Evidence map›Paper›PMID 38772577›Full record

Observational studyBMJ open2024

Does living alone influence fall risk among Swiss older adults aged 60+? A pooled observational analysis of three RCTs on fall prevention.

Kilian Braendle, Andreas Egli, Heike Bischoff-Ferrari, Gregor Freystaetter

3 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

NCT00133640 phase3unknown statusnot on this map

Early Rehabilitation After Hip Fracture: A Randomized Controlled Trial Comparing Different Vitamin D and Rehabilitation Programs

TypeinterventionalSponsorSwiss National Science FoundationRan2005 to 2008Enrolled204ConditionsAccidental Falls, Fractures, Hip FracturesArmscholecalciferol, Physiotherapy
NCT00599807 phase4completednot on this map

Role of Vitamin D in Secondary Prevention of Knee Osteoarthritis: A Double-blind Randomized Controlled Trial

TypeinterventionalSponsorUniversity of ZurichRan2008 to 2014Enrolled273ConditionsKnee OsteoarthritisArmsVitamin D3 (cholecalciferol)
NCT01017354 phase2completednot on this map

Monthly Vitamin D to Improve Vitamin D Status and Maintain Function in Pre-frail Older Individuals Living at Home

TypeinterventionalSponsorUniversity of ZurichRan2010 to 2011Enrolled200ConditionsCommunity-dwelling Seniors, History of a Fall in the Previous 12 MonthsArmsHidroferol® (ES), ViDe3 (CH)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

Kilian BraendleCenter on Aging and Mobility, University of Zurich, Zurich, Switzerland.ORCID 0009-0004-2023-7686
Andreas EgliCenter on Aging and Mobility, University of Zurich, Zurich, Switzerland.
Heike Bischoff-FerrariCenter on Aging and Mobility, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-4554-658X
Gregor FreystaetterCenter on Aging and Mobility, University of Zurich, Zurich, Switzerland Gregor.Freystaetter@uzh.ch.ORCID 0000-0003-4539-5627

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFalling and living alone have been identified as public health challenges in an ageing society. Our study investigates whether living alone influences fall risk in community-dwelling older adults in Switzerland. DESIGN AND

methodsSecondary analysis of three randomised controlled trials investigating how different doses of vitamin D and an exercise programme may influence the risk of further falls in people 60+ at risk of falling. We used logistic regression to examine the association between living alone and the odds of becoming a faller, and negative binomial regression to examine the association between living alone and the rate of falls. We assessed both any falls and falls with injury. All analyses were adjusted for sex, body mass index, age, grip strength, comorbidities, use of walking aids, mental health, trial and treatment group. Predefined subgroups were by sex and age.

resultsAmong 494 participants (63% women; mean age was 74.7±7.5 years) 643 falls were recorded over 936.5 person-years, including 402 injurious falls. Living alone was associated with a 1.76-fold higher odds of becoming a faller (OR (95% CI)=1.76 (1.11 to 2.79)). While the odds did not differ by sex, older age above the median age of 74.6 years increased the odds to 2.19-fold (OR (95% CI)=2.19 (1.11 to 4.32)). The rate of total or injurious falls did not differ by living status.

conclusionsCommunity-dwelling older adults living alone have a higher odds of becoming a faller. The increased odds is similar for men and women but accentuated with higher age. TRIAL REGISTRATION NUMBERS: ZDPT: NCT01017354, NFP53: NCT00133640, OA: NCT00599807.

Indexed as

Accidental FallsIndependent LivingAgedAged, 80 and overExercise TherapyFemaleHumansLogistic ModelsMaleMiddle AgedRandomized Controlled Trials as TopicRisk FactorsSwitzerlandVitamin DVitamin DGERIATRIC MEDICINEHEALTH ECONOMICSPUBLIC HEALTH

Identifiers

PMID38772577
PMCPMC11110580

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.