9. The association between geriatric syndromes and falls among older people with osteoporosis

Nguyen Trung Anh, Nguyen Xuan Thanh, Nguyen Ngoc Tam, Vu Thi Thanh Huyen

Main Article Content

Abstract

The purpose of the study is to investigate the association between geriatric syndromes and falls in the elderly with osteoporosis. A cross-sectional study included of 140 elderly with osteoporosis aged 60 and over treated at the National Geriatric Hospital. Results showed that the average age of subjects was 73.2 ± 9.0 years old, the prevalence of falls in elderly people with osteoporosis was 34.3%, the rate of fractures due to falls was 87.5%. There was a statistically significant relationship between the frailty syndrome and the fall (p = 0.038). There was no relationship between sarcopenia, daily functional activities and falls in elderly people with osteoporosis (p > 0.05). Frailty syndrome is associated with falls in elderly patients with osteoporosis. Therefore, it is necessary to screen for frailty syndrome in elderly osteoporosis patients and design interventions to reduce the rate of falls.

Article Details

References

1. Wei-Li H. Balance control in elderly people with osteoporosis. Journal of the Formosan Medical Association. 2014;113(6):334-339.
2. Raimunda Beserra Da Silva. Predictors of falls in women with and without osteoporosis. Journal of Orthopaedic & Sports Physical Therapy. 2010;40(9):582-588.
3. Danielle Teles da Cruz. Prevalence of falls and associated factors in elderly individuals. Rev Saúde Pública. 2012;46(1).
4. Mehrsheed Sinaki. Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kyphotic posture and muscle strength. Osteoporos Int. 2005;16:1004-1010.
5. Boyle P.A. Cognitive and motor impairments predict functional declines in patients with vascular dementia. International Journal of Geriatric Psychiatry. 2002;9(3):179-186.
6. Lawton M.P. Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist. 1969;9(3):179-186.
7. Chen LK. Asian working group for sarcopenia: 2019 Consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc. 2020;21(3):300-307.
8. Nguyễn Thị Phương Thảo. Đánh giá chất lượng cuộc sống ở bệnh nhân cao tuổi loãng xương nguyên phát không có gãy xương ngoài cột sống điều trị tại Bệnh viện Lão khoa Trung ương. Luận án chuyên khoa 2. Trường Đại học Y Hà Nội; 2019.
9. Nguyễn Đặng Khiêm. Mối liên quan giữa hạ huyết áp tư thế với sử dụng thuốc hạ huyết áp và nguy cơ ngã trên bệnh nhân cao tuổi tăng huyết áp. Luận án chuyên khoa 2. Trường Đại học Y Hà Nội; 2018.
10. Greco EA, P.P. Migliaccio S osteoporosis and sarcopenia increase frailty syndrome in the elderly. Front Endocrinol. 2019;10:255.
11. Tinetti, et al. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:p.1701-1707.
12. Ensrud K.E, et al. Frailty and risk of falls, fracture, and mortality in older women: the study of osteoporotic fractures. J Gerontol A Biol Sci Med Sci. 2007;62(7):p.744-51.
13. Yeung, S.S.Y, et al. Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta-analysis. Journal of cachexia, sarcopenia and muscle. 2019;10(3):p.485-500.
14. Rubenstein LZ, R.A., Schulman BL, et al. Falls and instability in the elderly. J Am Geriatr Soc. 1988;36(6):266-78.