Evidence map›Paper›PMID 36868598›Full record

ArticleBMJ open2023

Risk factors for incident falls in Singaporean community-dwelling adult men and women: a prospective cohort study.

Wan Fen Yip, Lixia Ge, Bee Hoon Heng, Woan Shin Tan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

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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 1 institution in 1 country.

Wan Fen YipHealth Services and Outcomes Research, National Healthcare Group, Singapore.ORCID 0000-0002-8443-517X
Lixia GeHealth Services and Outcomes Research, National Healthcare Group, Singapore.ORCID 0000-0001-8080-7020
Bee Hoon HengHealth Services and Outcomes Research, National Healthcare Group, Singapore.
Woan Shin TanHealth Services and Outcomes Research, National Healthcare Group, Singapore woan_shin_tan@nhg.com.sg.ORCID 0000-0003-1055-0412
SingHealth · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur study aimed to identify the risk factors of incident falls between men and women.

designProspective cohort study.

settingThe study recruited participants from the Central region of Singapore. Baseline and follow-up data were collected via a face-to-face survey.

participantsCommunity-dwelling adults aged 40 years and above from the Population Health Index Survey. OUTCOME MEASURE: Incident falls were defined as the experience of a fall between the baseline and 1-year follow-up but having no falls 1 year prior to baseline. Multiple logistic regressions were performed to determine the association of sociodemographic factors, medical history and lifestyle with incident falls. Sex subgroup analyses were conducted to examine sex-specific risk factors for incident falls.

results1056 participants were included in the analysis. At 1-year follow-up, 9.6% of the participants experienced an incident fall. Incidence of falls in women was 9.8% compared with 7.4% in men. In the multivariable analysis for the overall sample, older age (OR: 1.88, 95% CI: 1.10 to 2.86), being pre-frail (OR: 2.13, 95% CI: 1.12 to 4.00) and having depression or feeling depressed/anxious (OR: 2.35, 95% CI: 1.10 to 4.99) were associated with higher odds for incident falls. In subgroup analyses, older age was a risk factor for incident falls in men (OR: 2.68, 95% CI: 1.21 to 5.90) and pre-frail was a risk factor for incident falls in women (OR: 2.82, 95% CI: 1.28 to 6.20). There was no significant interaction effect between sex and age group (p value=0.341) and sex and frailty status (p value=0.181).

conclusionOlder age, presence of pre-frailty and having depression or feeling depressed/anxious were associated with higher odds of incident falls. In our subgroup analyses, older age was a risk factor for incident falls in men and being pre-frail was a risk factor for incident falls in women. These findings provide useful information for community health services in designing falls prevention programmes for community-dwelling adults in a multi-ethnic Asian population.

Indexed as

FrailtyAdultFemaleHealth SurveysHumansIndependent LivingMaleProspective StudiesRisk Factorsepidemiologygeriatric medicinepublic health

Identifiers

PMID36868598
PMCPMC9990598
OpenAlexW4323066857

What OpenQuestion holds

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LicenceCC BY-NC
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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.