Evidence map›Paper›PMID 35507999›Full record

ArticleSao Paulo medical journal = Revista paulista de medicina

Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study.

Isabella Vittoria Fallaci, Daiene de Morais Fabrício, Tiago da Silva Alexandre, Marcos Hortes Nisihara Chagas

Abstract read
In one paragraph

Article in Sao Paulo medical journal = Revista paulista de medicina. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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  5. Article
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.

Isabella Vittoria FallaciBSc. Gerontologist, Department of Gerontology, Research Group on Mental Health, Cognition and Aging, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.ORCID 0000-0002-4710-2210
Daiene de Morais FabrícioMSc. Gerontologist and Doctoral Student, Department of Gerontology, Research Group on Mental Health, Cognition and Aging, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.ORCID 0000-0001-8609-1190
Tiago da Silva AlexandrePhD. Physiotherapist and Associate Professor, Department of Gerontology, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.ORCID 0000-0003-3791-9793
Marcos Hortes Nisihara ChagasMD, PhD. Psychiatrist and Associate Professor, Department of Gerontology, Research Group on Mental Health, Cognition and Aging, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil; Associate Professor, Department of Gerontology, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil; and Technical Director, Medical Residency Program on Psychiatry, Instituto Bairral de Psiquiatria, Itapira (SP), Brazil.ORCID 0000-0003-3752-7984

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls among older people have a negative impact on health and therefore constitute a public health problem. Cognitive decline can also accompany the aging process, and both conditions lead to significant increases in morbidity and mortality in this population.

objectiveTo analyze the cognitive performance of older people, classified as non-fallers, sporadic fallers and recurrent fallers, and investigate the relationship between falls and cognition. DESIGN AND

settingCross-sectional study conducted in the interior of the state of São Paulo, Brazil.

methodsEvaluations on 230 older people were conducted. They were divided into three groups: non-fallers, sporadic fallers (one fall) and recurrent fallers (two or more falls). The Mini-Mental State Examination, Consortium to Establish a Registry for Alzheimer's Disease (CERAD), Brief Cognitive Screening Battery (BCSB), Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) similarities subtest and digit span test were applied.

resultsIn multinomial logistic regression, being a recurrent faller was significantly associated with lower scores in the CERAD word list (odds ratio, OR = 0.92; 95% confidence interval, CI, 0.86-0.98; P = 0.01), in CERAD constructive praxis (OR = 0.88; 95% CI, 0.79-0.98; P = 0.02), in BCSB figure list memory (OR = 0.94; 95% CI, 0.89-0.99; P = 0.02) and in verbal fluency (OR = 0.89; 95% CI, 0.81-0.97; P = 0.01). Recurrent fallers also had lower scores in these same tests, compared with sporadic fallers.

conclusionCognitive impairment, especially in the domains of memory and executive functioning, can influence occurrences of recurrent falls.

Indexed as

Accidental FallsAlzheimer DiseaseAgedBrazilCognitionCross-Sectional StudiesHumansIndependent LivingRisk Factors

Identifiers

PMID35507999
PMCPMC9671243

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Registered trials

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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.