Multimorbidity predicts falls differentially according to the type of fall in postmenopausal women

Afrin, Nadia, Honkanen, Risto, Koivumaa-Honkanen, Heli, Lukkala, Pyry, Rikkonen, Toni, Sirola, Joonas, Williams, Lana J. and Kröger, Heikki 2016, Multimorbidity predicts falls differentially according to the type of fall in postmenopausal women, Maturitas, vol. 91, pp. 19-24, doi: 10.1016/j.maturitas.2016.05.004.

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Title Multimorbidity predicts falls differentially according to the type of fall in postmenopausal women
Author(s) Afrin, Nadia
Honkanen, Risto
Koivumaa-Honkanen, Heli
Lukkala, Pyry
Rikkonen, Toni
Sirola, Joonas
Williams, Lana J.ORCID iD for Williams, Lana J.
Kröger, Heikki
Journal name Maturitas
Volume number 91
Start page 19
End page 24
Total pages 6
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-09
ISSN 0378-5122
Keyword(s) fall
risk factor
Summary OBJECTIVE: To ascertain whether the risk of falls of different types is related to morbidity (number of chronic medical conditions) among postmenopausal women. STUDY DESIGN: This cohort study uses data from a population-based prospective cohort study (OSTPRE). The study population consisted of 10,594 women aged 47-56 years living in Kuopio Province, Eastern Finland, in 1989, who responded to postal enquiries at both baseline and 5-year follow-up, in 1994. Morbidity (i.e. number of diagnosed chronic medical conditions) was reported in 1989 and falls in 1994. Falls were categorized as slip or nonslip, and 'frequent falls' was defined as two or more in a 12-month period. RESULTS: The risk (odds ratio (OR) with 95% CI) of a fall increased with the number of chronic medical conditions. The OR was 1.28 (1.17-1.40) for those with 1-2 conditions and 1.41 (1.24-1.60) for those with multimorbidity (≥3 conditions) compared with healthy respondents. Multimorbidity was associated with a greater risk of the woman experiencing frequent nonslip falls (OR=2.57; 2.01-3.29) than frequent slip falls (OR=1.46; 1.17-1.80). Adjusting with logistic regression for age, number of medications and smoking did not affect the risk estimates. CONCLUSION: Multimorbidity has a much smaller effect on slip than on nonslip falls in postmenopausal women. This should be taken into account when investigating the effects of multimorbidity on fall risk in varying weather conditions.
Language eng
DOI 10.1016/j.maturitas.2016.05.004
Field of Research 1103 Clinical Sciences
1114 Paediatrics And Reproductive Medicine
Socio Economic Objective 920507 Women's Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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