Predictors of falls among community-dwelling older adults with cancer: results from the health and retirement study
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Cancer symptoms and the side effects of its treatment can increase the risk of falling among older adults with cancer. This study aimed to identify predictors of falling and recurrent falls among community-dwelling older adults with cancer over a 2-year period.
Data from the Health and Retirement Study were used (N = 1,630) in this study. The sample had a mean age of 75 years and was mostly female (53 %) and white (89 %). Descriptive analyses, correlation analyses, and logistic regressions were used to analyze the data.
The results showed that functional limitations (OR = 1.13, 95 % CI = 1.03–1.24), the full-tandem stance (OR = 1.48, 95 % CI = 1.01–2.16), and self-reported difficulties with balance (OR = 1.50, 95 % CI = 1.23–1.83) at time 1 were significant predictors of falling at time 2. Only difficulties with self-reported balance (OR = 1.84, 95 % CI = 1.44–2.36) at time 1 were found to be a predictor of recurrent falls at time 2.
The consequences of falling can complicate the course of cancer treatment. Measures of functional limitations and balance have the potential to be quick and useful clinical tools to detect falling among seniors with cancer living in communities.
KeywordsCancer Falls Balance difficulty
- 7.Delbaere K, Crombez G, van Haastregt JCM, Vlaeyen JWS (2009) Falls and catastrophic thoughts about falls predict mobility restriction in community-dwelling older people: a structural equation modelling approach. Aging Mental Health 13:587–592. doi: 10.1080/13607860902774444 PubMedCrossRefGoogle Scholar
- 25.Administration on Aging (2011) A profile of older Americans: 2011Google Scholar
- 26.Heeringa SG, Connor JH (1995) Technical description of the Health and Retirement Survey sample design. University of Michigan, Institute for Social Research, Ann Arbor, MIGoogle Scholar
- 31.Kane RL, Kane RA (2004) Assessing older persons: measures, meaning, and practical applications. Oxford University Press, OxfordGoogle Scholar
- 32.Retornaz F, Monette J, Batist G, Monette M, Sourial N, Small D, Caplan S, Wan-Chow-Wah D, Puts MTE, Bergman H (2008) Usefulness of frailty markers in the assessment of the health and functional status of older cancer patients referred for chemotherapy: a pilot study. J Gerontol A Biol Med Sci 63:518–522CrossRefGoogle Scholar