Background
Methods
Statistical analysis
Results
Variable | Non-faller (n = 756) | One-time faller (n = 71) | Recurrent faller (n = 45) | All (n = 872) | p-value | |
---|---|---|---|---|---|---|
Agea | 72.7 (6.5) | 76.6 (6.9) | 76.0 (8.2) | 73.2 (6.7) | < 0.001 | |
Gender | Male | 319 (42.2%) | 30 (42.3%) | 20 (44.4%) | 359 (43.4%) | 0.957 |
Female | 437 (57.8%) | 41 (57.7%) | 25 (55.6%) | 503 (57.7%) | ||
BMI | 26.7 (4.7) | 27.3 (4.0) | 27.1 (6.0) | 26.8 (4.7) | 0.584 | |
BMI | < 20 | 16 (2.2%) | 2 (3.0%) | 4 (9.1%) | 22 (2.6%) | 0.067 |
20–24.9 | 267 (36%) | 17 (25.4%) | 13 (29.5%) | 297 (34.8%) | ||
25–29.9 | 323 (43.5%) | 34 (50.7%) | 17 (38.6%) | 374 (43.8%) | ||
> 30 | 136 (18.3%) | 14 (20.9%) | 10 (22.7%) | 160 (18.8%) | ||
Alcohol use | No alcohol | 337 (46.6%) | 42 (63.6%) | 21 (48.8%) | 400 (48%) | 0.153 |
Light | 255 (35.3%) | 17 (25.8%) | 12 (28%) | 284 (34%) | ||
Moderate | 104 (14.4%) | 6 (9.1%) | 9 (21%) | 119 (14%) | ||
Heavy | 27 (3.7%) | 1 (1.5%) | 1 (2%) | 29 (3%) | ||
Physical activity, daily hours | < 1 h | 113 (15.2%) | 14 (19.7%) | 12 (27.9%) | 139 (16%) | 0.076 |
1–2 h | 247 (33.2%) | 25 (35.2%) | 17 (39.5%) | 289 (34%) | ||
> 2 h | 383 (51.5%) | 32 (45.1%) | 14 (32.6%) | 429 (50%) | ||
Current smoker (> 1 cigarettes per day) | 63 (8.5%) | 1 (1.4%) | 5 (12%) | 69 (8%) | 0.079 | |
Sleep quality: Poor | 52 (7.1%) | 8 (12.5%) | 8 (19.5%) | 68 (8%) | 0.036 | |
Ability to rise from a chair without using hands | 636 (86.2%) | 54 (79.4%) | 17 (39.5%) | 707 (80%) | < 0.001 | |
SOF-index (frailty) | Robust | 509 (71.0%) | 38 (57.6%) | 14 (35%) | 561 (68%) | < 0.001 |
Intermediate | 167 (23.3%) | 23 (34.8%) | 10 (25%) | 200 (24%) | ||
Frail | 41 (5.7%) | 5 (7.6%) | 16 (40%) | 62 (8%) | ||
MNA | Malnutrition | 6 (1.3%) | 0 (0.0%) | 0 (0%) | 6 (1%) | 0.005 |
Risk of malnutrition | 58 (12.3%) | 9 (22.5%) | 9 (37.5%) | 76 (14%) | ||
Normal nutrition | 406 (86.4%) | 31 (77.5%) | 15 (62.5%) | 452 (85%) |
All n = 872 | Non-fallers n = 756 | One-time fallers n = 71 | Recurrent fallers n = 45 | P-value | |
---|---|---|---|---|---|
Number of diseases* | 2.0 (2.0–3.0) | 2 (1.0–3.0) | 3 (1–3.3) | 4 (2.0–5.0) | < 0.001* |
At least one of the stated diseases | 712 (83.6%) | 611 (80.8%) | 61 (85.9%) | 40 (88.8%) | 0.681 |
Diabetes | 218 (25.6%) | 180 (23.8%) | 21 (23.9%) | 17 (37.8%) | 0.058 |
Rheumatoid arthritis | 37 (4.3%) | 27 (3.6%) | 5 (7.0%) | 5 (11.1%) | 0.022 |
Coronary heart disease | 161 (18.9%) | 131 (17.3%) | 17 (23.9%) | 13 (28.9%) | 0.062 |
Elevated blood pressure | 417 (49.2%) | 362 (47.9%) | 32 (45.1%) | 23 (51.1%) | 0.72 |
Blood circulation problems in the brain | 57 (6.7%) | 43 (5.7%) | 4 (5.6%) | 10 (22.2%) | < 0.001 |
Blood circulation problems in the legs | 138 (16.2%) | 109 (14.4%) | 14 (19.7%) | 15 (33.3%) | 0.002 |
hypothyroidism | 109 (12.8%) | 93 (12.3%) | 10 (14.1%) | 6 (13.3%) | 0.898 |
Cancer | 71 (8.4%) | 58 (7.7%) | 8 (11.3%) | 5 (11.1%) | 0.432 |
Asthma | 102 (12.0%) | 86 (11.4%) | 8 (11.3%) | 8 (17.8%) | 0.388 |
COPD | 32 (3.8%) | 28 (3.7%) | 3 (4.2%) | 1 (2.2%) | 0.861 |
Cardiac failure | 81 (9.5%) | 62 (8.2%) | 8 (11.3%) | 11 (24.4%) | 0.001 |
Osteoporosis | 62 (7.3%) | 46 (6.1%) | 8 (11.3%) | 8 (17.8%) | 0.004 |
Parkinson’s disease | 11 (1.3%) | 5 (0.7%) | 2 (2.8%) | 4 (8.9%) | < 0.001 |
Moderate or severe cognitive impairment | 23 (2.7%) | 14 (1.9%) | 3 (4.2%) | 6 (13.3%) | < 0.001 |
Mild cognitive impairment | 106 (12.5%) | 78 (10.3%) | 16 (22.5%) | 12 (26.7%) | < 0.001 |
Depression | 41 (4.8%) | 24 (3.2%) | 7 (9.9%) | 10 (26.7%) | < 0.001 |
Other disease | 108 (12.7%) | 90 (11.9%) | 9 (12.7%) | 9 (20.0%) | 0.245 |
Liver disease | 5 (0.6%) | 5 (0.7%) | 0 (0%) | 0 (0%) | 0.681 |
Kidney disease | 15 (1.8%) | 11 (1.5%) | 1 (1.4%) | 3 (7%) | 0.028 |
Eating disorder | 4 (0.5%) | 3 (0.4%) | 0 (0.0%) | 1 (2.3%) | 0.168 |
Other mental disorder | 7 (0.8%) | 6 (0.8%) | 1 (1.4%) | 0 (0.0%) | 0.714 |
Urinary incontinence | 215 (25.2%) | 166 (22.0%) | 25 (35.2%) | 24 (55.8%) | < 0.001 |
Dizziness | 226 (26.7%) | 176 (24.0%) | 25 (35.2%) | 25 (56.8%) | < 0.001 |
Variable | OR (95% CI) | P-value | |
---|---|---|---|
One-time faller | No chronic diseases | reference | |
One chronic disease | 0.392 | 0.392 | |
Two chronic diseases | 0.526 | 0.526 | |
Three chronic diseases | 0.424 | 0.424 | |
Four chronic diseases | 0.770 | 0.770 | |
Five chronic diseases | 0.616 | 0.616 | |
Six or more chronic diseases | 0.529 | 0.529 | |
Age 65–74 | reference | ||
Age 75–84 | 4.48 (2.56–7.83) | < 0.001 | |
Age ≥ 85 | 2.78 (1.03–7.48) | 0.044 | |
Gender | 0.98 (0.59–1.65) | 0.951 | |
Recurrent faller | No chronic diseases | reference | |
One chronic disease | 0.72 (0.14–3.64) | 0.692 | |
Two chronic diseases | 1.30 (0.30–5.60) | 0.723 | |
Three chronic diseases | 2.92 (0.76–11.19) | 0.116 | |
Four chronic diseases | 1.82 (0.35–9.47) | 0.474 | |
Five chronic diseases | 11.7 (2.99–46.44) | 0.000 | |
Six or more chronic diseases | 8.60 (2.10–35.17) | 0.003 | |
Age 65–74 | reference | ||
Age 75–84 | 1.00 (0.47–2.13) | 0.947 | |
Age ≥ 85 | 2.07 (0.82–1.07) | 0.122 | |
Gender (female) | 1.05 (0.54–1.05) | 0.870 |
Cluster | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | Total |
---|---|---|---|---|---|---|---|---|---|
Label | Low chronic disease | Elevated blood pressure | Coronary artery disease | Asthma | Hypothyroidism | Osteoporosis | Blood circulation problems in legs | Multiple chronic disease | |
N | 138 | 227 | 100 | 64 | 59 | 176 | 66 | 32 | 862 |
Diseases | |||||||||
Diabetes | 0.7% | 33.5% | 42.0% | 12.5% | 39.0% | 17.6% | 22.7% | 84.4% | 25.9% |
Rheumatoid arthritis | 0.0% | 7.5% | 2.0% | 9.4% | 0.0% | 4.0% | 0.0% | 12.5% | 4.2% |
Coronary artery disease | 0.0% | 5.3% | 88.0% | 17.2% | 3.4% | 9.1% | 22.7% | 59.4% | 18.9% |
Elevated blood pressure | 1.4% | 69.6% | 58.0% | 57.8% | 49.2% | 48.3% | 43.9% | 87.5% | 49.4% |
Blood circulation problems in the brain | 0.0% | 8.8% | 6.0% | 6.3% | 0.0% | 7.4% | 1.5% | 43.8% | 6.7% |
Blood circulation problems in the legs | 0.0% | 3.5% | 5.0% | 15.6% | 10.2% | 11.4% | 100.0% | 78.1% | 16.2% |
hypothyroidism | 0.0% | 4.0% | 15.0% | 14.1% | 98.3% | 5.7% | 7.6% | 28.1% | 13.3% |
Cancer | 0.0% | 18.1% | 2.0% | 1.6% | 5.1% | 5.7% | 7.6% | 31.3% | 8.4% |
Asthma | 0.0% | 1.8% | 6.0% | 95.3% | 6.8% | 9.1% | 4.5% | 40.6% | 12.4% |
COPD | 0.0% | 1.3% | 1.0% | 17.2% | 1.7% | 2.8% | 1.5% | 31.3% | 3.7% |
Heart failure | 0.0% | 4.8% | 37.0% | 4.7% | 5.1% | 2.8% | 6.1% | 71.9% | 10.0% |
Osteoporosis | 0.0% | 0.9% | 0.0% | 1.6% | 8.5% | 27.8% | 3.0% | 18.8% | 7.5% |
Moderate or severe cognitive impairment | 2.9% | 0.9% | 2.0% | 1.6% | 1.7% | 5.7% | 0.0% | 12.5% | 2.8% |
Mild cognitive impairment | 0.0% | 21.6% | 11.0% | 9.4% | 8.5% | 8.5% | 9.1% | 53.1% | 12.6% |
Depression | 0.0% | 2.6% | 6.0% | 9.4% | 5.1% | 8.0% | 0.0% | 21.9% | 4.9% |
Cluster | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | Total |
---|---|---|---|---|---|---|---|---|---|
Label | Low chronic disease | Elevated blood pressure | Coronary artery disease | Asthma | Hypothyroidism | Osteoporosis | Blood circulation problems in legs | Multiple chronic disease | |
Age | |||||||||
65–74 | 81.9% | 60.8% | 45.0% | 78.1% | 67.8% | 59.7% | 60.6% | 21.9% | 62.4% |
75–84 | 15.2% | 33.9% | 44.0% | 17.2% | 27.1% | 30.7% | 33.3% | 53.1% | 30.4% |
≥ 85 | 2.9% | 5.3% | 11.0% | 4.7% | 5.1% | 9.7% | 6.1% | 25.0% | 7.2% |
BMI | |||||||||
< 20 | 2.9% | 0.9% | 3.1% | 1.6% | 1.8% | 4.6% | 1.6% | 0.0% | 2.4% |
20–24,9 | 38.0% | 30.1% | 29.6% | 44.4% | 26.3% | 38.2% | 38.1% | 28.1% | 34.3% |
25–29,9 | 50.4% | 48.4% | 50.0% | 31.7% | 54.4% | 35.3% | 39.7% | 31.3% | 44.1% |
> 30 | 8.8% | 20.5% | 17.3% | 22.2% | 17.5% | 22.0% | 20.6% | 40.6% | 19.2% |
Daily activity | |||||||||
< 1 h | 13.1% | 15.7% | 20.6% | 20.6% | 17.2% | 18.6% | 6.3% | 32.3% | 16.8% |
1–2 h | 25.5% | 38.6% | 29.9% | 31.7% | 43.1% | 33.1% | 35.9% | 32.3% | 33.7% |
> 2 h | 61.3% | 45.7% | 49.5% | 47.6% | 39.7% | 48.3% | 57.8% | 35.5% | 49.5% |
Urinary incontinence | 0.7% | 8.4% | 25.0% | 15.6% | 33.9% | 61.9% | 10.6% | 75.0% | 24.9% |
Dizziness | 0.0% | 15.0% | 26.0% | 17.2% | 8.5% | 62.5% | 30.3% | 71.9% | 26.6% |
SOF-index | |||||||||
Robust | 84.2% | 65.4% | 60.4% | 75.0% | 72.7% | 62.2% | 72.7% | 33.3% | 67.9% |
Intermediate | 13.5% | 25.1% | 30.8% | 21.9% | 20.0% | 28.7% | 21.2% | 30.0% | 23.8% |
Frail | 2.3% | 9.5% | 8.8% | 3.1% | 7.3% | 9.1% | 6.1% | 36.7% | 8.2% |
MNA Index | |||||||||
Malnutrition | 0.9% | 1.6% | 0.0% | 2.4% | 0.0% | 1.0% | 2.4% | 0.0% | 1.1% |
Risk of maln. | 7.0% | 12.5% | 6.1% | 19.0% | 9.4% | 23.0% | 14.3% | 42.1% | 14.3% |
Normal nutr. | 92.1% | 85.9% | 93.9% | 78.6% | 90.6% | 76.0% | 83.3% | 57.9% | 84.6% |
Variable | OR (95% CI) | p-value | |
---|---|---|---|
1 fall | 1 Low-chronic | reference | |
2 Elevated blood pressure | 0.87 (0.35–2.16) | 0.766 | |
3 Coronary heart disease | 1.41 (0.53–3.76) | 0.492 | |
4 Asthma | 0.73 (0.18–2.91) | 0.650 | |
5 Hypothyroidism | 1.87 (0.62–5.66) | 0.268 | |
6 Osteoporosis | 1.36 (0.55–3.37) | 0.512 | |
7 Blood circulation problems in the legs | 0.75 (0.21–2.69) | 0.662 | |
8 Multi-chronic | 0.60 (0.11–3.11) | 0.539 | |
Age 65–74 | reference | ||
Age 75–84 | 4.96 (2.81–8.74) | < 0.001 | |
Age ≥ 85 | 3.12 (1.18–8.29) | 0.022 | |
Gender (male) | 1.05 (0.62–1.78) | 0.871 | |
2 or more falls | 1 Low-chronic | reference | |
2 Elevated blood pressure | 1.80 (0.35–9.13) | 0.480 | |
3 Coronary heart disease | 4.93 (0.98–24.90) | 0.054 | |
4 Asthma | 1.03 (0.09–11.60) | 0.984 | |
5 Hypothyroidism | 2.60 (0.35–19.22) | 0.350 | |
6 Osteoporosis | 5.65 (1.23–25.85) | 0.026 | |
7 Blood circulation problems in the legs | 3.12 (0.50–19.37) | 0.223 | |
8 Multi-chronic | 13.42 (2.47–72.96) | 0.003 | |
Age 65–74 | reference | ||
Age 75–84 | 1.186 (0.559–2.515) | 0.657 | |
Age ≥ 85 | 3.076 (1.245–7.600) | 0.015 | |
Gender (male) | 1.072 (0.547–2.101) | 0.839 |