND CONFIDENCE IN PATIENTS WITH VERTEBRAL FRACTURES: A FIVE-YEAR PROSPECTIVE STUDY BASED ON A COHORT OF OLDER WOMEN
    Al-Sari, Usama
    Tobias, Jonathan H.
    Clark, Emma M.
    RHEUMATOLOGY, 2018, 57
  • [10] Five-year mortality in a cohort of people with schizophrenia in Ethiopia
    Solomon Teferra
    Teshome Shibre
    Abebaw Fekadu
    Girmay Medhin
    Asfaw Wakwoya
    Atalay Alem
    Gunnar Kullgren
    Lars Jacobsson
    BMC Psychiatry, 11