ArticleScientific reports2023
Mediation of pain in the association of sleep problems with falls among older adults in India.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Balance impairment as a central correlate of falls, short sleep, and physical health in community-dwelling adults.BMC public health · 2026Observational
- Association between nighttime sleep duration and falls among community-dwelling older adults aged 65 and over: findings from a nationwide population-based study.BMC geriatrics · 2026Article
- The Association Between Chronic Obstructive Pulmonary Disease and the Risks of Falls and Osteoporosis: A Cohort Study in the UK Biobank.International journal of chronic obstructive pulmonary disease · 2026Article
- Factors associated with occupational injuries among bricklayers and carpenters in Building Construction: insights from a mixed methods study in Osun State, Nigeria.BMC public health · 2025Article
- Nomogram for Predicting the Risk of Short Sleep Duration in Myocardial Infarction Survivors.Reviews in cardiovascular medicine · 2024Article
- Moderating role of functional/ mobility limitations in the association between sleep problems and hypertension among middle-aged and older adults in India.Preventive medicine reports · 2024Article
- The Cross-Sectional Association Between Multimorbidity and Sleep Quality and Duration Among the Elderly Community Dwellers in Northwest China.Nature and science of sleep · 2024Article
- Timed Up and Go test score and factors associated with a moderate-to-high risk of future falls in patients scheduled for vascular surgeries-a cross-sectional study.Frontiers in public health · 2024Article
- Associations between intrinsic capacity, functional difficulty, and fall outcomes among older adults in India.Scientific reports · 2023Article
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Authors and funding
4 authors.
Funding
Abstract
Body pain, sleep problems and falls are commonly reported among the elderly population. This study aimed to explore the mediating role of pain in the association of sleep problems with fall-outcomes (falls, fall-injury, and multiple falls) among older adults. Cross-sectional data from the baseline survey of Longitudinal Aging Study in India (LASI), 2017-18 were used. The total sample size for the study was 28,285 older adults aged 60 years and above. Falls and fall-related injuries among older adults in the last two years were self-reported. The Jenkins Sleep Scale (JSS-4) was used to assess sleep problems while pain was assessed using questions on whether respondents reported that they were troubled by pain and they required some form of medication or treatment for the relief of pain. Multivariable logistic regression and mediation analyses were conducted to fulfill the study objectives. While 13% older adults suffered from sleep problems, 38.83% were troubled with pain. Additionally, 12.63%, 5.64% and 5.76% older adults reported falls, fall-injury and multiple falls respectively. Older adults who suffered from sleep problems had higher odds of falls [adjusted odds ratio (aOR): 1.43, confidence interval (CI): 1.30-1.58], fall-injuries, [aOR:1.50,CI:1.30-1.73] and multiple falls [aOR:1.41,CI:1.24-1.62]. Similarly, older adults who were troubled with pain were more likely to report falls [aOR:1.80, CI:1.67-1.95], fall-injuries [aOR:1.66, CI:1.48-1.87] and multiple falls [aOR:1.90,CI:1.69-2.12]. The percent of the mediated effect of pain when examining the association between sleep problems and fall outcomes were reported to be 17.10%, 13.56% and 18.78% in case of falls, fall-injuries and multiple falls respectively. The current study finds evidence that pain mediates the association of sleep problems and falls, fall-injuries, and multiple falls among older Indian adults. Both sleep problems and pain are modifiable risk factors that need attention for fall prevention strategies.
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