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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Associação Paulista de Medicina - APM
2022
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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 |
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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 |
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