Relationship of lifetime occupational physical activity and falls in community-dwelling elderly living in Lopburi province, Thailand
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Abstract
Background: Falls are preventable aging health problems with many associated risk factors including lifetime individual lifestyle. The objective of this study is to investigate the relationship between falls in the elderly and occupational physical activities during the past.
Methods: A case-controlled study was conducted on 202 physically active elders, aged 60-69 years, from three primary care clinics in Mueang District, Banmi District, and Nongmuang District, Lopburi Province, Thailand from June 2020 to September 2020. The subjects were categorized into two groups, “Faller” and “Non-faller”. The relationship between falls and occupational physical activities in working life was analyzed using binary logistic regression.
Results: Sixty-seven subjects experienced falls since 60 years of age, and 135 subjects had no history of falls. METs score of occupational physical activity was calculated and grouped into tertile. The lowest and the highest value were 29 METs-hr./wk./yr., and 216 METs-hr./wk./yr. Compare to those in the middle tertile, the lowest tertile had an odds ratio of 0.851 (95% CI 0.431-1.756) when the highest tertile had an odds ratio of 1.143 (95% CI 0.563-2.321).
Conclusion: There was no statistically significant relationship between occupational physical activities in the past and falls in the elderly. Nonetheless, the factor associated with a chance of falls was their living environment.
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