Abstract
Background
With the ageing population in India facing an increased risk of falls, understanding the detailed prevalence and nuanced risk factors is essential for developing effective prevention strategies. To assess the burden of falls and delineate associated risk factors among the elderly in India, leveraging data from the Longitudinal Aging Study of India (LASI).
Methods
This study analyzed LASI data from 2017-2019, focusing on individuals aged 60 and above. We assessed self-reported falls over the past two years and evaluated potential risk factors, including sociodemographic characteristics and chronic health conditions, through logistic regression models.
Results
Among 28,710 participants, the prevalence of falls was 11.43%. Detailed analysis revealed significant gender differences, with females (odds ratio = 1.31, p =0.000) experiencing more falls than males. The prevalence rates based on age groups indicated that individuals aged 80 and older were more prone to experiencing falls (odds ratio = 1.16, p = 0.011) in contrast to those aged between 60 and 69 years. Chronic conditions such as bone/joint diseases and vision problems markedly increased fall risk (aOR = 1.25 and aOR = 1.11, respectively). Notably, self-rated poor health emerged as a strong predictor for falls (aOR = 3.26), emphasizing the interplay of physical health and self-perception in fall risk.
Conclusion
The study identifies specific demographics and health conditions that significantly increase fall risk among India's elderly. Highlighting the disproportionate impact on females and the elderly above 80, alongside the critical role of self-rated health.
Keywords:
elderly fall prevention, ageing population health, geriatric safety, health equity, sustainable healthcare, age-related risk factors, quality of life in ageingReferences
Srivastava S, Muhammad T. Prevalence and risk factors of fall-related injury among older adults in India: evidence from a cross-sectional observational study. BMC Public Health. 2022;22(1):550.
Jindal HA, Duggal M, Jamir L, Sharma D, Kankaria A, Rohilla L, et al. Mental health and environmental factors associated with falls in the elderly in North India: A naturalistic community study. Asian J Psychiatr. 2019;39:17-21.
Sasidharan DK, Vijayakumar P, Raj M, Soman S, Antony L, Sudhakar A, Kabali C. Incidence and risk factors for falls among community-dwelling elderly subjects on a 1-year follow-up: a prospective cohort study from Ernakulam, Kerala, India. BMJ Open. 2020;10(7):e033691.
Salari N, Darvishi N, Ahmadipanah M, Shohaimi S, Mohammadi M. Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. J Orthop Surg Res. 2022;17(1):334.
Vaishya R, Vaish A. Falls in Older Adults are Serious. Indian J Orthop. 2020;54(1):69-74.
Kumar M, Kumari N, Chanda S, Dwivedi LK. Multimorbidity combinations and their association with functional disabilities among Indian older adults: evidence from Longitudinal Ageing Study in India (LASI). BMJ Open. 2023;13(2):e062554.
Ghosh A, Kundu M, Devasenapathy N, Woodward M, Jha V. Frailty among middle-aged and older women and men in India: findings from wave 1 of the longitudinal Ageing study in India. BMJ Open. 2023;13(7):e071842.
Tang S, Liu M, Yang T, Ye C, Gong Y, Yao L, et al. Association between falls in elderly and the number of chronic diseases and health-related behaviors based on CHARLS 2018: health status as a mediating variable. BMC Geriatr. 2022;22(1):374.
World Health Organization. Falls. Available from: https://www.who.int/news-room/fact-sheets/detail/falls; 2021. Accessed March 2, 2024.
Kumar A, Srivastava DK, Verma A, Kumar S, Singh NP, Kaushik A. The problems of fall, risk factors and their management among geriatric population in India. Indian J Community Health. 2013;25:89-94.
Stevens JA, Sogolow ED. Gender differences for non-fatal unintentional fall related injuries among older adults. Inj Prev. 2005;11(2):115-9.
Zijlstra GA, Van Haastregt JC, Van Eijk JT, van Rossum E, Stalenhoef PA, Kempen GI. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age and Ageing. 2007;36(3):304-309.
Trivedi B. Quality of life among geriatric population residing in Bhavnagar city, Gujarat, Western India. J Family Med Prim Care. 2023;12(5):925-931.
Ambrose AF, L Cruz, Paul G. Falls and Fractures: A systematic approach to screening and prevention. Maturitas. 2015;82(1):85-93.
Patino CM, McKean-Cowdin R, Azen SP, Allison JC, Choudhury F, Varma R, et al. Central and peripheral visual impairment and the risk of falls and falls with injury. Ophthalmology. 2010;117(2):199-206.
Lord SR. Visual risk factors for falls in older people. Age Ageing. 2006;35 Suppl 2: ii42-ii45.
Sibley KM, Voth J, Munce SE, Straus SE, Jaglal SB. Chronic disease and falls in community-dwelling Canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatric. 2014;14:22.
Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010;21(5):658-68.
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Copyright (c) 2023 Amaljith A B, Roy Rillera Marzo, Sarath Lekamwasam, Adnan Kisa, Ashish Behera, Preetha S, Praveen Bharath Saravanan, Pankaj B Shah, Subarna Sinha Mahapatra, Gopi Kumbha, Vishaal P, Swathika N. Rama , Noor ul Baddar, Denny Mathew John, Vineeth Rajagopal
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Copyright© by the author(s). Published by the Evidence Journals. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
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