Indian Journal of Community Medicine

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 45  |  Issue : 4  |  Page : 463--466

Risk of fall among older adults and its association with cognitive impairment in a semi-urban community


Dayana Monachan, Saritha Susan Vargese, Vinny Johny, Elsheba Mathew 
 Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India

Correspondence Address:
Dr. Saritha Susan Vargese
Department of Community Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala
India

Context: Fall in older people is a major public health concern. Two-third of the death due to fall are preventable. Risk assessment in older adults therefore is the first step to identify the high-risk group to plan need-based intervention. Aims: The aim of the study was to determine the prevalence of risk of fall among older adults and its association with cognitive impairment and sociodemographic characteristics. Settings and Design: A cross-sectional study was conducted in the field practice areas of the department of community medicine in a teaching hospital in South Kerala, India. Subjects and Methods: A semi-structured questionnaire was used to collect the data. Berg Balance Scale and Mini-Cog Test were used for measuring risk of fall and cognitive impairment. Statistical Analysis Used: Descriptive statistics and logistic regression were used for the statistical analysis using SPSS. Results: Among the older adults, 45% were at risk of fall, 42.4% in males and 57.6% in females. The risk of fall was found to be significantly associated with cognitive impairment, (odds ratio = 3.89, confidence interval at 95% = 2.06–7.31, P < 0.001). Advanced age, female gender, and unemployed status were significantly associated with the risk of fall. Conclusions: The risk of fall prevalence was high and significantly related to cognitive impairment, advanced age, female gender, and occupational status, with more than half of those currently not working having a higher risk. The study would recommend regular follow-up of risk groups for prevention a good percentage of fall and thereby the related injuries.


How to cite this article:
Monachan D, Vargese SS, Johny V, Mathew E. Risk of fall among older adults and its association with cognitive impairment in a semi-urban community.Indian J Community Med 2020;45:463-466


How to cite this URL:
Monachan D, Vargese SS, Johny V, Mathew E. Risk of fall among older adults and its association with cognitive impairment in a semi-urban community. Indian J Community Med [serial online] 2020 [cited 2021 Apr 16 ];45:463-466
Available from: https://www.ijcm.org.in/article.asp?issn=0970-0218;year=2020;volume=45;issue=4;spage=463;epage=466;aulast=Monachan;type=0