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首页> 外文期刊>Journal of aging and health >Predictors of Injurious Falls and Fear of Falling Differ: An 11-Year Longitudinal Study of Incident Events in Older People
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Predictors of Injurious Falls and Fear of Falling Differ: An 11-Year Longitudinal Study of Incident Events in Older People

机译：伤害性跌倒和跌倒恐惧的预测因素：一项针对老年人事件的11年纵向研究

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Objective: The objective of the study is to identify the intrinsic, psychosocial and lifestyle factors, which, over time, predict the incidence of having a fall requiring medical attention (injurious fall) or of acquiring a fear of falling (FOF). Method: Data from 1,000 participants in the Melbourne Longitudinal Studies on Healthy Ageing (MELSHA, 1994-2005) were analyzed using cox regressions and hazard ratios. Results: The predictors of injurious falls (n = 900, events = 200) were increasing age, slower gait speed, and being depressed. Main predictors of developing a FOF (n = 855, events =117) were increasing age, cognitive impairment, reduced social activity, and gender. A history of falls at baseline did not predict acquiring a FOF nor did FOF predict a future fall. Discussion: The profile of the person who will have an injurious fall differs from the profile of the person who develops a FOF and should be considered when designing interventions.
机译：目的：该研究的目的是确定内在因素，心理社会因素和生活方式因素，这些因素随着时间的推移可预测需要医疗护理的跌倒（伤害性跌倒）或恐惧跌倒的发生率（FOF）。方法：使用cox回归和风险比分析了墨尔本健康老龄化纵向研究（MELSHA，1994-2005）中1,000名参与者的数据。结果：伤害性跌倒的预测因子（n = 900，事件= 200）是年龄增长，步态速度变慢以及情绪低落。发生FOF的主要预测因子（n = 855，事件= 117）是年龄增长，认知障碍，社交活动减少和性别。基线跌倒的历史既不能预测获得FOF，也不能预测未来会跌倒。讨论：跌倒有害的人的身材与发展为FOF的人的身材不同，在设计干预措施时应予以考虑。

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