Observational studyArchives of physical medicine and rehabilitation2019
The Association Between Social Engagement, Mild Cognitive Impairment, and Falls Among Older Primary Care Patients.
Observational study in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Nebulous Association between Cognitive Impairment and Falls in Older Adults: A Systematic Review of the Literature.International journal of environmental research and public health · 2023Pooled it
- Does an Innovative PT Program Targeting Mobility Benefit Veterans With Executive Function Deficit?Journal of the American Geriatrics Society · 2026Trial
- [Prediction modeling for fall alertness impairment in Meniere's disease: development and clinical validation].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026Article
- Utilizing machine learning to identify fall predictors in India's aging population: findings from the LASI.BMC geriatrics · 2025Article
- Falls, Sleep Disorders and Cognitive Frailty in Hospitalized Older Adults with Hypertension:A Cross-Sectional Study.Clinical interventions in aging · 2025Article
- The Impact of Executive Function on Retention and Compliance in Physical Therapy in Veterans.Archives of rehabilitation research and clinical translation · 2024Article
- Revisiting reliable change with Iverson (2001).The Clinical neuropsychologist · 2024Article
- Mild Neurocognitive Disorder, Social Engagement, and Falls Among Older Primary Care Patients.Archives of physical medicine and rehabilitation · 2023Article
- Differences in fall-related characteristics across cognitive disorders.Frontiers in aging neuroscience · 2023Review
- The Correlation Between Falls and Cognitive Frailty in Elderly Individuals With Hypertension in a Chinese Community.Frontiers in aging neuroscience · 2022Article
- Fall Injuries and Depressive Symptoms Among Older Adults and the Mediating Effects of Social Participation - China, 2011-2018.China CDC weekly · 2021Article
- Article
- Perceived social isolation, social disconnectedness and falls: the mediating role of depression.Aging & mental health · 2021Article
- An Integrative Framework to Guide Social Engagement Interventions and Technology Design for Persons With Mild Cognitive Impairment.Frontiers in public health · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectivesTo examine associations between mild cognitive impairment (MCI) and falls among primary care patients, and to investigate whether social engagement (SE) modifies these associations.
designCross sectional analysis using baseline data from an observational cohort study.
settingPrimary care.
participantsCommunity-dwelling older adults (N=430) at risk of mobility decline with a mean age of 76.6 years (range 65-96y).
main outcome measuresThe number of falls in the past year was reported at the baseline interview. MCI was identified using a cutoff of 1.5 SD below the age-adjusted mean on at least 2 of the standardized cognitive performance tests. SE (eg, keeping in touch with friends and family, volunteering, participating social activities…) was assessed with the Late Life Function and Disability Instrument, and required a score above the median value 49.5 out of 100.
resultsMCI was present among 42% of participants and 42% reported at least 1 fall in the preceding year. Using generalized estimating equations, MCI was associated with a 77% greater rate of falls (P<.05). There was a statistically significant interaction between SE and MCI on the rate of falls (P<.01), such that at a high level of SE, MCI was not statistically associated with falls (P=.83). In participants with lower levels of SE, MCI is associated with 1.3 times greater rate of falls (P<.01).
conclusionsWhile MCI is associated with a greater risk for falls, higher levels of SE may play a protective role.
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Registered trials
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.