Abstract
INTRODUCTION: Falling event among the older population poses serious health problems. This is due to its implications which includes decrease in physical function thus restricted their daily life activities. As part of the frailty components, presence of unsteady gait and muscle weakness contributed towards frailty being one of significant predictor of fall. METHODS: This was a cross-sectional study among 2324 community-dwelling older adults aimed to determine the association between physical frailty and outcome on fall. RESULTS: Almost one-third of the frail individuals had falls in the past 12-months (29.8%, 95%CI: 23.9, 36.5) compared to pre-frail (17.4%, 95%CI: 15.2, 19.8) and robust (12.3%, 95%CI: 9.6, 15.6). More than half of the frail individuals reported having fear of falling (55.4%, 95%CI: 48.7, 61.9) whilst only 33.9%(95%CI: 30.0, 38.1) among pre-frail and 18.8%(95%CI: 15.3, 22.8) from robust. Furthermore, frail individuals were also reported the highest prevalence of having activities not done (41.7%, 95%CI: 30.1, 54.3) and stopped doing activities due to fear of falling (36.7% 95%CI: 25.9, 49.1) with much lower prevalence for both pre-frail and robust groups. Ultimately, this study showed that being frail significantly increased the likelihood of fall approximately two-fold higher than those from robust group (aOR:1.8, 95%CI: 1.2, 2.7). CONCLUSION: This study showed significant association between frailty and fall among the older population. Given that fall can be fatal with potentially causing further complications thus justifies the need to incorporate safety interventions to reduce falling event mainly among those frails.
Links
BibTeX (Download)
@proceedings{APCPH-2019-78,
title = {Physical Frailty and Its Association with Fall Among Community-Dwelling Older Population},
author = {Nur Sakinah Ahmad and Noran Naqiah Hairi and Mas Ayu Said and Shahrul Bahyah Kamaruzzaman and Choo Wan Yuen and Farizah Hairi and Sajaratulnisah Othman and Norliana Ismail and Devi Peramalah and Shathanapriya Kandiben and Zainudin Mohd Ali and Sharifah No},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Falling event among the older population poses serious health problems. This is due to its implications which includes decrease in physical function thus restricted their daily life activities. As part of the frailty components, presence of unsteady gait and muscle weakness contributed towards frailty being one of significant predictor of fall. METHODS: This was a cross-sectional study among 2324 community-dwelling older adults aimed to determine the association between physical frailty and outcome on fall. RESULTS: Almost one-third of the frail individuals had falls in the past 12-months (29.8%, 95%CI: 23.9, 36.5) compared to pre-frail (17.4%, 95%CI: 15.2, 19.8) and robust (12.3%, 95%CI: 9.6, 15.6). More than half of the frail individuals reported having fear of falling (55.4%, 95%CI: 48.7, 61.9) whilst only 33.9%(95%CI: 30.0, 38.1) among pre-frail and 18.8%(95%CI: 15.3, 22.8) from robust. Furthermore, frail individuals were also reported the highest prevalence of having activities not done (41.7%, 95%CI: 30.1, 54.3) and stopped doing activities due to fear of falling (36.7% 95%CI: 25.9, 49.1) with much lower prevalence for both pre-frail and robust groups. Ultimately, this study showed that being frail significantly increased the likelihood of fall approximately two-fold higher than those from robust group (aOR:1.8, 95%CI: 1.2, 2.7). CONCLUSION: This study showed significant association between frailty and fall among the older population. Given that fall can be fatal with potentially causing further complications thus justifies the need to incorporate safety interventions to reduce falling event mainly among those frails.},
note = {Type: ORAL PRESENTATION; Organisation: Centre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, Tobacco Control Unit, Ministry of Health Malaysia, Putrajaya, Malaysia, Centre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia, Negeri Sembilan State Health Department (JKNNS), Negeri Sembilan, Malaysia,},
keywords = {community-dwelling, fall, Frailty, older population},
pubstate = {published},
tppubtype = {proceedings}
}