Relationship between fall and frailty index in elderly adults of urban community in Beijing / 中华流行病学杂志

ABSTRACT

Objective To evaluate the frailty status and understand the relationship between the incidence of fall and frailty status in the elderly in Beijing.Methods A cross-sectional study was conducted in old people aged ≥ 60 years in Longtan community of Dongcheng district in Beijing from November 2015 to January 2016.The information about any fall during the past year and frailty status of the elderly were collected with a standardized structured questionnaire in face-to-face interviews.The frailty status of elderly people was assessed with frailty index (FI) method.Logistic regression analysis was used to explore the relationship between fall and frailty status among the elderly.Results Among 1 557 old people surveyed,the incidence of fall was 17.8％ (277/1 557) during the past year.The incidence of fall in women (21.0％,192/277) was statistically higher than that in men (13.3％,85/277) (x2=15.288,P=0.000).The median (quartile) value of FI of the elderly surveyed was 0.09 (0.08);and women had a higher FI median value than men [0.10 (0.08) versus 0.08 (0.07)](Z=5.376,P=0.000).The median FI value (quartile range) of 277 old people with history of fall in previous year was 0.12 (0.11),which was higher than the median FI value of 0.08 (0.07) of 1 280 old people without fall history (Z=7.501,P=0.000).Logistic regression analysis showed that higher FI value was associated with more risks for fall;and FI value showed the greatest impact on the incidence and frequency of fall (OR =1.093,2.234) compared with other related factors of fall,such as age and gender.Conclusion Frailty status has a greater impact on both incidence and frequency of fall compared with other factors in elderly people in Beijing;more attention should be paid to weak and old adults in the prevention of fall.