Factors Determining the Increased Risk of Falls in Individuals With Knee Pain in the Malaysian Elders Longitudinal Research (MELoR) Study

Frontiers in Medicine

article

Sumaiyah Mat¹  Maw Pin Tan¹  Azad Hassan Razack⁵  Jasmine Lim⁵  Su-Yen Khong⁶  Shahrul Bahyah Kamaruzzaman¹  Ai-Vyrn Chin¹  Azlina Amir Abbas⁷  Noran Naqiah Hairi⁸  Sajaratulnisah Othman⁹ 

[1] Ageing and Age-Associated Disorders Research Group, Faculty of Medicine, University of Malaya;Geriatric Division, Department of Medicine, Faculty of Medicine, University of Malaya;Centre for Innovation in Medical Engineering, University of Malaya;Department of Medical Sciences, School of Healthcare and Medical Sciences, Sunway University;Department of Surgery, Faculty of Medicine, University of Malaya;Department of Obstetrics and Gynaecology, Faculty Of Medicine;Department of Orthopaedic Surgery, Faculty of Medicine, National Orthopaedic Centre of Excellence in Research and Learning (NOCERAL), University of Malaya;Department of Social and Preventive Medicine, Faculty of Medicine, Centre for Epidemiology and Evidence-Based Practice, University of Malaya;Department of Primary Care Medicine, Faculty of Medicine, University of Malaya

关键词: accidental falls;    aged;    osteoarthritis;    disability;    depression;   

DOI  :  10.3389/fmed.2019.00277

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objectives: While the negative impact of falls in older persons has been recognized, the association between knee pains and falls remains inconclusive due to underreporting and undertreatment of knee pain. This study was conducted to evaluate the relationship between knee pain and knee pain severity with falls risk and to further determine factors which influence this potential relationship. Design: This was cross-sectional study from the Malaysian Elders Longitudinal Research (MELoR) study. Setting: Urban community dwellers in a middle-income South East Asian country. Participants: One thousand two hundred twelve of a representative sample of community dwelling older persons aged 55 years and older. Outcome measures: Falls in the preceding 12 months and knee pain were collected during a home-based computer-assisted interview. Physical and functional performance were measured using the Timed Up and Go test and the Katz and Lawton scales, respectively. Psychological status was determined using the Depression Anxiety and Stress Scale (DASS-21). Results: Of the 1,212 participants included in this analysis, knee pain was present in 402 (33.17%) individuals (124 (30.85%) mild, 210 (52.24%) moderate, 68 (16.92%) severe). The presence of knee pain was associated with increased risk of falls [odds Ratio, OR(95% confidence interval, CI): 1.81 (1.37–2.38)]. Severe knee pain was an independent predictor for falls after adjustment for functional impairment and psychological status. Mild, moderate, and severe knee pain had a specific indirect effect on falls through reducing functional impairment, which in turn increases their psychological concern. Conclusion: Future studies should explore this relationship prospectively and evaluate whether interventions which alleviate psychological concerns and improve function will reduce falls risk in those with mild to moderate knee pain.

【 授权许可】

CC BY