Evidence map›Paper›PMID 26764401›Full record

ArticleAge and ageing2016

Race and fall risk: data from the National Health and Aging Trends Study (NHATS).

Daniel Q Sun, Jin Huang, Ravi Varadhan, Yuri Agrawal

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Age and ageing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
10.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  9. Intra-individual consistency of vestibular perceptual thresholds.Attention, perception & psychophysics · 2024
    Article
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  11. Recurrent Falls over Three Years among Older Adults Age 70+: Associations with Physical and Mental Health Status, Exercise, and Hospital Stay.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  12. Observational
  13. Associations Between Changes in Depression/Anxiety Symptoms and Fall Worry Among Community-Dwelling Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  14. Age-Related Changes in Bone Density, Microarchitecture, and Strength in Postmenopausal Black and White Women: The SWAN Longitudinal HR-pQCT Study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Daniel Q SunDepartment of Otolaryngolgoy-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jin HuangThe Center on Aging and Health, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ravi VaradhanThe Center on Aging and Health, Johns Hopkins University School of Medicine, Baltimore, MD, USA Division of Biostatistics and Bioinformatics, Department of Oncology, Sidney Kimmel Comprehensive Care Center, Johns Hopkins University, Baltimore, MD, USA.
Yuri AgrawalDepartment of Otolaryngolgoy-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA The Center on Aging and Health, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
Age-related Changes in the Vestibular System and Functional ImplicationsK23DC013056 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI AGRAWAL, YURI · 2014 to 2018
$1.2M
NIA NIH HHS P30 AG021334NIA NIH HHS P30AG021334NIA NIH HHS U01 AG032947NIDCD NIH HHS K23 DC013056
6 · The paper itself

Abstract

objectivesthe objective of this study was to explore whether race-based difference in fall risk may be mediated by environmental and physical performance risk factors.

methodsusing data from a nationally representative longitudinal survey of 7,609 community-dwelling participants in the National Health and Aging Trends Study (NHATS), we evaluated whether racial differences in fall risk may be explained by physical performance level (measured by the Short Physical Performance Battery), mobility disability, physical activity level and likelihood of living alone. Multivariate Poisson regression and mediation models were used in analyses.

resultsin whites and blacks, the annual incidence of 'any fall' was 33.8 and 27.1%, respectively, and the annual incidence of 'recurrent falls' was 15.5 and 12.3%, respectively. Compared with whites, blacks had relative risks of 0.7 (95% confidence interval 0.6-0.8) and 0.6 (0.5-0.8) for sustaining any fall and recurrent falls, respectively, in adjusted analyses. Blacks had poorer performance on the SPPB (P < 0.001), higher levels of mobility disability (P < 0.001), similar levels of physical activity (P = 0.19) and were equally likely to live alone relative to whites (P = 0.77). Mediation analysis revealed that these risk factors collectively acted as suppressors and none of these factors accounted for the racial differences in fall risk observed.

conclusionsrelative to whites, blacks were at 30 and 40% decreased risk of sustaining any fall and recurrent falls, respectively. This difference in risk remains unexplained.

Indexed as

Health Status DisparitiesAccidental FallsAgedAged, 80 and overAge FactorsAgingBlack or African AmericanDisability EvaluationFemaleGeriatric AssessmentHumansIncidenceIndependent LivingLongitudinal StudiesMaleMarital Statusfallolder peoplephysical activityraceShort Physical Performance Battery

Identifiers

PMID26764401
PMCPMC4711659
OpenAlexW2297167392

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.