Evidence map›Paper›PMID 28279573›Full record

ArticleSocial science & medicine (1982)2017

Depressive symptomatology and fall risk among community-dwelling older adults.

Geoffrey J Hoffman, Ron D Hays, Steven P Wallace, Martin F Shapiro, Susan L Ettner

Open access · greenAbstract read
In one paragraph

Article in Social science & medicine (1982), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.7field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
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  7. Understanding the Association of Older Adult Fall Risk Factors by Age and Sex Through Factor Analysis.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  8. 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
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  13. Associations Between Alzheimer's Disease and Related Dementias and Depressive Symptoms of Partner Caregivers.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
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  17. Depression, falls, and osteoporotic fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
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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

5 authors at 2 institutions in 1 country.

Geoffrey J HoffmanDepartment of Systems, Populations and Leadership, University of Michigan School of Nursing, 400 N. Ingalls Street, Room 4352, Ann Arbor, MI 48109, United States. Electronic address: gjh@umich.edu.
Ron D HaysDivision of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Department of Health Policy and Management, UCLA Fielding School of Public Health, United States.
Steven P WallaceDepartment of Community Health Sciences, UCLA Fielding School of Public Health, United States.
Martin F ShapiroDivision of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Department of Health Policy and Management, UCLA Fielding School of Public Health, United States.
Susan L EttnerDivision of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, United States.
UCLA Health · USUniversity of Michigan · US

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI MILBURN, NORWEETA GERMAINE, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
The National Person-Centered Assessment Resource (PCAR)U2CCA186878 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GERSHON, RICHARD · 2014 to 2018
$11.9M
UCLA Clinical and Translational Science InstituteTL1TR000121 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$2.7M
Mail-Order Pharmacy Use and Medication Adherence Among Older Adults with DiabetesK08AG033630 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DURU, OBIDIUGWU KENRIK · 2009 to 2013
$606k
NCATS NIH HHS TL1 TR000121NCI NIH HHS U2C CA186878NIA NIH HHS K08 AG033630NIA NIH HHS P30 AG021684NIMHD NIH HHS P20 MD000182
6 · The paper itself

Abstract

rationaleFalls are common among older adults and may be related to depressive symptoms (DS). With advancing age, there is an onset of chronic conditions, sensory impairments, and activity limitations that are associated with falls and with depressive disorders. Prior cross-sectional studies have observed significant associations between DS and subsequent falls as well as between fractures and subsequent clinical depression and DS.

objectiveThe directionality of these observed relationship between falls and DS is in need of elaboration given that cross-sectional study designs can yield biased estimates of the DS-falls relationship.

methodsUsing 2006-2010 Health and Retirement Study data, cross-lagged panel structural equation models were used to evaluate associations between falls and DS among 7233 community-dwelling adults ages ≥65. Structural coefficients between falls and DS (in 2006→2008, 2008→2010) were estimated.

resultsA good-fitting model was found: Controlling for baseline (2006) physical functioning, vision, chronic conditions, and social support and neighborhood social cohesion, falls were not associated with subsequent DS, but a 0.5 standard deviation increase in 2006 DS was associated with a 30% increase in fall risk two years later. This DS-falls relationship was no longer significant when use of psychiatric medications, which was positively associated with falls, was included in the model.

conclusionUsing sophisticated methods and a large U.S. sample, we found larger magnitudes of effect in the DS-falls relationship than in prior studies-highlighting the risk of falls for older adults with DS. Medical providers might assess older individuals for DS as well as use of psychotropic medications as part of a broadened falls prevention approach. National guidelines for fall risk assessments as well as quality indicators for fall prevention should include assessment for clinical depression.

Indexed as

Accidental FallsAgedAged, 80 and overChronic DiseaseCross-Sectional StudiesDepressionFemaleHumansIndependent LivingLongitudinal StudiesMaleSocial SupportDepressionDepressive symptomatologyFallsOlder adultsStructural equation modeling

Identifiers

PMID28279573
PMCPMC5411980
OpenAlexW2594102635

What OpenQuestion holds

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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.