Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Zeitschrift für Gerontologie und Geriatrie 2/2014

01.02.2014 | Originalien

The prevalence of falls in adults aged 40 years or older in an urban, German population

Results from a telephone survey

verfasst von: J. Schumacher, L. Pientka, U. Trampisch, A. Moschny, T. Hinrichs, Dr. U. Thiem

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

Abstract

Background

Single or frequent falls lead to increased morbidity due to fall-related injury, fear of falling, impairments in quality of life and loss of independence. To assess the impact of falls, prevalence data are essential.

Methods

In 2006, a telephone survey was performed in a random sample of 1270 inhabitants of the city of Herne, Germany, aged 40 years or older. Participants were asked about falls during the previous 4 weeks and 6 and 12 months, respectively. A fall was defined as an unexpected event in which the individual comes to rest on the ground, floor or a lower level. Participants were also asked about pain and whether or not a medical diagnosis of osteoporosis had ever been made. Standardized prevalences and odds ratios (OR) with 95 % confidence interval are reported.

Results

In total, 862 (67.9 %) adults participated. Participants were significantly older than non-participants and more often female than male. Prevalences standardized for the population of Herne for at least one fall within the previous 4 weeks or 12 months or two or more falls within 12 months, respectively, were 3.1 %, 12.1 %, and 4.5 %. Women were more often affected than men. A total of 2.3 % participants reported both at least one fall and a medical diagnosis of osteoporosis. The prevalence of falls increased with increasing age and was also related to musculoskeletal pain.

Conclusions

Our estimates indicate that single and multiple falls affect a substantial proportion of adults in the urban population. Risk groups such as older adults and females with osteoporosis might represent a target group when considering measures for fall prevention.
Literatur
1.
Zurück zum Zitat Agrawal Y, Carey JP, Della Santina CC et al (2009) Disorders of balance and vestibular function in US adults: data from the National health and nutrition examination survey, 2001–2004. Arch Intern Med 169:938–944 PubMedCrossRef Agrawal Y, Carey JP, Della Santina CC et al (2009) Disorders of balance and vestibular function in US adults: data from the National health and nutrition examination survey, 2001–2004. Arch Intern Med 169:938–944 PubMedCrossRef
2.
Zurück zum Zitat Anders J, Dapp U, Laub S et al (2007) Einfluss von Sturzgefährdung und Sturzangst auf die Mobilität selbständig lebender, älterer Menschen am Übergang zur Gebrechlichkeit. Z Gerontol Geriatr 40:255–267 PubMedCrossRef Anders J, Dapp U, Laub S et al (2007) Einfluss von Sturzgefährdung und Sturzangst auf die Mobilität selbständig lebender, älterer Menschen am Übergang zur Gebrechlichkeit. Z Gerontol Geriatr 40:255–267 PubMedCrossRef
3.
Zurück zum Zitat Balzer K, Bremer M, Schramm S et al (2012) Sturzprophylaxe bei älteren Menschen in ihrer persönlichen Wohnumgebung. Schriftenreihe Health Technology Assessment 16 Balzer K, Bremer M, Schramm S et al (2012) Sturzprophylaxe bei älteren Menschen in ihrer persönlichen Wohnumgebung. Schriftenreihe Health Technology Assessment 16
4.
Zurück zum Zitat Becker C, Loy S, Nikolaus T et al (2006) A follow-up study on fall and fracture incidence in long-term care including the role of formal caregiver time on fall incidence rates. Z Gerontol Geriatr 39:292–296 PubMedCrossRef Becker C, Loy S, Nikolaus T et al (2006) A follow-up study on fall and fracture incidence in long-term care including the role of formal caregiver time on fall incidence rates. Z Gerontol Geriatr 39:292–296 PubMedCrossRef
5.
Zurück zum Zitat Bischoff-Ferrari HA (2011) The role of falls in fracture prediction. Curr Osteoporos Rep 9:116–121 PubMedCrossRef Bischoff-Ferrari HA (2011) The role of falls in fracture prediction. Curr Osteoporos Rep 9:116–121 PubMedCrossRef
6.
Zurück zum Zitat Blyth FM, Cumming R, Mitchell P et al (2007) Pain and falls in older people. Eur J Pain 11:564–571 PubMedCrossRef Blyth FM, Cumming R, Mitchell P et al (2007) Pain and falls in older people. Eur J Pain 11:564–571 PubMedCrossRef
7.
Zurück zum Zitat Chu LW, Chiu AY, Chi I (2008) Falls and subsequent health service utilization in community-dwelling Chinese older adults. Arch Gerontol Geriatr 46:125–135 PubMedCrossRef Chu LW, Chiu AY, Chi I (2008) Falls and subsequent health service utilization in community-dwelling Chinese older adults. Arch Gerontol Geriatr 46:125–135 PubMedCrossRef
8.
Zurück zum Zitat Clark EM, Gould VC, Morrison L et al (2012) Determinants of fracture risk in a UK-population-based cohort of older women: a cross-sectional analysis of the Cohort for Skeletal Health in Bristol and Avon (COSHIBA). Age Ageing 41:46–52 PubMedCentralPubMedCrossRef Clark EM, Gould VC, Morrison L et al (2012) Determinants of fracture risk in a UK-population-based cohort of older women: a cross-sectional analysis of the Cohort for Skeletal Health in Bristol and Avon (COSHIBA). Age Ageing 41:46–52 PubMedCentralPubMedCrossRef
9.
Zurück zum Zitat Coll-Planas L, Kron M, Sander S et al (2006) Accidental falls among community-dwelling older adults: improving the identification process of persons at risk by nursing staff. Z Gerontol Geriatr 39:277–282 PubMedCrossRef Coll-Planas L, Kron M, Sander S et al (2006) Accidental falls among community-dwelling older adults: improving the identification process of persons at risk by nursing staff. Z Gerontol Geriatr 39:277–282 PubMedCrossRef
10.
Zurück zum Zitat Collerton J, Kingston A, Bond J et al (2012) The personal and health service impact of falls in 85 year olds: cross-sectional findings from the Newcastle 85 + cohort study. PLoS One 7:e33078 PubMedCentralPubMedCrossRef Collerton J, Kingston A, Bond J et al (2012) The personal and health service impact of falls in 85 year olds: cross-sectional findings from the Newcastle 85 + cohort study. PLoS One 7:e33078 PubMedCentralPubMedCrossRef
11.
Zurück zum Zitat Dapp U, Anders J, Golgert S et al (2012) Ressourcen und Risiken im Alter – Die LUCAS-I Marker zur Klassifikation älterer Menschen als FIT, pre-FRAIL und FRAIL. Validierung und erste Ergebnisse aus der Longitudinalen Urbanen Cohorten-Alters-Studie (LUCAS). Z Gerontol Geriatr 45:262–270 PubMedCrossRef Dapp U, Anders J, Golgert S et al (2012) Ressourcen und Risiken im Alter – Die LUCAS-I Marker zur Klassifikation älterer Menschen als FIT, pre-FRAIL und FRAIL. Validierung und erste Ergebnisse aus der Longitudinalen Urbanen Cohorten-Alters-Studie (LUCAS). Z Gerontol Geriatr 45:262–270 PubMedCrossRef
12.
Zurück zum Zitat Ferrer A, Formiga F, Plana-Ripoll O et al (2012) Risk of falls in 85-year-olds is associated with functional and cognitive status: the Octabaix study. Arch Gerontol Geriatr 54:352–356 PubMedCrossRef Ferrer A, Formiga F, Plana-Ripoll O et al (2012) Risk of falls in 85-year-olds is associated with functional and cognitive status: the Octabaix study. Arch Gerontol Geriatr 54:352–356 PubMedCrossRef
13.
Zurück zum Zitat Freiberger E, Haberle L, Spirduso WW et al (2012) Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial. J Am Geriatr Soc 60:437–446 PubMedCrossRef Freiberger E, Haberle L, Spirduso WW et al (2012) Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: a randomized controlled trial. J Am Geriatr Soc 60:437–446 PubMedCrossRef
14.
Zurück zum Zitat Freiberger E, Menz HB, Abu-Omar K et al (2007) Preventing falls in physically active community-dwelling older people: a comparison of two intervention techniques. Gerontology 53:298–305 PubMedCrossRef Freiberger E, Menz HB, Abu-Omar K et al (2007) Preventing falls in physically active community-dwelling older people: a comparison of two intervention techniques. Gerontology 53:298–305 PubMedCrossRef
16.
Zurück zum Zitat Gregg EW, Pereira MA, Caspersen CJ (2000) Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc 48:883–893 PubMed Gregg EW, Pereira MA, Caspersen CJ (2000) Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc 48:883–893 PubMed
17.
Zurück zum Zitat Grundstrom AC, Guse CE, Layde PM (2012) Risk factors for falls and fall-related injuries in adults 85 years of age and older. Arch Gerontol Geriatr 54:421–428 PubMedCentralPubMedCrossRef Grundstrom AC, Guse CE, Layde PM (2012) Risk factors for falls and fall-related injuries in adults 85 years of age and older. Arch Gerontol Geriatr 54:421–428 PubMedCentralPubMedCrossRef
18.
Zurück zum Zitat Hartholt KA, Van Beeck EF, Polinder S et al (2011) Societal consequences of falls in the older population: injuries, healthcare costs, and long-term reduced quality of life. J Trauma 71:748–753 PubMedCrossRef Hartholt KA, Van Beeck EF, Polinder S et al (2011) Societal consequences of falls in the older population: injuries, healthcare costs, and long-term reduced quality of life. J Trauma 71:748–753 PubMedCrossRef
19.
Zurück zum Zitat Heinrich S, Rapp K, Rissmann U et al (2010) Cost of falls in old age: a systematic review. Osteoporos Int 21:891–902 PubMedCrossRef Heinrich S, Rapp K, Rissmann U et al (2010) Cost of falls in old age: a systematic review. Osteoporos Int 21:891–902 PubMedCrossRef
20.
Zurück zum Zitat Heinze C, Halfens RJ, Dassen T (2007) Falls in German in-patients and residents over 65 years of age. J Clin Nurs 16:495–501 PubMedCrossRef Heinze C, Halfens RJ, Dassen T (2007) Falls in German in-patients and residents over 65 years of age. J Clin Nurs 16:495–501 PubMedCrossRef
21.
Zurück zum Zitat Kohler M, Rieck A, Borch S (2005) Method and design of the Telephone Health Survey 2003. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 48:1224–1230 PubMedCrossRef Kohler M, Rieck A, Borch S (2005) Method and design of the Telephone Health Survey 2003. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 48:1224–1230 PubMedCrossRef
22.
Zurück zum Zitat Lamb SE, Jorstad-Stein EC, Hauer K et al (2005) Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. J Am Geriatr Soc 53:1618–1622 PubMedCrossRef Lamb SE, Jorstad-Stein EC, Hauer K et al (2005) Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. J Am Geriatr Soc 53:1618–1622 PubMedCrossRef
23.
Zurück zum Zitat Milat AJ, Watson Wl, Monger C et al (2011) Prevalence, circumstances and consequences of falls among community-dwelling older people: results of the 2009 NSW Falls Prevention Baseline Survey. N S W Public Health Bull 22:43–48 PubMedCrossRef Milat AJ, Watson Wl, Monger C et al (2011) Prevalence, circumstances and consequences of falls among community-dwelling older people: results of the 2009 NSW Falls Prevention Baseline Survey. N S W Public Health Bull 22:43–48 PubMedCrossRef
24.
Zurück zum Zitat Olsson Moller U, Midlov P, Kristensson J et al (2013) Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age—a longitudinal cohort study. Arch Gerontol Geriatr 56:160–168 CrossRef Olsson Moller U, Midlov P, Kristensson J et al (2013) Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age—a longitudinal cohort study. Arch Gerontol Geriatr 56:160–168 CrossRef
25.
Zurück zum Zitat Rapp K, Becker C, Cameron ID et al (2012) Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes. J Am Med Dir Assoc 13:187 e181–186 PubMedCrossRef Rapp K, Becker C, Cameron ID et al (2012) Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes. J Am Med Dir Assoc 13:187 e181–186 PubMedCrossRef
26.
Zurück zum Zitat Rapp K, Lamb SE, Buchele G et al (2008) Prevention of falls in nursing homes: subgroup analyses of a randomized fall prevention trial. J Am Geriatr Soc 56:1092–1097 PubMedCrossRef Rapp K, Lamb SE, Buchele G et al (2008) Prevention of falls in nursing homes: subgroup analyses of a randomized fall prevention trial. J Am Geriatr Soc 56:1092–1097 PubMedCrossRef
27.
Zurück zum Zitat Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35(Suppl 2):37–41 CrossRef Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35(Suppl 2):37–41 CrossRef
28.
Zurück zum Zitat Scheffer AC, Schuurmans MJ, Van Dijk N et al (2008) Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 37:19–24 PubMedCrossRef Scheffer AC, Schuurmans MJ, Van Dijk N et al (2008) Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 37:19–24 PubMedCrossRef
29.
Zurück zum Zitat Skalska A, Wizner B, Piotrowicz K et al (2012) The prevalence of falls and their relation to visual and hearing impairments among a nation-wide cohort of older Poles. Exp Gerontol (Epub ahead of print) Skalska A, Wizner B, Piotrowicz K et al (2012) The prevalence of falls and their relation to visual and hearing impairments among a nation-wide cohort of older Poles. Exp Gerontol (Epub ahead of print)
30.
Zurück zum Zitat Stevens JA, Mack KA, Paulozzi LJ et al (2008) Self-reported falls and fall-related injuries among persons aged > or = 65 years—United States, 2006. J Safety Res 39:345–349 PubMedCrossRef Stevens JA, Mack KA, Paulozzi LJ et al (2008) Self-reported falls and fall-related injuries among persons aged > or = 65 years—United States, 2006. J Safety Res 39:345–349 PubMedCrossRef
31.
Zurück zum Zitat Thiem U, Schumacher J, Zacher J et al (2008) Prevalence of musculoskeletal complaints and self-reported joint osteoarthritis in the population of Herne: a telephone survey. Z Rheumatol 67:432–439 PubMed Thiem U, Schumacher J, Zacher J et al (2008) Prevalence of musculoskeletal complaints and self-reported joint osteoarthritis in the population of Herne: a telephone survey. Z Rheumatol 67:432–439 PubMed
32.
Zurück zum Zitat Visschedijk J, Achterberg W, Van Balen R et al (2011) Fear of falling after hip fracture: a systematic review of measurement instruments, prevalence, interventions, and related factors. J Am Geriatr Soc 58:1739–1748 CrossRef Visschedijk J, Achterberg W, Van Balen R et al (2011) Fear of falling after hip fracture: a systematic review of measurement instruments, prevalence, interventions, and related factors. J Am Geriatr Soc 58:1739–1748 CrossRef
33.
Zurück zum Zitat Heideken Wagert P von, Gustafson Y, Kallin K et al (2009) Falls in very old people: the population-based Umea 85 + study in Sweden. Arch Gerontol Geriatr 49:390–396 CrossRef Heideken Wagert P von, Gustafson Y, Kallin K et al (2009) Falls in very old people: the population-based Umea 85 + study in Sweden. Arch Gerontol Geriatr 49:390–396 CrossRef
34.
Zurück zum Zitat Wang J, Chen Z, Song Y (2010) Falls in aged people of the Chinese mainland: epidemiology, risk factors and clinical strategies. Ageing Res Rev 9(Suppl 1):S13–S17 PubMedCrossRef Wang J, Chen Z, Song Y (2010) Falls in aged people of the Chinese mainland: epidemiology, risk factors and clinical strategies. Ageing Res Rev 9(Suppl 1):S13–S17 PubMedCrossRef
Metadaten
Titel
The prevalence of falls in adults aged 40 years or older in an urban, German population
Results from a telephone survey
verfasst von
J. Schumacher
L. Pientka
U. Trampisch
A. Moschny
T. Hinrichs
Dr. U. Thiem
Publikationsdatum
01.02.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 2/2014
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-013-0503-y