Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 25 Issue 1
Jan.  2021
Turn off MathJax
Article Contents
LIN Jin-long, WEI Yue, CHEN Gong, PEI Li-jun. Chronic diseases and sleep duration in association with falls of different severity among the Chinese elderly[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(1): 25-31. doi: 10.16462/j.cnki.zhjbkz.2021.01.006
Citation: LIN Jin-long, WEI Yue, CHEN Gong, PEI Li-jun. Chronic diseases and sleep duration in association with falls of different severity among the Chinese elderly[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(1): 25-31. doi: 10.16462/j.cnki.zhjbkz.2021.01.006

Chronic diseases and sleep duration in association with falls of different severity among the Chinese elderly

doi: 10.16462/j.cnki.zhjbkz.2021.01.006
Funds:

National Natural Science Fund 41871360

National Key Research and Development Project 2018YFC2000603

More Information
  • Corresponding author: PEI Li-jun, E-mail: peilj@pku.Edu.cn
  • Received Date: 2020-06-16
  • Rev Recd Date: 2020-10-19
  • Publish Date: 2021-01-10
  •   Objective  To explore the relationship between chronic diseases, sleeping time and the risk of falls of different severity in the elderly, so as to provide effective prevention of falls scientifically.  Methods  Based on the data of China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2015, a case-control study was conducted to analyze the relationship between multiple exposure factors and the risk of falls in different severity in the elderly.  Results  The report rate of common falls and serious falls medical in 11 912 elderly Chinese within two years were 7.82% and 17.09%, respectively; logistic regression results show that, hearing impairment, body pain, depression, kidney disease, arthritis and disability were the same risk factors of common falls and serious falls in the elderly(all P < 0.05). Hyperglycemia was associated with the risk of common falls (OR=1.43, 95% CI: 1.13-1.81, P=0.002) and stroke (OR=1.34, 95% CI: 1.03-1.75, P=0.031) was associated with the risk of serious falls; sleep duration of 5- hours and ≥ 7 hours were negatively associated with the risk of two types of falls (all P < 0.05).  Conclusions  The common falls and serious falls have multiple same risk factors in the elderly, and adequate sleep is the common protective factor for both. It is suggested that fall prevention education should be carried out for the elderly and risk factors should be effectively intervened.
  • loading
  • [1]
    World Health Organization. Falls[EB/OL]. (2018-01-16)[2020-03-30]. https://www.who.int/news-room/fact-sheets/detail/falls.
    [2]
    高茂龙, 宋岳涛.中国老年人跌倒发生率meta分析[J].北京医学, 2014, 36(10):796-798. DOI: 10.15932/j.0253-9713.2014.10.051.

    Gao ML, Song YT. Meta analysis of fall incidence in the elderly in China[J]. Beijing Med J, 2014, 36(10):796-798. DOI: 10.15932/j.0253-9713.2014.10.051.
    [3]
    中国老年保健医学研究会老龄健康服务与标准化分会.中国老年人跌倒风险评估专家共识(草案)[J].中国老年保健医学, 2019, 17(4):47-48, 50. DOI: 10.3969/j.issn.1672-2671.2019.04.013.

    Aging health service and standardization branch of China geriatric health care Medical Research Association. Expert consensus on fall risk assessment for the elderly in China (Draft)[J]. Chin J Geriatr Care, 2019, 17(4):47-48, 50. DOI: 10.3969/j.issn.1672-2671.2019.04.013.
    [4]
    World Health Organization. WHO Global Report on Falls Prevention in Older Age[EB/OL]. (2018-03-07)[2020-03-30]. http://www.who.int/ageing/publications/Falls_prevention7March.pdf.
    [5]
    Deandrea S, Lucenteforte E, Bravi F, et al. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis[J]. Epidemiology, 2010, 21(5):658-668. DOI: 10.1097/EDE.0b013e3181e89905.
    [6]
    Bergland A, Wyller TB. Risk factors for serious fall related injury in elderly women living at home[J]. Injury Prevention, 2004, 10(5):308-313. DOI: 10.1136/ip.2003.004721.
    [7]
    Dionyssiotis Y. Analyzing the problem of falls among older people[J]. Int J Gen Med, 2012, 5:805-813. DOI: 10.2147/IJGM.S32651.
    [8]
    袁敬国, 林凯, 李衡, 等.深圳市盐田区2017年跌倒/坠落伤害病例特征与空间聚集性[J].中华疾病控制杂志, 2019, 23(6):733-736. DOI: 10.16462/j.cnki.zhjbkz.2019.06.022.

    Yuan JG, Lin K, Li H, et al. Characteristics and spatial clusters analysis of falls in Yantian Distric of Shenzhen City, 2017[J]. Chin J Dis Prev, 2019, 23(6):733-736. DOI: 10.16462/j.cnki.zhjbkz.2019.06.022.
    [9]
    林伟权, 刘慧, 利耀辉, 等. 2014-2018年广州市60岁及以上老年人跌倒/坠落伤害流行病学特征[J].中华疾病控制杂志, 2020, 24(3):269-273. DOI: 10.16462/j.cnki.zhjbkz.2020.03.005.

    Lin WQ, Liu H, Li YH, et al. Epidemiological characteristics of injury caused by fall in the elderly aged ≥60 years in Guangzhou in 2014-2018[J]. Chin J Dis Prev, 2020, 24(3):269-273. DOI: 10.16462/j.cnki.zhjbkz.2020.03.005.
    [10]
    Morin L, Calderon Larrañaga A, Welmer AK, et al. Polypharmacy and injurious falls in older adults: a nationwide nested case-control study[J]. Clin Epidemiol, 2019, 11(3):483-493. DOI: 10.2147/CLEP.S201614.
    [11]
    Gill TM, Pahor M, Guralnik JM, et al. Effect of structured physical activity on prevention of serious fall injuries in adults aged 70-89: randomized clinical trial(LIFE Study)[J]. BMJ, 2016, 352:i245. DOI: 10.1136/bmj.i245.
    [12]
    Alqahtani BA, Alshehri MM, Hoover JC, et al. Prevalence of falls among older adults in the Gulf Cooperation Council countries: a systematic review and meta-analysis[J]. Archives of Gerontology and Geriatrics, 2019, 83:169-174. DOI: 10.1016/j.archger.2019.04.006.
    [13]
    于普林, 覃朝晖, 石婧, 等.北京市某城市社区老年人跌倒与慢性病关系的研究[J].中华流行病学杂志, 2009, 30(11):1156-1159. DOI: 10.3760/cma.j.issn.0254-6450.2009.11.017.

    Yu PL, Qin CH, Shi J, et al. Study on the relationship between chronic diseases and falls in the elderly[J]. Chin J Epidemiol, 2009, 30(11):1156-1159. DOI: 10.3760/cma.j.issn.0254-6450.2009.11.017.
    [14]
    Paliwal Y, Slattum PW, Ratliff SM. Chronic health conditions as a risk factor for falls among the community-dwelling US older adults: a zero-inflated regression modeling approach[J]. Biomed Res Int, 2017:5146378. DOI: 10.1155/2017/5146378.
    [15]
    Sibley KM, Voth J, Munce SE, et al. Chronic disease and falls in community-dwelling canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions[J]. BMC Geriatr, 2014, 14(22). DOI: 10.1136/bmj.i245.
    [16]
    Essien SK, Feng CX, Sun W, et al. Sleep duration and sleep disturbances in association with falls among the middle-aged and older adults in China: a population-based nationwide study[J]. BMC Geriatr, 2018, 18(1):196. DOI: 10.1186/s12877-018-0889-x.
    [17]
    Mesas AE, López E, Rodríguez F. Self-reported sleep duration and falls in older adults[J]. J Sleep Res, 2011, 20(1 Pt 1):21-27. DOI: 10.1111/j.1365-2869.2010.00867.x
    [18]
    Zhao Y, Hu Y, Smith JP, et al. Cohort profile: the China Health and Retirement Longitudinal Study (CHARLS)[J]. Int J Epidemiol, 2014, 43(1):61-68. DOI: 10.1093/ije/dys203.
    [19]
    刘素, 严亚琼, 李芳, 等. 2018年武汉市老年人跌倒伤害及其影响因素[J].中华疾病控制杂志, 2020, 24(4):480-484. DOI: 10.16462/j.cnki.zhjbkz.2020.04.021.

    Liu S, Yan YQ, LI F, et al. Epidemiologic characteristics of fall related-injuries and related factors among elderly population in Wuhan, 2018[J]. Chin J Dis Prev, 2020, 24(4):480-484. DOI: 10.16462/j.cnki.zhjbkz.2020.04.021.
    [20]
    Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activity of daily living[J]. Gerontologist, 1988, 13(1):64-68. DOI: 10.1007/BF01041502.
    [21]
    Boey KW. Cross-validation of a short form of the CES-D in Chinese elderly[J]. Int J Geriatr Psychiatry, 1999, 14(8):608-617. DOI:10.1002/(sici)1099-1166(199908)14:8 < 608::aid-gps991>3.0.co; 2-z.
    [22]
    Andresen EM, Malmgren JA, Carter WB, et al. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale)[J]. Am J Prev Med, 1994, 10(2):77-84. DOI: 10.1002/ajim.4700250315.
    [23]
    Kempton A, Van Beurden E, Sladden T, et al. Older people can stay on their feet: final results of acommunity-based falls prevention program[J]. Health Promot Intern, 2000, 15:27-33. DOI: 10.1093/heapro/15.1.27.
    [24]
    Jack CI, Smith T, Neoh C, et al. Prevalence of low vision in elderly patients admitted to an acute geriatric unit in Liverpool: elderly people who fall are more likely to have low vision[J]. Gerontology, 1995, 41(5):280-285. DOI: 10.1159/000213695.
    [25]
    Wierenga PC, Buurman BM, Parlevliet JL, et al. Association between acute geriatric syndromes and medication-related hospital admissions[J]. Drugs Aging, 2012, 29(8):691-699. DOI: 10.1007/BF03262284.
    [26]
    Javier D, Pastor BR, Valderrama GE, et al. Factors associated with falls among older adults living in institutions[J]. Bmc Geriatrics, 2013, 13(1):6. DOI: 10.1186/1471-2318-13-6.
    [27]
    Hallert E, Husberg M, Kalkan A, et al. Early rheumatoid arthritis 6 years after diagnosis is still associated with high direct costs and increasing loss of productivity: the Swedish TIRA project[J]. Scand J Rheumatol, 2014, 43(3):177-183. DOI: 10.3109/03009742.2013.835442.
    [28]
    Shimada H, Suzukawa M, Ishizaki T, et al. Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people[J]. BMC Geriatr, 2011, 8(11):40. DOI: 10.1186/1471-2318-11-40.
    [29]
    Manlapaz DG, Sole G, Jayakaran P, et al. Risk factors for falls in adults with knee osteoarthritis: a systematic review[J]. PM R, 2019, 11:745-757. DOI: 10.1002/pmrj.12066.
    [30]
    Yabe Y, Hagiwara Y, Sekiguchi T, et al. Musculoskeletal pain and new-onset poor physical function in elderly survivors of a natural disaster: a longitudinal study after the great East Japan earthquake[J]. BMC Geriatr, 2019, 19:274. DOI: 10.1186/s12877-019-1283-z.
    [31]
    Rasheeda KH, Lawrence RL, Ann M, et al. Chronic kidney disease and recurrent falls in nursing home residents: a retrospective cohort study[J]. Geriatric Nursing, 2015, 36(2):136-141. DOI: 10.1016/j.gerinurse.2014.12.012.
    [32]
    Goto NA, Hamaker ME, Willems HC, et al. Accidental falling in community-dwelling elderly with chronic kidney disease[J]. Int Urol Nephrol, 2019, 51:119-127. DOI: 10.1007/s11255-018-1992-9.
    [33]
    Wang YJ, Zhang SM, Zhang L, et al. Chinese guidelines for the secondary prevention of ischemic stroke and transient ischemic attack[J]. CNS Neurosci Ther, 2012, 18(2):93-101. DOI: 10.1111/j.1755-5949.2011.00290.x.
    [34]
    Kerse N, Parag V, Feigin VL, et al. Falls after stroke: results from the Auckland regional community stroke (ARCOS) study, 2002 to 2003[J]. J Am Heart Assoc, 2008, 39(6):1890-1893. DOI: 10.1161/strokeaha.107.509885.
    [35]
    Pinto EB, Nascimento C, Marinho C, et al. Risk factors associated with falls in adult patients after stroke living in the community: baseline data from a stroke cohort in Brazil[J]. Top Stroke Rehabil, 2014, 21(3):220-227. DOI: 10.1310/tsr2103-220.
    [36]
    Stone KL, Blackwell TL, Ancoli IS, et al. Sleep disturbances and risk of falls in older community-dwelling men: the outcomes of sleep disorders in older men (MROS sleep) study[J]. J Am Geriatr Soc, 2014, 62(2):299-305. DOI: 10.1111/jgs.12649.
    [37]
    Takada S, Yamamoto Y, Shimizu S, et al. Association between subjective sleep quality and future risk of falls in older people: results from LOHAS[J]. J Gerontol A Biol Sci Med Sci, 2017, 73(9):1205-1211. DOI: 10.1093/gerona/glx123.
    [38]
    Abbott SM, Videnovic A. Chronic sleep disturbance and neural injury: links to neurodegenerative disease[J]. Nat Sci Sleep, 2016, 8(1):55-61. DOI: 10.2147/NSS.S78947.
    [39]
    Chen TY, Lee S, Buxton OM. A greater extent of insomnia symptoms and physician-recommended sleep medication usepredict fall risk in community-dwelling older adults[J]. Sleep, 2017, 40 (11):zsx142. DOI: 10.1093/sleep/zsx142.
    [40]
    Brassington GS, King AC, Bliwise DL. Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64-99 years[J]. J Am Geriatr Soc, 2000, 48(10):1234-1240. DOI: 10.1111/j.1532-5415.2000.tb02596.x.
    [41]
    Ancoli IS. Sleep and aging: prevalence of disturbed sleep and treatment considerations in older adults[J]. J Clin Psychiatry, 2005, 66(9):24-30. DOI: 10.1038/432449a.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (812) PDF downloads(149) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return