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Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population
BACKGROUND: Dizziness is common among older people and falling is a feared complication. AIM: The purpose of this study was to investigate the presence of dizziness and its association with falls, walking speed and fear of falling, including sex differences, among 79-year-olds. Secondary purposes we...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260266/ https://www.ncbi.nlm.nih.gov/pubmed/31489596 http://dx.doi.org/10.1007/s40520-019-01303-6 |
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author | Lindell, Ellen Kollén, Lena Johansson, Mia Karlsson, Therese Rydén, Lina Zettergren, Anna Frändin, Kerstin Skoog, Ingmar Finizia, Caterina |
author_facet | Lindell, Ellen Kollén, Lena Johansson, Mia Karlsson, Therese Rydén, Lina Zettergren, Anna Frändin, Kerstin Skoog, Ingmar Finizia, Caterina |
author_sort | Lindell, Ellen |
collection | PubMed |
description | BACKGROUND: Dizziness is common among older people and falling is a feared complication. AIM: The purpose of this study was to investigate the presence of dizziness and its association with falls, walking speed and fear of falling, including sex differences, among 79-year-olds. Secondary purposes were to describe the relationship between dizziness and falls to number of medications and diseases. METHOD: The study consisted of the fifth cohort of Gothenburg’s H70 birth cohort studies. A sample of 662 79-year-olds (404 women, 258 men) were investigated with questions regarding dizziness, previous falls and falls efficacy [estimated according to the falls efficacy scale Swedish version (FES (S))]. Functional tests included self-selected and maximal walking speed over 20 m. RESULTS: Dizziness was reported among 51% of the women and by 58% of the men (p = 0.12). Approximately, 40% had fallen during the past 12 months (41% women, 38% of the men, p = 0.48). Dizziness was related to a higher risk of falls among women (OR 2.63 (95% CI 1.67−4.14, p < 0.0001), but not among men (OR 1.07, 95% CI 0.63−1.82, p = 0.8). Dizzy individuals had lower scores on FES (S) (p < 0.01), more medications (p < 0.001) and diseases (p < 0.001) than those without dizziness. Participants who reported dizziness walked 10% slower than participants without dizziness (p < 0.001). CONCLUSION: Women with dizziness more often reported falls compared to women without dizziness—a trend that was not seen among men. Persons with dizziness walked slower. Many medications increased risk of falling; hence, number of medications alone might help pinpoint risk groups for falling. |
format | Online Article Text |
id | pubmed-7260266 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-72602662020-06-08 Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population Lindell, Ellen Kollén, Lena Johansson, Mia Karlsson, Therese Rydén, Lina Zettergren, Anna Frändin, Kerstin Skoog, Ingmar Finizia, Caterina Aging Clin Exp Res Original Article BACKGROUND: Dizziness is common among older people and falling is a feared complication. AIM: The purpose of this study was to investigate the presence of dizziness and its association with falls, walking speed and fear of falling, including sex differences, among 79-year-olds. Secondary purposes were to describe the relationship between dizziness and falls to number of medications and diseases. METHOD: The study consisted of the fifth cohort of Gothenburg’s H70 birth cohort studies. A sample of 662 79-year-olds (404 women, 258 men) were investigated with questions regarding dizziness, previous falls and falls efficacy [estimated according to the falls efficacy scale Swedish version (FES (S))]. Functional tests included self-selected and maximal walking speed over 20 m. RESULTS: Dizziness was reported among 51% of the women and by 58% of the men (p = 0.12). Approximately, 40% had fallen during the past 12 months (41% women, 38% of the men, p = 0.48). Dizziness was related to a higher risk of falls among women (OR 2.63 (95% CI 1.67−4.14, p < 0.0001), but not among men (OR 1.07, 95% CI 0.63−1.82, p = 0.8). Dizzy individuals had lower scores on FES (S) (p < 0.01), more medications (p < 0.001) and diseases (p < 0.001) than those without dizziness. Participants who reported dizziness walked 10% slower than participants without dizziness (p < 0.001). CONCLUSION: Women with dizziness more often reported falls compared to women without dizziness—a trend that was not seen among men. Persons with dizziness walked slower. Many medications increased risk of falling; hence, number of medications alone might help pinpoint risk groups for falling. Springer International Publishing 2019-09-05 2020 /pmc/articles/PMC7260266/ /pubmed/31489596 http://dx.doi.org/10.1007/s40520-019-01303-6 Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Lindell, Ellen Kollén, Lena Johansson, Mia Karlsson, Therese Rydén, Lina Zettergren, Anna Frändin, Kerstin Skoog, Ingmar Finizia, Caterina Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population |
title | Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population |
title_full | Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population |
title_fullStr | Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population |
title_full_unstemmed | Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population |
title_short | Dizziness and its association with walking speed and falls efficacy among older men and women in an urban population |
title_sort | dizziness and its association with walking speed and falls efficacy among older men and women in an urban population |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260266/ https://www.ncbi.nlm.nih.gov/pubmed/31489596 http://dx.doi.org/10.1007/s40520-019-01303-6 |
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