在社区居住的老年人中,跌倒的危险因素:一个总体审查
Stephanie Saunders1, Cassandra D'Amore1, Quikui Hao1
1School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Journal of the American Medical Directors Association
|July 12, 2025
概括
跌倒是老年人的一个主要健康问题. 像平衡和身体功能这样的移动因素是关键预测因素,但心理社会和环境风险需要更多的研究.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 布对居住在社区的老年人来说是一个重大的公共卫生挑战,导致残疾和死亡率.
- 现有的关于跌倒风险因素的研究是广泛的,但在不同研究和人群中显示出差异性.
研究的目的:
- 系统地综合现有系统性审查对社区老年人落风险因素的证据.
- 确定这个人口群体下降的既定和未经研究的风险因素.
主要方法:
- 进行了系统审查的系统审查,从创建到2023年6月的六个主要数据库进行了搜索.
- 包括的审查集中在社区居住的老年人 (≥60岁) 报告跌倒风险因素的前性队列研究上.
- 从57项审查中提取了29个风险因素的数据,并对其进行了描述性分析.
主要成果:
- 与移动性相关的因素 (平衡,步态,身体功能,力量) 是最常被研究的,占所有关系的40%.
- 一致的跌倒预测因素包括临床平衡/功能测试,认知 (执行功能,处理速度),药物,虚弱和慢性疾病.
- 对心理社会,环境和社会人口统计学风险因素的证据有限.
结论:
- 与流动性相关的风险因素已被确立,并且可以在老年人中进行干预.
- 未来的研究应优先研究导致这一人口数量下降的心理社会,社会人口统计学和环境因素.
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