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Recurrent Falls over Three Years among Older Adults Age 70+: Associations with Physical and Mental Health Status, Exercise, and Hospital Stay.

Namkee G ChoiC Nathan MartiBryan Y ChoiMark M Kunik
Published in: Journal of applied gerontology : the official journal of the Southern Gerontological Society (2023)
We used the 2019-2021 U.S. National Health and Aging Trend Study ( N = 3,063, age 70+) and multinomial logistic regression and generalized linear models with Poisson and log link to identify correlates of (1) recurrent falls (2 + falls) over 3 years (2019-2021); and (2) any subsequent fall among those who had a fall in 2019. We also examined the associations between falls and hospitalization in 2021. Results show that those with recurrent falls had greater physical/functional and psychological health problems in 2019, while single fallers over the 3 years were not significantly different from those without a fall. Exercise was associated with a lower likelihood of a subsequent fall among those who fell in 2019. Both a single fall and recurrent falls over the 3 years were associated with a higher risk of hospitalization in 2021. Multifactorial fall preventions including exercise and depression/anxiety treatment are needed to mitigate recurrent fall risks.
Keyphrases
  • mental health
  • physical activity
  • community dwelling
  • high intensity
  • healthcare
  • public health
  • depressive symptoms
  • climate change
  • smoking cessation
  • acute care