ArticleClinical interventions in aging2025
Falls, Sleep Disorders and Cognitive Frailty in Hospitalized Older Adults with Hypertension:A Cross-Sectional Study.
Article in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global Prevalence of Cognitive Frailty in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists · 2026Pooled it
- Mechanistic Pathways Linking Type 2 Diabetes Mellitus, Hypertension, and Osteoarthritis to Falls in Older Adults: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Poor sleep quality is associated with increased mortality in community-dwelling older adults: a retrospective single-center study.Irish journal of medical science · 2026Article
- Albumin/creatinine ratio thresholds associated with poor sleep quality in elderly obese non-diabetic individuals: a cross-sectional study.BMC nephrology · 2026Article
- Machine learning-based prediction model for fall risk among individuals with arthritis in China: an analysis using the China Health and Retirement Longitudinal Study (CHARLS) database.Journal of health, population, and nutrition · 2026Article
- 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
- Hypertension management profiles in Chinese adults aged 60 years and older.Frontiers in public health · 2026Observational
- Sleep disorders among elderly hypertensive patients: associated factors and implications for management.Frontiers in cardiovascular medicine · 2026Article
- A nomogram model for identifying cognitive frailty in elderly patients with chronic diseases: a multicenter cross-sectional study.Frontiers in public health · 2026Observational
- Burden of geriatric and cognitive disorders and the impact of integrated care models on morbidity, functional decline, and health service utilization among older adults.Frontiers in medicine · 2026Article
- Utilization, user evaluation, and associated factors of Traditional Chinese Medicine techniques for insomnia symptoms among Chinese community-dwelling older adults: a cross-sectional study.Frontiers in public health · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Falls and fall-related injuries are highly prevalent among older adults. Falls negatively impact functional independence and quality of life, and are associated with increased morbidity, mortality, and healthcare costs. Sleep disorders in the older adults are a common phenomenon, with sleep quality gradually deteriorating as age increases. Cognitive frailty(CF) refers to the presence of both physical frailty(PF) and mild cognitive impairment(MCI) without simultaneous diagnosis of Alzheimer's disease(AD) or other dementia. Epidemiological studies have confirmed the association between falls and sleep disorders, as well as CF. However, no studies have yet investigated the relationship between falls, sleep disorders and CF in hospitalized older adults with hypertension. Our study is to explore the relationship between falls and both sleep disorders and CF in hospitalized older adults with hypertension, providing a basis for fall prevention. Patients and Methods: Demographic characteristics were collected from hypertensive patients aged 65 and above who were hospitalized in the Department of Geriatrics at Huaihe Hospital of Henan University, from July 2022 to June 2024. These patients were assessed for history of falls, sleep quality, CF, depression and nutritional status. Logistic regression analysis was used to examine the correlation between falls and both sleep disorders and CF. Results: A total of 266 older adults with hypertension were surveyed in this study, of whom 108 reported having fallen once or more in the past year. Both sleep disorders and CF were significantly associated with an increased risk of falls (sleep disorders: OR=2.625, 95% CI 1.214-5.678, P=0.014; CF: OR=5.920, 95% CI 2.632-13.314, P<0.001). Other significant risk factors included: Age (OR=1.119, 95% CI 1.055-1.188, P<0.001), Comorbidities (OR=2.855, 95% CI 1.353-6.024, P=0.006), Polypharmacy (OR=4.126, 95% CI 1.937-8.793, P<0.001), Compared to hospitalized older adults with hypertension with good nutritional status, those with malnutrition had a 4.698-fold higher risk of falls (95% CI 1.724-12.800, P=0.002). Conclusion: The incidence of falls was higher among hospitalized older adults with hypertension. Both sleep disorders and CF were strongly associated with falls in this patient population.
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