Predictors of falls and fractures as women age past the menopause

Fu, Stephanie, Stock, Lauren, Khan, Asad and Nitz, Jennifer (2012). Predictors of falls and fractures as women age past the menopause. In: 8th World Congress on Aging and Physical Activity, Glasgow, Scotland, (S141-S141). 13-17 August 2012.

Author Fu, Stephanie
Stock, Lauren
Khan, Asad
Nitz, Jennifer
Title of paper Predictors of falls and fractures as women age past the menopause
Conference name 8th World Congress on Aging and Physical Activity
Conference location Glasgow, Scotland
Conference dates 13-17 August 2012
Journal name Journal of Aging and Physical Activity   Check publisher's open access policy
Place of Publication Champaign, IL, United States
Publisher Human Kinetics
Publication Year 2012
Sub-type Published abstract
ISSN 1063-8652
1543-267X
Volume 20
Issue Supplement
Start page S141
End page S141
Total pages 1
Language eng
Formatted Abstract/Summary
Background: Fall related fractures are a major problem for women as they age. Preventing falls is the goal of fall prevention interventions among known fallers. There is little evidence to support fall screening and intervention for younger women. This study aimed to identify potentially modifiable health-related factors predicting falls and fracture in women over 40. Method: 449 women aged 40 to 80 years from the Longitudinal Assessment of Women (LAW) study participated. Demographic information (age, BMI, Medications, medical conditions and activity level, balance assessment including Timed Up & Go and modified Clinical Test for Sensory Interaction of Balance and measurements of bone mineral density and body composition were collected in 2001 as baseline, follow-up data on Falls and fracture data were conducted regularly until 2010 to determine incidence. Results: Multinomial logistic regression revealed that single falls could be predicted by a history of previous falls (OR3.08) and being unsteady in bipedal stance on foam with eyes closed (OR 1.99). Multiple falls were predicted by a history of falls at baseline (OR 4.69), low levels of activity (OR 2.17), greater number of medical conditions (OR 1.12) and being unsteady in bipedal stance on foam with eyes close (OR 4.21). Low bone mineral density (OR 3.13), greater number of medical conditions (OR 1.32) and a history of falls (OR 3.04) were predictive of fractures. Conclusions: This study showed that a significant proportion of falls occurs in women in their 40s and 50s. Poor health, decreased balance and inactivity are predictive of falls and low bone mineral density, low activity level and poor health predictive of fractures. Failing the balance test, bipedal stance on foam with eyes closed in the presence of low activity and poor health is a valid quick screening tool for detecting potential fallers for referral for in-depth balance assessment and intervention.
Keyword Fall predictions
Longitudinal assessment
Demographics
Balance
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Conference Paper
Collection: School of Health and Rehabilitation Sciences Publications
 
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