What causes middle-age adults to fall


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Causes of falls




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Significant differences were found between the three age groups with respect to number of falls, activities engaged in prior to falling, perceived causes of the fall and where they fell. Background Falls are a health problem in need of preventive intervention and research [ 1 ] middle-agee prior Waht focused cahses older adults [ 2 ]. In older people, falls are a risk factor for disability and frailty, and exacerbate the disablement process [ 34 ]. Numerous studies have reported on the circumstances surrounding falls in older adults including descriptive studies detailing falls causation, related injuries, and risk factor determination [ 56 ]. This information on falls has also led to the development and testing of various preventive interventions for older adults including preventive screening for those at risk, strength and balance training, home hazard assessments with modifications, and Tai Chi [ 5 ].

In contrast to studies in older people, little attention is given to falls in young and middle-aged adults where falls represent a risk for injury with related expenses and potential interference with work and family [ 78 ]. Publications are lacking that describe the incidence, prevalence and circumstances surrounding falls in these age groups. This descriptive study examines and compares falls in young, middle and older aged men and women. The focus is on the faller's activity, environment, and perception as to what caused the fall. Participants return for evaluation at one to five year intervals for 1—3 days of physiological and psychological tests at the Gerontology Research Center GRC.

BLSA participants are community residing, predominantly upper middle class and health conscious.

A falls questionnaire was completed by men and women aged 20 to 92 years from to with Descriptive variables Physical activity was based on a self-report of 97 activities performed over the previous 2 years and converted into metabolic equivalents of resting oxygen consumption MET-minutes per 24 hours see Talbot et. Body mass index BMI was calculated from weight in kilograms divided by height in meters squared. Instruments The History of Falls questionnaire is a item survey developed in by Dr. Medications that most commonly cause these symptoms include: As we get older, our bodies find it more difficult to process alcohol and we can become more sensitive to its effects, causing an increased risk of falls.

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Bladder and bowel conditions If you have a bladder or bowel condition that causes you to rush to the toilet, or visit more often during the day or night, you could be at an increased risk of falling. This is especially the case if you're already unsteady on your feet or feel dizzy when getting up from sitting or lying down. Continence problemsand the symptoms of bladder irritability, can often be improved with the correct treatment. A fall as a warning sign A fall might be the first sign of a new or worsening health condition. New, and often temporary, health conditions that can cause falls include: Potential risk factors for falls included demographic characteristics; weight and height, which were used to calculate body mass index BMI ; overall health status compared with others of similar age; history of practitioner-diagnosed medical conditions; self-reported foot problems; history of certain neuromuscular symptoms during the past year; history of using selected medications at least once a week for at least 1 year; recent use of medications for sleeping, calming nerves, or lifting mood; cigarette smoking; and alcohol consumption.

To measure physical functioning, respondents were asked to report level of difficulty performing various tasks. Ability to perform activities of daily living during the past month was assessed with an approach similar to that used by Schwartz et al. Each activity was assigned an appropriate metabolic equivalent value, 29 and a summary variable for total physical activity in metabolic equivalent hours of exercise per month was obtained by multiplying intensity by frequency by duration and then summing across all activities. Because of the reduction in number of respondents for these variables, analyses that included those variables were based on slightly smaller numbers than analyses that did not include them.

Fall What to causes adults middle-age

Frequency and characteristics of falls were stratified by age and gender into the following categories: Associations of indoor and outdoor falls with potential risk factors were assessed using unconditional multinomial logistic regression; nonfallers were the referent category, and indoor fallers and outdoor fallers were treated as mutually exclusive categories. For both types of falls, the same predictors were included in the models, making it possible for us to examine whether the risk factor profiles differed between those who fell outdoors and those who fell indoors.

Likelihood ratio tests evaluated the statistical significance of categorical risk factors. The analysis was conducted with and without probability sampling weights.

The impact adultd weighting was negligible; therefore, the unweighted results are presented. Gardens, patios, yards, decks or porches, parks and recreational areas, parking garages and parking lots, and outdoor stairs also were frequently cited. Among middle-aged men, an outdoor fall was most likely to have occurred while engaging in a vigorous activity.


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