Skip Navigation LinksHome > December 2013 - Volume 92 - Issue 12 > Men Older than 50 Yrs Are More Likely to Fall than Women Und...
American Journal of Physical Medicine & Rehabilitation:
doi: 10.1097/PHM.0b013e31829b49eb
Original Research Articles

Men Older than 50 Yrs Are More Likely to Fall than Women Under Similar Conditions of Health, Body Composition, and Balance

Pereira, Catarina L.N. PhD; Baptista, Fátima PhD; Infante, Paulo PhD

Collapse Box

Abstract

Objective

The aim of this study was to analyze the contribution of sex to the occurrence of falls, accounting for comorbidities and differences in physical fitness.

Design

This was a cross-sectional study of 587 community-dwelling adults who were older than 50 yrs. Falls, comorbidities (number of diseases and physical impairments), and physical fitness (body composition, lower and upper body strength and flexibility, agility, aerobic endurance, and balance) were evaluated via questionnaires, bioimpedance, and Fullerton batteries, respectively.

Results

Compared with the men, the women presented a 10% higher fall prevalence, 1.7 more diseases/impairments, 10% more body fat, 26% less lean body mass, and poorer physical capacity (P < 0.05). Multivariate logistic regression revealed that male sex (odds ratio [OR], 2.723; 95% confidence interval [CI], 1.190–6.230) increased the likelihood of falling, after adjustment for comorbidities (OR, 1.213; 95% CI, 1.109–1.328), lean mass (OR, 0.958; 95% CI, 0.927–0.989), fat mass (OR, 1.053; 95% CI, 1.021–1.086), and balance (OR, 0.942; 95% CI, 0.914–0.971), which were the main risk factors of falls.

Conclusions

Women are more susceptible to falling, presumably because they have poorer health and physical fitness than do men. However, when the values for comorbidities, lean and fat body mass, and balance were similar, the men demonstrated a higher probability of falling. Age is not a significant risk factor of falls under favorable conditions of health, body composition, and balance.

Copyright © 2013 by Lippincott Williams & Wilkins

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.