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Introduction: Falls are an important health problem among elderly, with various consequences. The objectives of this study were to estimate 1-year incidence of falls, distribution, and severity of fall-related injuries and to determine risk factors for fall risk among the elderly population aged =60 years. Methods: A total of 140 urban community-dwelling participants aged =60 years were studied using an investigator-administered questionnaire. Short physical performance battery, chair stand test, handgrip strength, and anthropometric measurements were done. The Chi-square test was done to compare fallers and nonfallers. Logistic regression was done for independently associated risk factors. Results: One-year incidence of falls was 14.3%; 17.6% among women and 9.1% among men. Sixty percent of participants had multiple falls. Seventy-five percent of the fallers were overweight or obese. Sprain was the most common reported fall-related injury (20%), whereas 45% had no injuries. Depression (60%), osteoporosis (80%), poor activities of daily living (90%), and polypharmacy (35%) were significantly associated with falls. Osteoporosis (odds ratio: 14.89; 95% confidence interval: 1.91-115.95) was independently associated with fall risk. Conclusions: The burden of falls among urban elderly was low. The majority of the population experienced multiple falls. Since chronic diseases including osteoporosis and poor mobility were directly associated with the risk of falls, further longitudinal studies may explore the health-related and socioenvironmental risks further. [ABSTRACT FROM AUTHOR]

Objectives: The objective was to determine odds of frailty syndrome with coexistence of hypertension and depression among oldest-old adults. Methods: We analysed secondary data from 167 community-dwelling hypertensive participants aged 80 years and older from a cross-sectional study of frailty conducted in India. Data included sociodemographic, medical history, physical performance, functional limitations, mobility-disability, cognition, depression, sleep, frailty syndrome and chronic diseases. Odds of frailty syndrome was compared among individuals having only hypertension, and individuals having hypertension and depression. Chi-square test, t-test and logistic regression were performed to determine odds of frailty. Results: Frailty was significantly higher (OR:4.93;95%CI:1.89-12.84) among individuals having hypertension and coexisting depression, compared to individuals having only hypertension. Men (OR:5.07;95%CI:1.02-25.17) and women (OR: 4.58;95%CI:1.36-15.40) with hypertension and depression showed a higher risk of frailty, compared with hypertension alone. Logistic regression models were adjusted for age, sex, cognitive impairment, chronic obstructive pulmonary disease, cardiovascular diseases, anaemia, diabetes, obesity, physical performance, activities of daily living and 4-meter walking speed. Conclusion: Coexistence of hypertension and depression increased risk of frailty syndrome among men and women above 80 years of age by almost 5 folds. Treating depression in hypertensive older individuals may reduce the risk of frailty among them. [ABSTRACT FROM AUTHOR]

Objectives of this cross-sectional study were to determine the prevalence of functional limitations, and sex difference among 140 randomly selected older men (N=55) and women (N= 85) elderly, age varying 60 years and above, living in Hyderabad city, (Telangana State) A Short Physical Performance Battery (SPPB) as a measurement of physical performance was used as a measure of data collection. Each participant was administered SPPB individually. Functional limitation was classified as a participant with SPPB score < 9. Other measures included, self-reported health status, history of smoking and alcohol, anthropometric measurements, physical functions, and disabilities. The data was analysed keeping in mind age, sex, marital status, education of participants. Chi-square test and t-test were used. Trend analysis was done using logistic regression to determine the pattern of difference in functional limitations in both the sexes. The prevalence of functional limitation was 62.9 per cent. Older women had poorer physical performance measures than older men (OR:2.63; 95%CI: 1.29-5.35). Older women had poorer physical functions than men counterparts. Components of SPPB showing sex differences were poor balance and poor lower limb muscle strength. The pattern of functional limitation with progressing age was different among men and women in the participants of this study. [ABSTRACT FROM AUTHOR]