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Prevalent falls, fall frequencies and health-related quality of life among community-dwelling older Chinese adults

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Abstract

Purpose

Fall is a serious health hazard to older adults. The aim of our study was to investigate the relationship between falls and health-related quality of life (HRQOL) in mainland China.

Methods

Data from 4579 Chinese community-dwelling older adults was analyzed. Data of falls was self-reported by participants, the HRQOL of older adults was measured by the 3-Level EQ-5D (EQ-5D-3L, 3L). Regression models were built to explore the associations of falls (experience and frequency) with the 3L data (index score, EQ-VAS score and health problems). The potential interaction effects between falls and gender on HRQOL were assessed using a likelihood ratio test, sex-stratified analysis was also performed to separately investigate the associations in men and women.

Results

A total of 368 (8.0%) participants had the experience of fall during the last year. Falls (experience and frequency) were significantly related to EQ-5D-3L index and EQ-VAS scores, fall experience contributed to pain/discomfort and anxiety/depression problems, while fall frequency was associated with physical-related problems and pain/discomfort. Significant interactions between falls and sex in several EQ-5D measures were also observed, and men had lager magnitude of associations than women.

Conclusion

Falls were negative associated with overall HRQOL as well as separate HRQOL dimensions among older adults. It also appears that the HRQOL influence on older men is more evident than older women.

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Data availability

The data that support the findings of this study are available on request from the corresponding authors, upon reasonable request.

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Acknowledgements

We frankly thank all participants and the schools involved in the survey, as well as other staff members on the scene.

Funding

The study has been sponsored by the National Natural Science Foundation of China (Project No. 72274037) awarded to Dr. Pei Wang. National Natural Science Foundation of China, 72274037, Pei Wang

Author information

Author notes

  1. Heng Lu and Xing-Xuan Dong contributed equally to this work.

Authors and Affiliations

  1. School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China

    Heng Lu, Xing-Xuan Dong, Dan-Lin Li, Qian Wu, Xin-Yi Nie, Yong Xu & Chen-Wei Pan

  2. School of Public Health, Fudan University, Dong An Road, Shanghai, 200032, China

    Pei Wang

  3. Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China (Fudan University), Shanghai, China

    Pei Wang

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Contributions

HL: Visualization, Formal analysis, Writing—original draft, Writing—review & editing. XXD: Visualization, Formal analysis, Writing—original draft, Writing—review & editing. DLL: Writing—review & editing. QW: Writing—review & editing. XYN: Writing—review & editing. YX: Writing—review & editing. PW: Conceptualization, Visualization, Formal analysis, Writing—original draft, Writing—review & editing, Validation, Funding. CWP: Conceptualization, Visualization, Formal analysis, Writing—original draft, Writing—review & editing, Validation, Funding.

Corresponding authors

Correspondence to Pei Wang or Chen-Wei Pan.

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The authors declare that there are no conflicts of interest in relation to the subject of this study.

Ethical approval

The Weitang Geriatric Disease study adhered to the tenets of the Helsinki Declaration and ethics approval was obtained from the Institutional Review Board of the Soochow University.

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All participants gave written informed consent at the recruitment stage of the study.

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Lu, H., Dong, XX., Li, DL. et al. Prevalent falls, fall frequencies and health-related quality of life among community-dwelling older Chinese adults. Qual Life Res 32, 3279–3289 (2023). https://doi.org/10.1007/s11136-023-03474-2

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