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
JournalJournal of the American Geriatrics Society
Volume61
Issue1
Pagination96
KeywordsDemographics, Disabilities, Health Conditions and Status
Abstract

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. Longitudinal analysis. Community. Nationally representative cohort of 2,020 community-living, functionally independent older adults aged 65 to 69 at baseline followed from 1998 to 2008. ADL difficulty. 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. 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.

Endnote Keywords

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

Endnote ID

69762

Citation Key7929
PubMed ID23311555
PubMed Central IDPMC3807864