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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.
  • Fallaci, Isabella Vittoria; Universidade Federal de São Carlos (UFSCar). Department of Gerontology. Research Group on Mental Health, Cognition and Aging. São Carlos. BR
  • Fabrício, Daiene de Morais; Universidade Federal de São Carlos (UFSCar). Department of Gerontology. Research Group on Mental Health, Cognition and Aging. São Carlos. BR
  • Alexandre, Tiago da Silva; Universidade Federal de São Carlos (UFSCar). Department of Gerontology. São Carlos. BR
  • Chagas, Marcos Hortes Nisihara; Universidade Federal de São Carlos (UFSCar). Department of Gerontology. Research Group on Mental Health, Cognition and Aging. São Carlos. BR
São Paulo med. j ; 140(3): 422-429, May-June 2022. tab
Article in English | LILACS | ID: biblio-1377396
ABSTRACT
ABSTRACT

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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Accidental Falls / Alzheimer Disease Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Carlos (UFSCar)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Accidental Falls / Alzheimer Disease Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Carlos (UFSCar)/BR