Falls in Mexican older adults aged 60 years and older

  • Luis M Valderrama-Hinds
  • Soham Al Snih
  • Nai-wei Chen
  • Martin A Rodriguez
  • Rebeca Wong
Original Article



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.


Falls 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.

Ethical approval

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.

Informed consent

Oral informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Sealy Center on AgingUniversity of Texas Medical BranchGalvestonUSA
  2. 2.Division of Rheumatology, Department of Internal Medicine, Hospital Universitario de CaracasUniversidad Central de VenezuelaCaracasVenezuela
  3. 3.Centro Nacional de Enfermedades Reumáticas, Hospital Universitario de CaracasUniversidad Central de VenezuelaCaracasVenezuela
  4. 4.Division of Rehabilitation Sciences, School of Health ProfessionsUniversity of Texas Medical BranchGalvestonUSA
  5. 5.Division of Geriatrics, Department of Internal MedicineUniversity of Texas Medical BranchGalvestonUSA
  6. 6.Department of Preventive Medicine and Community HealthUniversity of Texas Medical BranchGalvestonUSA

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