Akademik Veri Yönetim Sistemi
World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO-IOF-ESCEO 2017), Florence, İtalya, 23 - 26 Mart 2017, ss.565
Objectives: The research was aimed to investigate falling prevalence and associated factors among elders who was evaluated in Fatih district geriatric study.
Material and methods: Age range of 60–101 were taken into the study. Falling has been evaluated as an existence of falling within a year. The fragility screened with FRAIL-questionnaire, functional capacity measurement with KATZ-Activities-of-Daily-Living-Scale (ADL) and LAWTON-BRODY- Instrumental Activities-of-Daily Living Scale (IADL), quality of life measurement with EQ5D-questionnaire, cognitive status with Mini–Cog-test, depression with GDS-SF, malnutrition with MNA-SF, balance and gait with Romberg-test and postural instability-test, were evaluated accordingly.
Results: 204 cases (94 male–110 female) were recruited in this research. Average age is 75.4±7.3. Case of falling rate is%28.1 in all cases(M:%25.5, F:%30.3). There was a significant difference among falling and number of disease (p <0.001)-number-of-drug (p=0.003)- fragility-score (p=0.001), IADL (p=0.019), EQ-5D score (p=0.010), depression score (p=0.023) but there wasn′t any significant finding among falling and age (p=0.97), BMI (0.56), afraid of falling (p=0.16), VAS score (p=0.98), power of muscle (p=0.053), diameter of foreleg (p=0.60), TUG test (p=0.96), UGS (p=0.91), ADL score (p=0.065, BIA parameters (body fat, visceral tallowing, bone), CDT score (p=0.08), MNA score (p=0.065, point of subjective health condition (p=0.16)). Among the group of falling, dementia (p=0.003), chronic pain (p=0.028), dynapenia (p=0.028), level of ambulation (p=0.036), fragility (p=0.013) had a significant difference, however; gender (p=0.47), obesity-DSO(p=0.69), level of education (p=0.50), HL (p=0.63), existence of MN (p=0.09), existence of DM (p=0.07), existence of HT (p=0.54), UI (p=0.48), finding of Romberg (p=0.51), postural instability (p=0.38), low UGS (p=0.84), cognitive defect (p=0.47, existence of depression (p=0.35)) did not have a significant difference. Falling non-related factors in regression analysis in last 1 year scores were; (depending variability: falling/non-depending variability: disease/number of drug/fragility/IADL/GDS-SF/Eq-5d score/dementia/chronic pain/ existence of dynapenia): Existence of dementia (OR=0.29, p=0.012) and fragility score (OR=1.43, p=0.031).
Conclusion: Many falling related factors were taken into account. As a result, we think that cognitive defect and fragility are major factors which are the related factor of falling.