Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study
Objectives: To explore diverse lifestyle-related factors associated with falls and fall-related hospitalizations among community-dwelling older adults. Methods: Individuals aged 60 and above were selected from “Psychology and Behavior Investigation of Chinese Residents,” a national cross-sectional s...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-09-01
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| Series: | Clinical Epidemiology and Global Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398425002519 |
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| Summary: | Objectives: To explore diverse lifestyle-related factors associated with falls and fall-related hospitalizations among community-dwelling older adults. Methods: Individuals aged 60 and above were selected from “Psychology and Behavior Investigation of Chinese Residents,” a national cross-sectional study. Falls and fall-related hospitalizations were investigated, with an exploration of differences groups. Lastly, lifestyle-related factors were identified and analyzed using logistic regression to assess their association with falls and fall-related hospitalizations. Results: 366 (8.9 %) of 4116 older adults reported falls. Among these, 252 were injured, resulting in a 68.9 % injury rate. Furthermore, 64 individuals (17.5 %) were hospitalized due to fall. Older adults may be more prone to falls if they exhibit certain characteristics or engage in specific behaviors, such as suffering from multimorbidity or ophthalmic diseases, being an abstainer, regularly consuming tea, sugar-sweetened beverages and coffee, prolonged sitting habits (>3 h/a day), or experiencing nighttime awakening. The normal or higher body mass index and residing in urban areas could reduce fall risk. Advanced age (≥75years old) can further influence the likelihood of hospitalization due to fall. Moderate intake of sugar-sweetened beverages (1–3 bottles/a week) and inadequate daily walking (≥61 min/a day) could reduce the risk of hospitalization. Conclusions: The fall injury rate and hospitalization rate of older adults in the community are both relatively high. Future research can further focus on lifestyle-related factors to reduce falls and fall-related injuries, thereby alleviating the burden caused by falls. |
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| ISSN: | 2213-3984 |