Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study

BACKGROUND: Falls among older people have a negative impact on health and therefore constitute a public health problem. Cognitive decline can also accompany the aging process, and both conditions lead to significant increases in morbidity and mortality in this population. OBJECTIVE: To analyze the c...

Descripción completa

Detalles Bibliográficos
Autores principales: Fallaci, Isabella Vittoria, Fabrício, Daiene de Morais, Alexandre, Tiago da Silva, Chagas, Marcos Hortes Nisihara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Paulista de Medicina - APM 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671243/
https://www.ncbi.nlm.nih.gov/pubmed/35507999
http://dx.doi.org/10.1590/1516-3180.2021.0180.R1.15092021
_version_ 1784832499206062080
author Fallaci, Isabella Vittoria
Fabrício, Daiene de Morais
Alexandre, Tiago da Silva
Chagas, Marcos Hortes Nisihara
author_facet Fallaci, Isabella Vittoria
Fabrício, Daiene de Morais
Alexandre, Tiago da Silva
Chagas, Marcos Hortes Nisihara
author_sort Fallaci, Isabella Vittoria
collection PubMed
description BACKGROUND: Falls among older people have a negative impact on health and therefore constitute a public health problem. Cognitive decline can also accompany the aging process, and both conditions lead to significant increases in morbidity and mortality in this population. OBJECTIVE: To analyze the cognitive performance of older people, classified as non-fallers, sporadic fallers and recurrent fallers, and investigate the relationship between falls and cognition. DESIGN AND SETTING: Cross-sectional study conducted in the interior of the state of São Paulo, Brazil. METHODS: Evaluations on 230 older people were conducted. They were divided into three groups: non-fallers, sporadic fallers (one fall) and recurrent fallers (two or more falls). The Mini-Mental State Examination, Consortium to Establish a Registry for Alzheimer’s Disease (CERAD), Brief Cognitive Screening Battery (BCSB), Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) similarities subtest and digit span test were applied. RESULTS: In multinomial logistic regression, being a recurrent faller was significantly associated with lower scores in the CERAD word list (odds ratio, OR = 0.92; 95% confidence interval, CI, 0.86-0.98; P = 0.01), in CERAD constructive praxis (OR = 0.88; 95% CI, 0.79-0.98; P = 0.02), in BCSB figure list memory (OR = 0.94; 95% CI, 0.89-0.99; P = 0.02) and in verbal fluency (OR = 0.89; 95% CI, 0.81-0.97; P = 0.01). Recurrent fallers also had lower scores in these same tests, compared with sporadic fallers. CONCLUSION: Cognitive impairment, especially in the domains of memory and executive functioning, can influence occurrences of recurrent falls.
format Online
Article
Text
id pubmed-9671243
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Associação Paulista de Medicina - APM
record_format MEDLINE/PubMed
spelling pubmed-96712432022-11-18 Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study Fallaci, Isabella Vittoria Fabrício, Daiene de Morais Alexandre, Tiago da Silva Chagas, Marcos Hortes Nisihara Sao Paulo Med J Original Article BACKGROUND: Falls among older people have a negative impact on health and therefore constitute a public health problem. Cognitive decline can also accompany the aging process, and both conditions lead to significant increases in morbidity and mortality in this population. OBJECTIVE: To analyze the cognitive performance of older people, classified as non-fallers, sporadic fallers and recurrent fallers, and investigate the relationship between falls and cognition. DESIGN AND SETTING: Cross-sectional study conducted in the interior of the state of São Paulo, Brazil. METHODS: Evaluations on 230 older people were conducted. They were divided into three groups: non-fallers, sporadic fallers (one fall) and recurrent fallers (two or more falls). The Mini-Mental State Examination, Consortium to Establish a Registry for Alzheimer’s Disease (CERAD), Brief Cognitive Screening Battery (BCSB), Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) similarities subtest and digit span test were applied. RESULTS: In multinomial logistic regression, being a recurrent faller was significantly associated with lower scores in the CERAD word list (odds ratio, OR = 0.92; 95% confidence interval, CI, 0.86-0.98; P = 0.01), in CERAD constructive praxis (OR = 0.88; 95% CI, 0.79-0.98; P = 0.02), in BCSB figure list memory (OR = 0.94; 95% CI, 0.89-0.99; P = 0.02) and in verbal fluency (OR = 0.89; 95% CI, 0.81-0.97; P = 0.01). Recurrent fallers also had lower scores in these same tests, compared with sporadic fallers. CONCLUSION: Cognitive impairment, especially in the domains of memory and executive functioning, can influence occurrences of recurrent falls. Associação Paulista de Medicina - APM 2022-03-18 /pmc/articles/PMC9671243/ /pubmed/35507999 http://dx.doi.org/10.1590/1516-3180.2021.0180.R1.15092021 Text en © 2022 by Associação Paulista de Medicina https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons license.
spellingShingle Original Article
Fallaci, Isabella Vittoria
Fabrício, Daiene de Morais
Alexandre, Tiago da Silva
Chagas, Marcos Hortes Nisihara
Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study
title Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study
title_full Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study
title_fullStr Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study
title_full_unstemmed Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study
title_short Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study
title_sort association between falls and cognitive performance among community-dwelling older people: a cross-sectional study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671243/
https://www.ncbi.nlm.nih.gov/pubmed/35507999
http://dx.doi.org/10.1590/1516-3180.2021.0180.R1.15092021
work_keys_str_mv AT fallaciisabellavittoria associationbetweenfallsandcognitiveperformanceamongcommunitydwellingolderpeopleacrosssectionalstudy
AT fabriciodaienedemorais associationbetweenfallsandcognitiveperformanceamongcommunitydwellingolderpeopleacrosssectionalstudy
AT alexandretiagodasilva associationbetweenfallsandcognitiveperformanceamongcommunitydwellingolderpeopleacrosssectionalstudy
AT chagasmarcoshortesnisihara associationbetweenfallsandcognitiveperformanceamongcommunitydwellingolderpeopleacrosssectionalstudy