ArticleFrontiers in public health2023
Association between multimorbidity and falls and fear of falling among older adults in eastern China: a cross-sectional study.
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- About half of older adults have two or more chronic conditions at the same time: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- The global prevalence of and risk factors for fear of falling among older adults: a systematic review and meta-analysis.BMC geriatrics · 2024Pooled it
- Explainable AI reveals temporal risk pathways in fall prediction: Extracting clinical insights from multi-horizon machine learning models.GeroScience · 2026Article
- Unveiling intervention targets: urban-rural disparities in depression-anxiety symptoms networks among Chinese older adults living alone.BMC geriatrics · 2026Article
- A Body Shape Index Shows Stronger Associations with Falls than BMI among Older Adults: Evidence from the NHATS Cohort.Gerontology · 2026Article
- The relationship between psychological resilience and fear of falling in older adults with fractures: a cross-sectional potential profile analysis.BMC geriatrics · 2026Article
- Analysis of influencing factors and prediction of falls among rural older adults in China based on a nomogram model.Frontiers in public health · 2026Article
- Incident Falls Across Concordant and Discordant Profiles of Concerns About Falling and Functional Mobility in Older Adults: A Prospective Cohort Study.Clinical interventions in aging · 2026Article
- Article
- The associations of multimorbidity with fall- and fracture-related hospitalisations: the Busselton Healthy Ageing Study.Archives of osteoporosis · 2025Article
- Fear of Falling After Total Knee Replacement: A Saudi Experience.Clinics and practice · 2025Article
- Association between physical multimorbidity in middle adulthood and mortality: findings from two large cohort studies in Japan.BMC public health · 2025Article
- Classification of Elderly Patients with Comorbidities and Their Subtypes: A Data-Driven Cluster Analysis.Clinical interventions in aging · 2025Article
- Caring for the "Osteo-Cardiovascular Faller": Associations between Multimorbidity and Fall Transitions among Middle-Aged and Older Chinese.Health data science · 2025Article
- An unsupervised cluster analysis of multimorbidity patterns in older adults in Shenzhen, China.Frontiers in public health · 2025Article
- Undetected falls among older adults attending medical clinics in four tertiary care centres in Sri Lanka; the need of a comprehensive geriatric assessment.BMC geriatrics · 2024Article
- Study of knee pain, fear of falling, and quality of life among community-dwelling older adults, Northern Thailand.Narra J · 2024Article
- Fear of Falling: Exploring Associated Factors among Elderly Residents in the Rural Communities of Vietnam.International journal of environmental research and public health · 2024Article
- Health-Related Quality of Life among Older Adults with Dementia Living in Vietnamese Nursing Homes.International journal of environmental research and public health · 2024Article
- Multiple Long-Term Conditions and Disability are Independently Associated with Higher Risk of Fall Among Community Adults: a Cross-Sectional Study.Risk management and healthcare policy · 2024Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Growing evidence has reported an association between multimorbidity and falls and fear of falling (FOF) in older adults, however, the results regarding this association from China are limited. Our study aimed to investigate the association between multimorbidity and falls and FOF in older adults in eastern China. Methods: We conducted a cross-sectional study in Zhejiang Province, Eastern China, which recruited a provincial representative sample of adults aged ≥ 60 years. A structured questionnaire including demographic characteristics, chronic diseases, history of falls in the past 12 months, and FOF, was administered by all participants. The exposure variable was multimorbidity, which was defined as the presence of two or more chronic diseases and medical conditions in the same individual. The outcomes included a history of falls and FOF. Multivariate logistic regression was used to evaluate the association between multimorbidity and falls and FOF in older adults. Results: In total of 7,774 participants were included in the analysis, among whom 3,898 (50.1%) were female, with a mean ± standard deviation age is 72.9 ± 8.4 years. Multimorbidity was associated with the increased risk of falling in older adults [adjusted odds ratio (OR), 1.99; 95% confidence interval (CI):1.55-2.36]. The ORs for having experienced single fall and repeated falls were 1.85 (95% CI: 1.42-2.42) and 3.45 (95% CI: 1.47-6.97), respectively, with multimorbidity compared with those without chronic diseases. The older adults with multimorbidity were more likely to report FOF compared with those without chronic diseases (adjusted OR, 1.49; 95%CI:1.30-1.70). Moreover, the association between multimorbidity and FOF remained significant in the older adults with a history of fall (OR, 1.57; 95%CI:1.04-2.38). Conclusion: The association between multimorbidity and falls and FOF is significant in the Chinese population and the effects of multimorbidity on falls and FOF do not vary according to the frequency and history of falls in older adults.
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