Factors Associated Thai Elderly Falls Who Reside in Silom Community, Bang-rak, Bangkok, Thailand
Article Sidebar
Main Article Content
Abstract
Background: Falls are a common issue among the elderly and can lead to disability. This study aimed to examine the factors influencing falls among Thai elderly falls residing in or near Silom, Bang-rak, Bangkok, Thailand.
Design: Prospective cohort study
Methods: Data were collected from 220 elderly individuals aged 60 years and above who visited the family medicine outpatient department or the Geriatric Clinic at Lerdsin Hospital. The data collection included a basic information questionnaire, SARC-F (a screening tool for sarcopenia), the Thai Fall Risk Assessment Tool (Thai-FRAT), the Mini Nutritional Assessment (MNA), and physical performance evaluations using grip strength and the five-time chair stand test. Additionally, serum vitamin D levels were measured. Fall incidents were followed up for six months, and the collected data were analyzed using logistic regression analysis, examining both univariate and multivariate models.
Results: Factors significantly associated with falls within six months in univariate analysis (p < 0.05) included age ≥ 80 years (p = 0.012, 95% CI: 1.272-7.031), female gender (p = 0.027, 95% CI: 1.124-7.087), BMI <18.5 kg/m² (p = 0.045, 95% CI: 1.028-14.282), a history of previous falls (p = 0.003, 95% CI: 1.496-6.950), SARC-F score ≥ 4 (p < 0.001, 95% CI: 1.848-7.383), Thai-FRAT score ≥ 4 (p < 0.001, 95% CI: 2.082-8.458), and vitamin D levels < 30 mU/L (p = 0.019, 95% CI: 0.207-0.866). In multivariate analysis, significant factors associated with falls (p < 0.05) included a Thai-FRAT score ≥ 4 (p = 0.022, 95%CI: 1.175-8.026) and vitamin D levels < 30 mU/L (p = 0.004, 95% CI: 0.133-0.676).
Conclusions: The findings of this study suggest that accurate assessment using the Thai-FRAT score helps predict the likelihood of falls in older adults within six months. Low vitamin D levels are identified as a potential factor contributing to the risk of falls in the elderly. Therefore, vitamin D supplementation is important for fall prevention in older adults with low vitamin D levels.
Keywords: falls, elderly, factors, six months
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The content and information in articles published in the PCFM journal are solely the opinions and responsibilities of the authors. The journal's editorial board does not necessarily agree with or share any responsibility for them.
All articles, information, content, images, etc., published in the PCFM journal are the copyright of the PCFM journal. If any individual or organization wishes to reproduce, distribute, or use any part or the entirety of the content, they must obtain written permission from the PCFM journal beforehand.
References
สถานการณ์ผู้สูงอายุในประเทศไทย (ด้านประชากร) [อิน-เทอร์เน็ต]. 2015 [เข้าถึงเมื่อ12 เม.ย. 2566]. เข้าถึงได้จาก http://fopdev.or.th/สถานการณ์ผู้สูงอายุในประเทศไทย
Lu H, Andrew C, Tim D, Lorna F. The impact of frailty on healthcare resource use a longitudinal analysis using the clinical practice research datalink in England. Age and Aging. 2019;48:662-8.
Magnus Z, Fredrik N, Lars, L, Synneve D, Susanne G. Modelling long-term cost-effectiveness of health promotion for community-dwelling older people. European Journal of ฤgeing. 2019;16:395-404.
พจนานุกรมไทย ฉบับราชบัณฑิตยสถาน พ.ศ.2554
Tinetti, M Speechley. Risk factor for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701-7.
World Health Organization, WHO global report on falls prevention in older age. Geneva: WHO; 2007. p. 1.
Bergen G, Stevens MR, Burns ER. Falls and fall injuries among adult aged >/ = 65 years United state, 2014 MMWR Morb Mortal WKly Rep 2016;65:993-8.
มูลนิธิสถาบันวิจัยและพัฒนาผู้สูงอายุไทย (มส.ผส.). สถาน-การณ์ผู้สูงอายุไทย พ.ศ. 2564. จังหวัด: สถาบันวิจัยประชากรและสังคม มหาวิทยาลัยมหิดล, 2021.
กองยุทธศาสตร์และแผนงาน สำนักงานปลัดกระทรวงสาธารณสุข. สรุปรายงานการป่วย พ.ศ. 2564. กรุงเทพ-มหานคร: กระทรวงสาธารณสุข. 2021; 42.
สมศรี พิริยาสัยสันติ, เพ็ญจันทร์ วันแสน. ผลการใช้แผนการดูแลในผู้ป่วยผ่าตัดเปลี่ยนข้อสะโพกเทียมโรงพยาบาลสุรินทร์. วารสารการแพทย์โรงพยาบาลศรีสะเกษ สุรินทร์ บุรีรัมย์ 2554;26:2:215-27.
สุนทรี ภานุทัต, จำลอง ชูโต, เฉลิมศรี นันทวรรณ, อำไพวรรณ พุ่มศรีสวัสดิ์, ทัศนีย์ พฤกษาชีวะ. การดูแลผู้สูงอายุที่มีภาวะทุพโภชนาการ. วารสารราชธานีนวัตกรรมทางวิทยา-ศาสตร์สุขภาพ. 2560;1:1-15.
Tanimoto Y, Watanabe M, Sun W, Sugiura Y, Hayashida I, Kusabiraki T, et al. Sarcopenia and falls in community-dwelling elderly subjects in Japan: Defining sarcopenia according to criteria of the European Working group on Sarcopenia in older people. Arch GerontolGeriatr.2014;59:295-99.
Weir E, Culmer L. Fall prevention in the elderly population. CMAJ. 2004;171:724.
Dawson-Hughes B, Mithal A, Bonjour J-P, Boonen S, Burckhardt P, Fuleihan G-H, et al. IOF position statement: vitamin D recommendations for older adults. Osteoporosis international. 2010;21:1151-4.
Dharmakulsakti P, Roopsawang I, Aree-Ue S. Sarcopenia among older adults with knee osteoarthritis: A cross-sectional study of prevalence and its associated factors. Pac Rim Int J Nurs Res. 2021;26:121-34.
Thiamwong L, Thamarpirat J, Maneesriwongul W, Jitapunkul S. Thai falls risk assessment test (Thai-FRAT) developed for community dwelling Thai elderly. J med assoc thail. 2008;91:1823-31.
อรพินทร์ บรรจง, จินต์ จรูญรักษ์, พิสมัย เอกก้านตรง, โสภา ธมโชติพงศ์. วารสารการส่งเสริมสุขภาพและอนามัยสิ่งแวด-ล้อม. 2548;28:77-90.
Litao L, Shenyong W, Shong Y. A study on risk factors for falling down in elderly people of rural areas in Laizhou city. Chinese journal of Geriatrics. 2002;21:370-2.
Yoshida H, Kim H. Frequency of falls and their prevention in Japanese. Clinical Calcium. 2006;16:1444-50.
World Health Organization, Geneva: Step safety: strategies for preventing and managing falls across the life-course. City name: WHO; 2021.
Catharine R Gale, Cyrus Cooper, Avan Aihie Sayer. Prevalence and risk factors for falls in older men and women: The English longitudinal study of ageing. Age Ageing. 2016;45:789-94.
Eunjung Kim, Eun-Mi Seol, Hyuk-Joon Lee. The association of body mass index on falls risk and mortality in hospitalized patients of different old-age categories requiring nutritional support. Clin Nutr Res. 2024;13:96-107.
Choi NG, Marti CN, Choi BY, Kunik MM. Recurrent Falls over Three Years among Older Adults Age 70+: Associations with Physical and Mental Health Status, Exercise, and Hospital Stay. J Appl Gerontol. 2023;42:1089-100.
Intaruk R, Saengsuwan J, Amatachaya S, Thaweewannakij T. The ability of Thai-FRAT’s item to identify risk of fall in elderly with and without history of fall. The 19th national graduate research conference. 2018:658-65.
Caitlin D Eckert, Emily K. Tarleton, Jocelyn Pellerin, Mooney N, Gell NM. Nutrition risk is associated with falls risk in an observational study of community dwelling rural older adults. J Aging Health. 2022;34:1125-34.
Muhammad Raza Cheema and Ahmad Yar Chaudhry. Quality of life indicators and falls due to vitamin D deficiency. Int J Gen Med. 2016;9:21-25.
Michos ED, Kalyani RR, Blackford AL, Sternberg AL, Mitchell CM, Juraschek SP, et al. The relationship of falls with achieved 25-hydroxyvitamin D levels from vitamin d supplementation: the sturdy trial. J Endocr Soc. 2022;6(6):bvac065. PubMed PMID: 35592513
