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Physical and Psychological Factors Affecting Falls in Older Patients with Arthritis

Authors
  • Byun, Mikyong1
  • Kim, Jiyeon1
  • Kim, Moonho2
  • 1 (J.K.)
  • 2 Department of Hematology and Oncology, Gangneung Asan Hospital, University of Ulsan College of Medicine, 38 Bangdong-gil, Sacheon-myeon, Gangneung-si, Gangwon-do 25440, Korea
Type
Published Article
Journal
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Publication Date
Feb 09, 2020
Volume
17
Issue
3
Identifiers
DOI: 10.3390/ijerph17031098
PMID: 32050468
PMCID: PMC7037137
Source
PubMed Central
Keywords
License
Green

Abstract

As the population ages, falls are becoming one of the leading causes of morbidity and mortality. Joint disease (either osteoarthritis or rheumatoid arthritis) is a well-known predictor of falls, and these medical conditions increase in accordance with the aging population. This study aimed to describe individual, physical, and psychological characteristics between older adults with and without a fall history. Further, we aimed to identify statistically significant physical or psychological factors associated with falls by controlling individual variables. We analyzed data from the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Adults aged 65 years or over with doctor-diagnosed joint disease were eligible. A total of 2707 women and 784 men (n = 3491) were enrolled. Of these, 1174 patients suffered a fall within a year (average number of falls = 2.4). We adopted individual variable-adjusted models and found that limited activities of daily living (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.04–1.87), fear of falling (OR 7.18, 95% CI 4.26–12.09), and depression (OR 1.28, 95% CI 1.09–1.50) significantly increased fall risks on logistic regression analysis. Our findings suggest that physical and psychological factors, especially the fear of falling, need to be addressed to prevent falls in elderly patients with arthritis.

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