Abstract
Introduction: Fall risk can be related to multiple factors, whether they are of extrinsic or intrinsic nature. Falls are considered the main mechanism of accidental injury in the elderly. Objective: To determine the prevalence of falls and intrinsic risk factors in older adults in the city of Barranquilla (Colombia). Materials and methods: A descriptive correlation study was carried out on 98 institutionalized and community elderly adults from Barranquilla (Atlántico), Colombia. A survey on intrinsic risk factors was applied; the risk of falling was measured with the Berg scale and levels of Vitamin D in the blood were established. Results: The participant’s average age was 75 years old, considering that the oldest ages were in the institutionalized population. The general prevalence of falls was 49% in the last year, 68.8% of the population that presented falls were women, and the highest proportion of falls occurred with residents of geriatric homes (52,1%). Women coming from the community fell more than men
(91,3%) showing statistical significance compared to falls (p-value of 0,002). The consumption of antihypertensive drugs was the one with the highest proportion (92%), which showed statistical significance for the institutionalized population (p-value of 0,0224). The high and moderate risk of falls was higher in the institutionalized population
(32%). Insufficient vitamin D levels (79,2% of those that fell) had a higher prevalence in women, without statistical significance. Conclusion: The elderly population has a high prevalence of falls, especially in women and in the population institutionalized in geriatric centers. The facts that presented statistical significance were being a woman and coming from the community, along with the consumption of antihypertensives in the institutionalized population.
References
Organización Mundial de la Salud [Internet]. Ginebra: OMS; c2022. Caídas. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/falls
Vega Alfaro E. Prevención de caídas en el adultomay or. Rev. méd. Costa Rica Centroam. 2009; LXVII(590): 353-355
Marañon E, Omote J, Loreto Alvarez M, Serrav JA. Vitamina D y fracturas en el anciano. Rev Esp Geriatr Gerontol [Internet]. 2011; 46(3): 151–162. doi: https://doi.org/10.1016/j.regg.2011.01.005
Hwang Y, Hsu H, Lim F, Wu Q, Yang P, Fisher G, et al. Increased vitamin D is associated with decline of naïve, but accumulation of effector, CD8 T cells during early aging. Adv Aging Res [Internet]. 2013; 2(2): 72-80. doi: http://dx.doi.org/10.4236/aar.2013.22010
Izquierdo M, Aguado X, Gonzalez R, López JL, Häkkinen K. Maximal and explosive forcé production capacity and balance performance in men of different ages. Eur J Appl Physiol Occup Physiol [Internet]. 1999; 79: 260-267. doi: https://doi.org/10.1007/s004210050504
Rodríguez-Berzal H, Ara Royo I, Mata Gómez de Ávila E, Aguado Jódar X. Capacidad de salto y equilibrio en jóvenes y ancianos físicamente activos. Apunts Med Esport [Internet]. 2012; 47(175): 83-89. doi: https://doi.org/10.1016/j.apunts.2011.12.001
Organización Mundial de la Salud [Internet]. Ginebra: OMS; c2022. Envejecimiento y salud.Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/ageing-and-health
Naciones Unidas: Departamento de Asuntos Económicos y Sociales [Internet]. Nueva York: ONU; c2022. La población mundial aumentará en 1000 millones para 2030. Disponible en: https://www.un.org/development/desa/es/news/population/world-population-prospects-2017.html
CEPAL [Internet]. Santiago (Chile): CEPAL; c2022. CEPAL: envejecimiento provocará caída de la población de América Latina y el Caribe hacia 2060. Disponible en: https://www.cepal.org/es/comunicados/cepal-envejecimiento-provocaracaida-la-poblacion-america-latina-caribe-2060
Departamento Administrativo Nacional de Estadística [Internet]. Bogotá: DANE; c2022. Censo Nacional de Población y Vivienda 2018. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/censo-nacional-de-poblacion-y-vivenda-2018
Helpage international [Internet]. Londres: Helpage; c2022. Índice Global de Envejecimiento, AgeWatch 2015. Disponible en: https://www.helpage.org/silo/files/gawi-2015-resumen-ejecutivo-.pdf
Pellicer García B, Juárez Vela R, Gracia Carrasco E, Guerrero Portillo S, García Moyano LM, Azón Azón Belarre JC. Epidemiología de caídas en la población anciana española no institucionalizada. Revisión sistemática 2014. Rev. Rol enferm. 2015; 38(11): 40-44.
González Martínez JF, Pichardo Fuster A, García L. Geriatría. México: McGrawHill Interamericana Editores; 2009. p. 92
Ministerio de Salud y Protección Social, Universidad del Valle, Universidad de Caldas. Encuesta SABE Colombia: Situación de Salud, Bienestar y Envejecimiento en Colombia, 2016. 476 p.
Becerra Martínez NA. Prevención de accidentes en adultos mayores. Univ Med. 2009; 50(2): 194-208.
Berg K, Wood Dauphine S, Williams J, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 1989; 4(1): 304-311.
Baydal-Bertomeu J, Viosca-Herrero E, Ortuño-Cortés M, Quinza-Valero V, Garrido-Jaen D, Broseta M. Estudio de la eficacia y fiabilidad de un sistema de posturografía en comparación con la escala de Berg. Rehabilitacion (Madr). 2010; 44(4): 304-310.
Wee J, Wong H, Palepu A. Validation of the Berg Balance Scale as a predictor of length of stay and discharge destination in stroke rehabilitation. Arch. Phys. M. and rehabilitation. 2003; 84(5): 731-735.
Silva-Fhon JR, Porras-Rodríguez MM, Guevara-Morote GA, Canales-Rimachi RI, Fabricio-Wehbe SC, Partezani-Rodrigues RA. Riesgo de caída en el adulto mayor que acude a dos Centros de Día. Lima, Perú. Horiz Med. 2014; 14(3): 12-18.
Machado Cuétara RL, Bazán Machado M, Izaguirre Bordelois M. Principales factores de riesgo asociados a las caídas en ancianos del área de salud Guanabo. MEDISAN. 2014; 18(2): 158.
Smith AA, Silva AO, Rodrigues RAP, Moreira MASP, Nogueira JA, Tura LFR. Assessment of risk of falls in elderly living at home. Rev Latino-Am. Enfermagem. 2017; 25: e2754.
Bekibele CO, Gureje O. Fall incidence in a population of elderly persons in Nigeria. Gerontology. 2010; 56(3): 278-83. doi: 10.1159/000236327.
Pellizer García B, Juárez Vela R, Delgado Sevilla D, Redondo Castán LC, Martínez Abadía B, Ramón Arbués E. Caídas en ancianos validos institucionalizados. Prevalencia y perfil. Rev Rol de Enfermería. 2013; 36(12): 800-808.
Petronila Gómez L, Aragón Chicharro S, Calvo Morcuende B. Caídas en ancianos institucionalizados: valoración del riesgo, factores relacionados y descripción. Gerokomos, 2017; 28(1): 2-8.
Ferreira De Souza L, Assayag Batista RE, Vancini Camapanharo CR, Pereira da Costa PC, Barbosa Teixeira Lopez MC, Pinto Okuno MF. Factors
associated with risk, perception and knowledge of falls in elderly people. Rev Gaúcha Enferm [Internet]. 2022; 43. doi: https://doi.org/10.1590/1983-1447.2022.20200335
Baixinho CL, Dixe MA, Henriques MAP. Falls in long-term care institutions for elderly people: protocol validation. Rev Bras Enferm [Internet]. 2017; 70(4). doi: https://doi.org/10.1590/0034-7167-2017-0109
Hasegawa N, Mochizuki M, Kato M, Yamada T, Shimizu N, Torii A. Serum 1, 25-Hydroxyvitamin D: A useful index of cognitive and physical functional impairment in healthy older adults in Japan: A Pilot Study. Health [Internet]. 2016; 8: 1679-1686. doi: http://dx.doi.org/10.4236/health.2016.815163
Bischoff-Ferrari HA, Giovannucci E, Willett WC, Dietrich T, Dawson-Hughes B. Estimación de concentraciones séricas óptimas de 25-hidroxivitamina D para múltiples resultados de salud. Diario Am Nut Clin. 2006; 84: 18-28.
Bischoff-Ferrari HA, Dietrich T, Orav EJ, Hu FB, Zhang Y, Karlson EW. Higher 25-hydroxyvitamin D concentrations are associated with better lowerextremity function in both active and inactive persons aged 60 y. Am J Clin Nutr [Internet]. 2004; 80: 752-758. doi: https://doi.org/10.1093/ajcn/80.3.752
Ministerio de Salud y Protección Social de Colombia. Resolución Número 8430 de 1993. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.pdf
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