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Association between falls and depressive symptoms or visual impairment among Japanese young-old adults

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Title: Association between falls and depressive symptoms or visual impairment among Japanese young-old adults
Other Titles: Association between falls and depression or visual impairment
Authors: Kojima, Reiji Browse this author
Ukawa, Shigekazu Browse this author →KAKEN DB
Ando, Masahiko Browse this author
Kawamura, Takashi Browse this author →KAKEN DB
Wakai, Kenji Browse this author →KAKEN DB
Tsushita, Kazuyo Browse this author
Tamakoshi, Akiko Browse this author →KAKEN DB
Keywords: age-specific cohort
depressive symptoms
falls
visual impairment
young-old
Issue Date: Mar-2016
Publisher: Wiley-Blackwell
Journal Title: Geriatrics & gerontology international
Volume: 16
Issue: 3
Start Page: 384
End Page: 391
Publisher DOI: 10.1111/ggi.12487
PMID: 25907646
Abstract: Aim: To investigate the association between falls and self-reported depressive symptoms or visual impairment among young-old adults. Methods: A total of 1,904 participants (986 males and 918 females) aged 64 years from the New Integrated Suburban Seniority Investigation Project from 1996 to 2005, an age-specific cohort study in Nisshin, Japan. Depressive symptoms were evaluated using the Geriatric Depression Scale. Visual impairment was assessed using a self-administered questionnaire. The outcome variable was self-reported injurious falls at the age of 70. Multivariate odds ratios (ORs) and 95% confidence intervals (CIs) of depressive symptoms and visual impairment for the incidence of falls were calculated using logistic regression models and adjusted for possible confounding factors. Results: Overall, 77 (7.8%) males and 126 (13.7%) females reported falls within the last 1 year at age 70. Among females, depressive symptoms and visual impairment were significantly associated with falls after adjusting for potential confounders (OR: 1.70, 95% CI: 1.09-2.62; OR: 2.34, 95% CI: 1.45-3.71, respectively), but not among males. Female participants with both conditions had a significantly increased risk of falls after adjusting for potential confounders (OR: 3.50, 95% CI: 1.65-7.13) compared with those with neither condition; the association was not significant among males. Conclusions: Depressive symptoms and visual impairment at age 64 were significantly associated with an increased risk of falls at age 70 in Japanese females but not in males. The combination of the two symptoms had an even greater association with fall risk.
Rights: This is the peer reviewed version of the following article: Kojima, R., Ukawa, S., Ando, M., Kawamura, T., Wakai, K., Tsushita, K., and Tamakoshi, A. (2016) Association between falls and depressive symptoms or visual impairment among Japanese young-old adults. Geriatr Gerontol Int, 16: 384-391., which has been published in final form at http://dx.doi.org/10.1111/ggi.12487. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Type: article (author version)
URI: http://hdl.handle.net/2115/64633
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 小島 令嗣

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