Long-term consequences of non-injurious and injurious falls on well-being in older women

Peeters, G. M. E. E. (Geeske), Jones, Mark, Byles, Julie and Dobson, Annette J. (2015) Long-term consequences of non-injurious and injurious falls on well-being in older women. The Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 70 12: 1519-1525. doi:10.1093/gerona/glv102


Author Peeters, G. M. E. E. (Geeske)
Jones, Mark
Byles, Julie
Dobson, Annette J.
Title Long-term consequences of non-injurious and injurious falls on well-being in older women
Journal name The Journals of Gerontology. Series A: Biological Sciences and Medical Sciences   Check publisher's open access policy
ISSN 1079-5006
1758-535X
Publication date 2015-12-01
Year available 2015
Sub-type Article (original research)
DOI 10.1093/gerona/glv102
Open Access Status Not Open Access
Volume 70
Issue 12
Start page 1519
End page 1525
Total pages 7
Place of publication Cary, NC United States
Publisher Oxford University Press
Collection year 2016
Language eng
Formatted abstract
Background. The physical and mental health consequences of falls are known to influence well-being in the short term. The aim was to investigate the long-term consequences of noninjurious and injurious falls on well-being in older women over 12 years.

Methods. A total of 10,277 participants (aged 73–78 years, 98.8% community-dwelling) returned the 1999 survey of the Australian Longitudinal Study on Women’s Health. Follow-up surveys were completed at 3-year intervals. Surveys included questions about falls and related injuries in the past year. Scores on the health-related quality of life Short Form-36 subscales (range 0–100) were used to compare well-being between noninjurious fallers, injurious fallers, and nonfallers using linear mixed modeling with adjustment for confounders. Scores in the years before and after the first fall since enrolment were graphically depicted with time relative to the first fall since enrolment. For this purpose, nonfallers were matched with noninjurious and injurious fallers based on pattern of surveys returned, chronic conditions, and age to assign them a fictitious “time-of-first-fall.”

Results. Over 12 years, there were 22.5% noninjurious fallers, 30.1% injurious fallers, and 47.5% nonfallers. Compared with nonfallers, noninjurious and injurious fallers scored significantly lower on six and seven of the eight domains at the time of the reported fall, respectively. Significant differences were apparent 12 years before the injurious fall for the subscales role physical, bodily pain, and general health. A drop in scores after the reported injurious fall was seen for role physical, bodily pain, and social functioning.

Conclusions. Among older women, a gap in well-being emerges years before the first reported fall, which may be driven by underlying risk factors rather than the fall itself.
Keyword Accidental falls
Old age
Quality of life
Injury
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
School of Human Movement and Nutrition Sciences Publications
 
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Created: Wed, 18 Nov 2015, 13:53:34 EST by Alison Manley on behalf of School of Public Health