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

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タイトル: Association between falls and depressive symptoms or visual impairment among Japanese young-old adults
その他のタイトル: Association between falls and depression or visual impairment
著者: Kojima, Reiji 著作を一覧する
Ukawa, Shigekazu 著作を一覧する
Ando, Masahiko 著作を一覧する
Kawamura, Takashi 著作を一覧する
Wakai, Kenji 著作を一覧する
Tsushita, Kazuyo 著作を一覧する
Tamakoshi, Akiko 著作を一覧する
キーワード: age-specific cohort
depressive symptoms
falls
visual impairment
young-old
発行日: 2016年 3月
出版者: Wiley-Blackwell
誌名: Geriatrics & gerontology international
巻: 16
号: 3
開始ページ: 384
終了ページ: 391
出版社 DOI: 10.1111/ggi.12487
抄録: 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.
資料タイプ: article (author version)
URI: http://hdl.handle.net/2115/64633
出現コレクション:雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

提供者: 小島 令嗣

 

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