Falls in Mexican older adults aged 60 years and older
- 3 Downloads
Falls are a major cause of disability, morbidity, institutionalization, and mortality in older adults.
The purpose of the study was to examine the risk factors for falls among Mexican older adults aged 60 years and older.
This study included 6247 participants and their spouse or partner aged 60 years and older from the Mexican Health and Aging Study, an ongoing longitudinal study (2001–2012) conducted in Mexico. Measures included socio-demographics, falls, physical activity, comorbid conditions, pain, vertigo, vision and hearing impairments, urinary incontinence, lower extremity functional limitation, activities of daily living (ADLs), cognitive function, and depressive symptoms.
Mean age was 69.6 years (standard error = 0.18) and 51.8% were female. Forty percent reported one or more falls at baseline. Older age, being female, obesity, arthritis, fractures, stroke, suffering pain, vertigo, lower extremity functional limitations, physical activity, depressive symptoms, urinary incontinence, and ADL disability were significant factors associated with one or more falls over time.
Early detection and treatment of the risk factors for falls in this population will help improve the quality of life and reduce medical complications and health care costs.
KeywordsFalls Mexico Older adults Epidemiology MHAS
This study was supported by the National Institutes of Health/National Institute on Aging (R01-AG018016, R.W. [PI]), INEGI in Mexico and by the University of Texas Medical Branch (UTMB) Sealy Center on Aging and the Pepper Center (P30-AG024832, E.V. [PI]). Dr. Valderrama-Hinds was a visiting scholar in the WHO/PAHO Collaborating Center on Aging and Health at UTMB during this study. The study sponsors had no role in the study design, analysis, or interpretation of the data. Study sponsors did not have any role in the writing of the article or the submission to a journal. The authors acknowledge the assistance of Sarah Toombs Smith, PhD, ELS, in article preparation. Dr. Toombs Smith received no compensation for this effort beyond her salary at the UTMB Sealy Center on Aging.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflicts of interest.
The MHAS study was approved by the Institutional Review Boards or Ethics Committees of the University of Texas Medical Branch (in the United States) and the Instituto Nacional de Estadistica y Geografia (INEGI) and the Instituto Nacional de Salud Pública (INSP) (in Mexico); and have been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki.
Oral informed consent was obtained from all individual participants included in the study.
- 1.Falls—fact sheet (2018). http://www.who.int/mediacentre/factsheets/fs344/en/
- 2.Centers for Disease Control and Prevention (2018) Important facts about falls. https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html. Accessed 16 March 2018
- 4.Murphy SL, Xu J, Kochanek KD et al (2017) Deaths: final data for 2015, vol 66. National Center for Health Statistics, HyattsvilleGoogle Scholar
- 6.World Health Organization (2015) World report on aging and health. World Health Organization, LuxembourgGoogle Scholar
- 11.Encuesta Nacional de Salud y Nutrición 2012 (2013) Resultados Nnacionales, Segunda Edicion, MexicoGoogle Scholar
- 12.Aranda M, López-Ortega M, Robledo L (2015) Prevalence and determinants of falls among Older Mexicans: findings from the Mexican National Health and Nutrition Survey. In: Vega W, Markides K, Angel J, Torres-Gil F (eds) Challenges of Latino aging in the Americas. Springer, Cham, pp 171–188Google Scholar
- 16.Demographic transition, demographic bonus and ageing in Mexico. Prepared for United Nations Expert Group Meeting on Social and Economic Implications of Changing Population Age Structures (Mexico City, Mexico: Population Division, Department of Economic and Social Affairs, United Nations, 2005) (2005). http://www.un.org/esa/population/meetings/Proceedings_EGM_Mex_2005/partida.pdf
- 17.MHAS 2012-Sample Design (2012). http://mhasweb.org/Resources/DOCUMENTS/2012/Methodological_Document_2012%E2%80%93SEC.pdf
- 23.MHAS Questionnaire (2001) http://mhasweb.org/Resources/DOCUMENTS/2001/Core_Questionnaire_2001.pdf
- 26.Valderrama-Hinds LM, Al Snih S, Rodriguez MA et al (2017) Association of arthritis and vitamin D insufficiency with physical disability in Mexican older adults: findings from the Mexican Health and Aging Study. Rheumatol Int 37:607–616. https://doi.org/10.1007/s00296-016-3622-0 CrossRefPubMedGoogle Scholar
- 29.Diggle P, Heagerty P, Liang KY et al (2013) Generalized linear mixed models for longitudinal data. In: Analysis of longitudinal data, 2nd edn. Oxford University Press, Oxford, pp 126–137Google Scholar
- 31.Stenhagen M, Ekstrom H, Nordell E et al (2013) Falls in the general elderly population: a 3- and 6-year prospective study of risk factors using data from the longitudinal population study ‘Good ageing in Skane’. BMC Geriatr 13:81. https://doi.org/10.1186/1471-2318-13-81 CrossRefPubMedPubMedCentralGoogle Scholar
- 33.Hansen H, Schafer I, Schon G et al (2014) Agreement between self-reported and general practitioner-reported chronic conditions among multimorbid patients in primary care—results of the MultiCare Cohort Study. BMC Fam Pract 15:39. https://doi.org/10.1186/1471-2296-15-39 CrossRefPubMedPubMedCentralGoogle Scholar
- 35.Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society (2011) Summary of the updated American Geriatrics Society/British Geriatrics Society Clinical Practice guideline for prevention of falls in older adults. J Am Geriatr Soc 59 (1):148–157CrossRefGoogle Scholar