Fall-associated difficulty with activities of daily living in functionally independent individuals aged 65 to 69 in the United States: a cohort study.

TitleFall-associated difficulty with activities of daily living in functionally independent individuals aged 65 to 69 in the United States: a cohort study.
Publication TypeJournal Article
Year of Publication2013
AuthorsSekaran, NK, Choi, H, Hayward, RA, Langa, KM
JournalJ Am Geriatr Soc
Volume61
Issue1
Pagination96-100
Date Published2013 Jan
ISSN Number1532-5415
KeywordsAccidental Falls, Activities of Daily Living, Aged, Aging, Disability Evaluation, Disabled Persons, Female, Follow-Up Studies, Geriatric Assessment, Health Status, Humans, Male, Odds Ratio, Retrospective Studies, Risk Factors, United States, Wounds and Injuries
Abstract

<p><b>OBJECTIVES: </b>To determine whether falling would be a marker for future difficulty with activities of daily (ADLs) that would vary according to fall frequency and associated injury.</p><p><b>DESIGN: </b>Longitudinal analysis.</p><p><b>SETTING: </b>Community.</p><p><b>PARTICIPANTS: </b>Nationally representative cohort of 2,020 community-living, functionally independent older adults aged 65 to 69 at baseline followed from 1998 to 2008.</p><p><b>MEASUREMENTS: </b>ADL difficulty.</p><p><b>RESULTS: </b>Experiencing one fall with injury (odds ratio (OR) = 1.78, 95% confidence interval (CI) = 1.29-2.48), at least two falls without injury (OR = 2.36, 95% CI = 1.80-3.09), or at least two falls with at least one injury (OR = 3.75, 95% CI = 2.55-5.53) in the prior 2 years was independently associated with higher rates of ADL difficulty after adjustment for sociodemographic, behavioral, and clinical covariates.</p><p><b>CONCLUSION: </b>Falling is an important marker for future ADL difficulty in younger, functionally independent older adults. Individuals who fall frequently or report injury are at highest risk.</p>

DOI10.1111/jgs.12071
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/23311555?dopt=Abstract

Endnote Keywords

falls/Fall prevention/disability/disability/older adults/ADL/IADL/activities of daily living/Mobility/functional impairment/health Status

Endnote ID

69762

Alternate JournalJ Am Geriatr Soc
Citation Key7929
PubMed ID23311555
PubMed Central IDPMC3807864
Grant ListR01 AG027010 / AG / NIA NIH HHS / United States
R01 AG030155 / AG / NIA NIH HHS / United States
U01 AG009740 / AG / NIA NIH HHS / United States