The association between physical multimorbidity and fall-related injury among adults aged ≥ 50 years from low- and middle-income countries.
Studies from high-income countries have shown that multimorbidity is associated with increased fall risk among older adults. However, studies specifically on this topic from low- and middle-income counties (LMICs) are lacking. Thus, we aimed to assess this association among adults aged ≥ 50 years fr...
| Publicado en: | European Journal of Ageing Vol. 22; no. 1; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
3/20/2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=183892267&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 183892267 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 16139372 3RAL jtl: European Journal of Ageing issn: 16139372 maglogo: N pubinfo: dt: 3/20/2025 vid: 22 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 183892267 10.1007/s10433-025-00848-y ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 490KB tig: atl: The association between physical multimorbidity and fall-related injury among adults aged ≥ 50 years from low- and middle-income countries. aug: au: Smith, Lee López Sánchez, Guillermo F. Shin, Jae Il Oh, Hans Kostev, Karel Tully, Mark A. Barnett, Yvonne Butler, Laurie T. Veronese, Nicola Soysal, Pinar Jacob, Louis Koyanagi, Ai affil: https://ror.org/0009t4v78 Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK https://ror.org/03p3aeb86 Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain https://ror.org/01wjejq96 Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea https://ror.org/01wjejq96 Institute of Convergence Science, Severance Underwood Meta-Research Center, Yonsei University, Seoul, Republic of Korea https://ror.org/03taz7m60 Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, CA, USA University Clinic of Marburg, Marburg, Germany https://ror.org/01yp9g959 School of Medicine, Ulster University, Londonderry, Northern Ireland, UK https://ror.org/00qvkm315 Saint Camillus International University of Health Sciences, Faculty of Medicine, Rome, Italy https://ror.org/04z60tq39 Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey Research and Development Unit, Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujadas, Sant Boi de Llobregat, Barcelona, Spain https://ror.org/05f82e368 Assistance Publique - Hôpitaux de Paris (AP-HP) / Université Paris Cité, Lariboisière - Fernand Widal Hospital, Department of Physical Medicine and Rehabilitation, Paris, France Inserm / Université Paris Cité, UMR 1153, CRESS, Epidemiology of Ageing and Neurodegenerative Diseases (EpiAgeing), Paris, France su: Cross-sectional method Self-evaluation Health status indicators Chronic diseases Sleep Mental depression Cognition Middle age Old age Injury risk factors Risk assessment Middle-income countries Multiple regression analysis Descriptive statistics Odds ratio Factor analysis Confidence intervals Accidental falls Comorbidity Low-income countries Physical activity Grip strength Physical mobility sug: subj: Cross-sectional method Self-evaluation Health status indicators Chronic diseases Sleep Mental depression Cognition Middle age Old age Injury risk factors Risk assessment Middle-income countries Multiple regression analysis Descriptive statistics Odds ratio Factor analysis Confidence intervals Accidental falls Comorbidity Low-income countries Physical activity Grip strength Physical mobility keyword: Chronic disease Epidemiology Falls Low-and middle-income countries Medical and Health Sciences Public Health and Health Services Multimorbidity Chronic disease Epidemiology Falls Low-and middle-income countries Medical and Health Sciences Public Health and Health Services Multimorbidity ab: Studies from high-income countries have shown that multimorbidity is associated with increased fall risk among older adults. However, studies specifically on this topic from low- and middle-income counties (LMICs) are lacking. Thus, we aimed to assess this association among adults aged ≥ 50 years from six LMICs. Cross-sectional, community-based data from the Study on Global Ageing and Adult Health (SAGE) were analyzed. Eleven chronic physical conditions were assessed. The presence of past 12-month fall-related injury was ascertained through self-reported information. Multivariable logistic regression and mediation analysis was conducted to assess the association between multimorbidity and fall-related injury. Data on 34,129 adults aged ≥ 50 years [mean (SD) age 62.4 (16.0) years; males 48.0%] were analyzed. Overall, compared to having no chronic conditions, having 2, 3, and ≥ 4 chronic conditions were significantly associated with 1.67 (95%CI = 1.21–2.30), 2.64 (95%CI = 1.89–3.68), and 3.67 (95%CI = 2.42–5.57) times higher odds for fall-related injury. The association between multimorbidity (i.e., ≥ 2 chronic conditions) and fall-related injury was mainly explained by pain/discomfort (mediated% 39.7%), mobility (34.1%), sleep/energy (24.2%), and cognition (13.0%). Older adults with multimorbidity in LMICs are at increased odds for fall-related injury. Targeting the identified potential mediators among those with multimorbidity may reduce fall risk in this population. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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