The Journal of Nutrition Health and Aging

, Volume 12, Issue 4, pp 273–276 | Cite as

Falls in nonagenarians living in their own homes: The NonaSantfeliu study

  • F. Formiga
  • A. Ferrer
  • E. Duaso
  • C. Olmedo
  • R. Pujol
Geriatric Science

Abstract

Objectives: To evaluate the prevalence of falls and their circumstances in non-institutionalized people older than 89 years and living in an urban community.Design: Cross-sectional cohort study.Setting: Community-based study.Participants: 137 nonagenarians living at home.Measurements: We evaluated socio-demographic data, capacity to perform basic activities according to the Barthel Index (BI) and instrumental activities on the Lawton-Brody Index (LI), cognition with the Spanish version of the Mini-Mental State Examination (MEC), near visual acuity by the Snellen test, and auditory acuity with the whisper test.Results: Ninety-nine women (72%) and 38 men with an average age of 93.07 years (0.7) were included. 48.1% of them had suffered a fall during the last year, and in 20% of cases this had happened on more than one occasion. In 5.7% of cases, falls led to fractures. Factors associated with falls were a lower LI and a greater number of prescribed drugs. In the multivariate analysis the only factor related to falls was the number of drugs taken (p>0.001, odds ratio 0.785, 95% confidence interval 0.676–0.912).Conclusions: Measures to prevent falls among nonagenarians should be intensified due to their high frequency. In this age group the increase in the percentage of falls is mainly related to the higher number of drugs taken.

Key words

Nonagenarians functional capacity falls drugs 

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References

  1. 1.
    Formiga F, Rivera A, Nolla JM, Pujol R. Characteristics of falls producing hip fracture in an elderly population. Gerontology 2004; 50: 118–119.PubMedCrossRefGoogle Scholar
  2. 2.
    Salvà A, Bolíbar I, Pera G, Arias C. Incidence and consequences of falls among elderly people living in the community. Med Clin (Barc) 2004; 122: 172–176.CrossRefGoogle Scholar
  3. 3.
    Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988; 319: 1701–1707.PubMedGoogle Scholar
  4. 4.
    Murphy SL, Dubin JA, Gill TM. The development of fear of falling among community-living older women: predisposing factors and subsequent fall events. J Gerontol Med Sci 2003; 58A: M943-M947.Google Scholar
  5. 5.
    Formiga F, Lopez-Soto A, Sacanella E, Coscujuela A, Suso S, Pujol R. Mortality and morbidity in nonagenarian patients following hip fracture surgery. Gerontology 2003; 49: 41–45.PubMedCrossRefGoogle Scholar
  6. 6.
    Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. A simple index of independence useful in scoring improvement in the rehabilitation of the chronically ill. Md State Med J 1965; 14: 61–65.PubMedGoogle Scholar
  7. 7.
    Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969; 9: 179–186.PubMedGoogle Scholar
  8. 8.
    Lobo A, Saz P, Marcos G, et al. Revalidación y normalización del Mini-Examen Cognoscitivo (primera versión en castellano del Mini-mental Status Examination) en la población general geriátrica. Med Clin (Barc) 1999; 112: 767–774.Google Scholar
  9. 9).
    MacPhee GJ, Crowther JA, Mc Alpine CH. A simple screening test for hearing impairment in elderly patients. Age Ageing 1988; 17: 347–351.PubMedCrossRefGoogle Scholar
  10. 10.
    Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation J Chronic Dis 1987; 40: 373–383.PubMedCrossRefGoogle Scholar
  11. 11).
    Buchner DM, Hornbrook MC, Kutner NG, et al. Development of the Common Data Base for the FICSIT Trials. J Am Geriatr Soc 1993; 41: 297–308.PubMedGoogle Scholar
  12. 12.
    Weiner DK, Hanlon JT, Syudesnki SA. Effects of central nervous system polypharmacy on falls liability in community-dwelling elderly. Gerontology 1998; 44: 217–221.PubMedCrossRefGoogle Scholar
  13. 13.
    Souchet E, Lapeyre-Mestre M, Montastruc JL. Drug related falls: a study in the French Pharmacovigilance database. Pharmacoepidemiol Drug Saf. 2005;14: 11–16.PubMedCrossRefGoogle Scholar
  14. 14.
    Kelly KD, Pickett W, Yiannakoulias N, Rowe BH, Schopflocher DP, Svenson L, Voaklander DC. Medication use and falls in community-dwelling older persons. Age Ageing 2003; 32: 503–509.PubMedCrossRefGoogle Scholar
  15. 15.
    Pierfitte C, Macouillard G, Thicoïpe M, et al. Benzodiazepines and hip fractures in elderly people: case-control study. BMJ 2001; 322: 704–708.PubMedCrossRefGoogle Scholar
  16. 16.
    Wagner AK, Zhang F, Soumerai SB, et al. Benzodiazepine use and hip fractures in the elderly. Arch Intern Med 2004; 164: 1567–1572.PubMedCrossRefGoogle Scholar
  17. 17.
    Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc 2000; 48: 883–893.PubMedGoogle Scholar
  18. 18.
    Heitterachi E, Lord SR, Meyerkort P, McCloskey I, Fitzpatrick R. Blood pressure changes on upright tilting predict falls in older people. Age Ageing 2002; 31: 181–186.PubMedCrossRefGoogle Scholar
  19. 19.
    Shaw FE. Falls in cognitive impairment and dementia. Clin Geriatr Med 2002; 18: 159–73.PubMedCrossRefGoogle Scholar
  20. 20.
    Wallace C, Reiber GE, LeMaster J, et al. Incidence of falls, risk factors for falls, and fall-related fractures in individuals with diabetes and a prior foot ulcer. Diabetes Care 2002; 25: 1983–1986.PubMedCrossRefGoogle Scholar
  21. 21.
    Tinetti ME, Baker DI, McAvay G, Claus EB, Garrett P, Gottschalk M. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1994; 331: 821–8244.PubMedCrossRefGoogle Scholar
  22. 22.
    Kannues P, Parkkari J, Niemi S, Pasanen M, Palvanen M, Järvinen M, Vuori I. Prevention of hip fracture in elderly people with use of hip protector. N Engl J Med 2000; 343: 1506–1513.CrossRefGoogle Scholar
  23. 23.
    Formiga F, Rivera A, Nolla JM, Coscujuela A, Vivanco V, Sole A, Pujol R. Failure to treat osteoporosis and the risk of subsequent fractures in elderly patients with previous hip fracture: a five years follow-up study. Aging Clin Exp Res 2005; 17: 96–99.PubMedGoogle Scholar

Copyright information

© Springer-Verlag France and Serdi Éditions 2008

Authors and Affiliations

  • F. Formiga
    • 3
  • A. Ferrer
    • 1
  • E. Duaso
    • 2
  • C. Olmedo
    • 1
  • R. Pujol
    • 3
  1. 1.Primary Healthcare Center “El Plà” CAP-ISant Feliu de LlobregatBarcelonaSpain
  2. 2.Geriatric Unit, Internal Medicine ServiceHospital Mutua de TerrassaBarcelonaSpain
  3. 3.Geriatric Unit, Internal Medicine ServiceHospital Universitari de Bellvitge, L’Hospitalet de LlobregatBarcelonaSpain

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