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Fall risk in Chinese community-dwelling older adults: A physiological profile assessment study.
Siong, Kar-Ho; Kwan, Marcella Mun-San; Lord, Stephen R; Lam, Andrew Kwok-Cheung; Tsang, William Wai-Nam; Cheong, Allen Ming-Yan.
Afiliação
  • Siong KH; School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, China.
  • Kwan MM; Falls and Balance Research Group, Neuroscience Research Australia, Sydney, New South Wales, Australia.
  • Lord SR; School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
  • Lam AK; Falls and Balance Research Group, Neuroscience Research Australia, Sydney, New South Wales, Australia.
  • Tsang WW; School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia.
  • Cheong AM; School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR, China.
Geriatr Gerontol Int ; 16(2): 259-65, 2016 Feb.
Article em En | MEDLINE | ID: mdl-25655079
AIM: The short-form Physiological Profile Assessment (PPA) is increasingly used in clinical practice for assessing fall risk in older people. However, a normative database is only available for Caucasian populations. The purpose of the present study was to develop a normative database for Hong Kong Chinese older people and examine the fall risk profile of this population. METHODS: A total of 622 participants aged 60-95 years were recruited. Participants underwent the PPA (containing tests of contrast sensitivity, proprioception, quadriceps strength, reaction time and sway), and composite fall risk scores were computed. Participants were then followed up for falls for 1 year. RESULTS: Quadriceps strength and lower limb proprioception scores were comparable with those reported for Caucasian populations. However, contrast sensitivity, simple reaction time and postural sway scores were relatively poor. The average composite fall risk score was 1.7 ± 1.5, showing a "moderate" fall risk when compared with the Caucasian norms. Despite the relatively poor physical performances and moderately high fall risk scores, the incidence of one plus falls in the 1-year follow-up period was just 16.4%, with just 2.6% reporting two plus falls. The area under the curve for composite fall risk scores in discriminating fallers from non-fallers was 0.53 (95% CI 0.45-0.60). CONCLUSIONS: Despite poorer performance in PPA tests, the incidence of prospective falls in a Hong Kong Chinese population was low. In consequence, the PPA could not discriminate well between fallers and non-fallers. The present study provided normality data for short-form PPA measures for older Chinese people as a reference for further studies.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Acidentes por Quedas / Avaliação Geriátrica Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Geriatr Gerontol Int Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 Base de dados: MEDLINE Assunto principal: Acidentes por Quedas / Avaliação Geriátrica Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: Geriatr Gerontol Int Ano de publicação: 2016 Tipo de documento: Article