Keywords
Elderly
Falls
Community
COVID-19
Social Isolation
How to Cite
Abstract
Worldwide, between 28-35% of adults older than 65 years reported an annual fall, and in Colombia, the prevalence of falls was 49% the past year. It is estimated that these falls result in an affecting the functionality and Health-Related Quality of Life. In addition, social isolation during the COVID-19 pandemic adversely affect physical and emotional health and increasing the risk of falls. The objective of this study was to describe the Health-Related Quality of Life among community elderly according to risk of falling. At the participants’ home, the Berg Balance Scale and Time Up and Go cognitive were used for the assessment of falls risk. World Health Organization questionnaire (WHOQOL-OLD) was applied by video calls. A total of 35 community elderly participated, age 70 ± 6 years old, 17,1% with high risk of falling and 82.9% with low risk. Statistically significant differences were found for domains the autonomy (p=0,04), and death (p=0.02). There were no statistically significant differences in the overall score of WHOQOL-OLD (high risk: 80.5 ± 7.2; low risk: 79.1 ± 7.3 points; p = 0.66). In this study, perception of HRQOL could be related to family support, functional independence and health condition. Quality of life and FR were multidimensional constructs, and future studies are required to evaluate the impact of the pandemic, and the effect of programs for elderly and caregivers.
References
World Health Organization [Internet]. Geneva: WHO; c2023. Ageing and health. Disponible en: Ageing and health. Disponible en: https://www.who.int/news-room/fact-sheets/detail/ageing-andhealth. Acceso: 12 septiembre 2023.
Departamento Administrativo Nacional de Estadística. Bogotá: DANE; c2018. Censo Nacional de Población y vivienda 2018 Colombia. Disponible en: https://www.dane.gov.co/index.php/estadisticaspor-tema/demografia-y-poblacion/censo-nacionalde-poblacion-y-vivenda-2018. Acceso: 10 de marzo de 2022.
World Health Organization [Internet]. Geneva: WHO; c2022. Falls. Disponible en: https://www.who.int/news-room/fact-sheets/detail/falls. Acceso: 22 de junio del 2022.
Ocampo J, Zapata H, Cubides Á, Curcio CL, Villegas J. Prevalence of poor self-rated health and associated risk factors among adults in Cali, Colombia. Colomb Med. 2013; 44(4): 224-231. doi: https://doi.org/10.25100/cm.v44i4.1362
Joseph A, Muliyil J. Community-based case control study on the risk of fall among elderly in Kaniyambadi block, Vellore, Tamil Nadu, India. Clin Epidemiol Glob Health. 2021; 12. doi: https://doi.org/10.1016/j.cegh.2021.100907
Perez P, Martínez FM, Tarazona FJ. Risk factors and number of falls as determinants of quality of life of community-dwelling older adults. J Geriatr Phys Ther. 2019; 42(2): 63-72. doi: 10.1519/JPT.0000000000000150
Xu Q, Ou X, Li J. The risk of falls among the aging population: A systematic review and meta-analysis. Front Public Health. 2022; 10: 902599. doi: 10.3389/fpubh.2022.902599
Winser SJ, Chan HTF, Ho L, Chung LS, Ching LT, Lok Felix TK, et al. Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations. Ann Phys Rehabil Med. 2020; 63(1): 69-80. doi: https://doi.org/10.1016/j.rehab.2019.06.012
AlHarkan K, Alsousi S, AlMishqab M, Alawami M, Almearaj J, Alhashim H, et al. Associations between polypharmacy and potentially inappropriate medications with risk of falls among the elderly in Saudi Arabia. BMC Geriatr. 2023; 23(1): 1-9. doi: https://doi.org/10.1186/s12877-023-03852-y
Noh J, Kim K, Hyun J, Lee B, Dae Y, Heui S. The elderly and falls: Factors associated with quality of life A cross-sectional study using large-scale national data in Korea. Arch Gerontol Geriatr. 2017; 73: 279-283. doi: https://doi.org/10.1016/j.archger.2017.08.008
Park SH. Tools for assessing fall risk in the elderly: a systematic review and meta-analysis. Aging Clin Exp Res. 2018; 30(1): 1-16. doi: https://doi. org/10.1007/s40520-017-0749-0
Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: A systematic review and meta- analysis. BMC Geriatr. 2014; 14(1): 1-14. doi: https://doi.org/10.1186/1471-2318-14-14
Poudel A, Zhu S, Cooper N, Roderick P, Alwan N, Tarrant C, et al. Impact of Covid-19 on healthrelated quality of life of patients: A structured review. PLoS One. 2021; 16(10): e0259164. doi: https://doi.org/10.1371/journal.pone.0259164
Su Y, Dong J, Sun J, Zhang Y, Ma S, Li M, et al. Cognitive function assessed by Mini-mental state examination and risk of all-cause mortality: a community-based prospective cohort study. BMC Geriatr. 2021; 21(1): 1-10. doi: https://doi.org/10.1186/s12877-021-02471-9
Goes M, Lopes M, Marôco J, Oliveira H, Fonseca C. Psychometric properties of the WHOQOLBREF(PT) in a sample of elderly citizens. Health Qual Life Outcomes. 2021; 19(1): 146. doi: https://doi.org/10.1186/s12955-021-01783-z
Delannays B, Maturana S, Pietrantoni G, Flores Y, Mesina Í, González A. Calidad de vida y bienestar en estudiantes de medicina de una universidad del sur de Chile. Rev Psicol. 2020; 29(1): 1-8. doi: https://doi.org/10.5354/0719-0581.2020.58055
Hofheinz M, Schusterschitz C. Dual task interference in estimating the risk of falls and measuring change. 2010; 2: 831-842. doi: https://doi.org/10.1177/0269215510367993
Wang CY, Hsieh CL, Olson SL, Wang CH, Sheu CF, Liang CC. Psychometric properties of the Berg Balance Scale in a community-dwelling elderly resident population in Taiwan. J Formosan Medical Association. 2006; 105(12): 992-1000. doi: https://doi.org/10.1016/S0929-6646(09)60283-7
Casamali F, Schuch F, Scortegagna S, Legnani E, De Marchi A. Accordance and reproducibility of the electronic version of the WHOQOL-BREF and WHOQOL-OLD questionnaires. Exp Gerontol. 2019; 125(2018). doi: https://doi.org/10.1016/j.exger.2019.110683
Pirrie M, Saini G, Angeles R, Marzanek F, Parascandalo J, Agarwal G. Risk of falls and fear of falling in older adults residing in public housing in Ontario, Canadá: Findings from a multisite observational study. BMC Geriatr. 2020; 20(1): 1-9. doi: https://doi.org/10.1186/s12877-019-1399-1
Kim T, Choi SD, Xiong S. Epidemiology of fall and its socioeconomic risk factors in communitydwelling Korean elderly. PLoS One. 2020; 15(6): e0234787. doi: 10.1371/journal.pone.0234787
de Acevedo Smith A, Oliveira Silva A, Partizani Rodrigues RA, Silva Paredes Moreira MA, de Almeida Nogueira J, Rangel Tura LF. Assessment of risk of falls in elderly living at home. Rev Lat Am Enfermagem. 2017; 25: e2754 . doi: https://doi.org/10.1590/1518-8345.0671.2754
Roberts BM, Lavin KM, Many GM, Thalacker-Mercer A, Merritt EK, Bickel S, et al. Human neuromuscular aging: sex differences revealed at the myocellular level. Exp Gerontol. 2018; 106: 116-124. doi: 10.1016/j.exger.2018.02.023
Wang C, Chong Y, Wang L, Wang Y. The correlation between falls and cognitive frailty in elderly individuals with hypertension in a Chinese community. Front Aging Neurosci. 2022; 14: 1-7. doi: https://doi.org/10.3389/fnagi.2022.783461
Steinberg JR, Turner BE, Weeks BT, Magnani CJ, Wong BO, Rodriguez F, et al. Analysis of female enrollment and participant sex by burden of disease in US clinical trials between 2000 and 2020. JAMA Netw Open. 2021; 4(6): e2113749. doi: 10.1001/jamanetworkopen.2021.13749
Kubo Y, Fujii K, Hayashi T, Tomiyama N, Ochi A, Hayashi H. Sex differences in modifiable fall risk factors. J Nurse Practitioners. 2021; 17: 1098-1102. doi: https://doi.org/10.1016/j.nurpra.2021.06.016
Molina ME. Análisis del Índice de Masa Corporal (IMC) y el nivel de actividad física en adultos mayores de la ciudad de Barranquilla: un estudio correlacional. Biociencias. 2019; 14(2): 83-95. doi: https://doi.org/10.18041/2390-0512/biociencias.2.6023
Lee J, Hong D, Lee S, Soh Y, Yang M, Min Choi K, et al. Relationship Between Obesity and Balance in the Community-Dwelling Elderly Population. Am J Phys Med Rehabil. 2020; 99(1): 65-70. doi: 10.1097/PHM.0000000000001292
Cruz A, Sayer A. Sarcopenia. Lancet 2019; 393: 2636-2346. doi: https://doi.org/10.1016/S0140-6736(19)31138-9
Jefferis BJ, Iliffe S, Kendrick D, Kerse N, Trost S, Lennon LT, et al. How are falls and fear of falling associated with objectively measured physical activity in a cohort of community-dwelling older men? BMC Geriatr. 2014; 14: 114. doi: https://dx.doi.org/10.1186/1471-2318-14-114
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Adriana Yolima González-Quintero, Leidy Mariana Luna-Flórez, Diana Marina Camargo-Lemos, María Solange Patiño-Segura