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Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls

Background: Previous studies have proposed various physical tests for screening fall risk in older adults. However, older adults may have physical or cognitive impairments that make testing difficult. This study describes the differences in individual, physical, and psychological factors between adu...

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Autores principales: Kim, Jiyeon, Byun, Mikyong, Kim, Moonho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277477/
https://www.ncbi.nlm.nih.gov/pubmed/32438632
http://dx.doi.org/10.3390/ijerph17103548
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author Kim, Jiyeon
Byun, Mikyong
Kim, Moonho
author_facet Kim, Jiyeon
Byun, Mikyong
Kim, Moonho
author_sort Kim, Jiyeon
collection PubMed
description Background: Previous studies have proposed various physical tests for screening fall risk in older adults. However, older adults may have physical or cognitive impairments that make testing difficult. This study describes the differences in individual, physical, and psychological factors between adults in good and poor self-rated health statuses. Further, we identified the physical or psychological factors associated with self-rated health by controlling for individual variables. Methods: Data from a total of 1577 adults aged 65 years or over with a history of falls were analyzed, using the 2017 National Survey of Older Persons in South Korea. Self-reported health status was dichotomized as good versus poor using the 5-point Likert question: “poor” (very poor and poor) and “good” (fair, good, and very good). Results: Visual/hearing impairments, ADL/IADL restriction, poor nutrition, and depression were more frequently observed in the group with poor self-rated health. Multivariable logistic regression revealed that poor self-reported health was significantly associated with hearing impairments (OR: 1.51, 95% CI 1.12–2.03), ADL limitation (OR: 1.77, 95% CI 1.11–2.81), IADL limitation (OR: 2.27, 95% CI 1.68–3.06), poor nutrition (OR: 1.36, 95% CI 1.05–1.77), and depression (OR 3.77, 95% CI 2.81–5.06). Conclusions: Auditory impairment, ADL/IADL limitations, poor nutrition, and depression were significantly associated with poor self-reported health. A self-rated health assessment could be an alternative tool for older adults who are not able to perform physical tests.
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spelling pubmed-72774772020-06-12 Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls Kim, Jiyeon Byun, Mikyong Kim, Moonho Int J Environ Res Public Health Article Background: Previous studies have proposed various physical tests for screening fall risk in older adults. However, older adults may have physical or cognitive impairments that make testing difficult. This study describes the differences in individual, physical, and psychological factors between adults in good and poor self-rated health statuses. Further, we identified the physical or psychological factors associated with self-rated health by controlling for individual variables. Methods: Data from a total of 1577 adults aged 65 years or over with a history of falls were analyzed, using the 2017 National Survey of Older Persons in South Korea. Self-reported health status was dichotomized as good versus poor using the 5-point Likert question: “poor” (very poor and poor) and “good” (fair, good, and very good). Results: Visual/hearing impairments, ADL/IADL restriction, poor nutrition, and depression were more frequently observed in the group with poor self-rated health. Multivariable logistic regression revealed that poor self-reported health was significantly associated with hearing impairments (OR: 1.51, 95% CI 1.12–2.03), ADL limitation (OR: 1.77, 95% CI 1.11–2.81), IADL limitation (OR: 2.27, 95% CI 1.68–3.06), poor nutrition (OR: 1.36, 95% CI 1.05–1.77), and depression (OR 3.77, 95% CI 2.81–5.06). Conclusions: Auditory impairment, ADL/IADL limitations, poor nutrition, and depression were significantly associated with poor self-reported health. A self-rated health assessment could be an alternative tool for older adults who are not able to perform physical tests. MDPI 2020-05-19 2020-05 /pmc/articles/PMC7277477/ /pubmed/32438632 http://dx.doi.org/10.3390/ijerph17103548 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Jiyeon
Byun, Mikyong
Kim, Moonho
Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls
title Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls
title_full Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls
title_fullStr Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls
title_full_unstemmed Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls
title_short Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls
title_sort physical and psychological factors associated with poor self-reported health status in older adults with falls
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277477/
https://www.ncbi.nlm.nih.gov/pubmed/32438632
http://dx.doi.org/10.3390/ijerph17103548
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