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Identification of Clinical and Functional Falls Risk Factors Among Low Bone Density Older Women: A Longitudinal Study

Garcia, Patrícia Azevedo PhD; Dias, João Marcos Domingues PhD; Azevedo da Silva, Silvia Lanziotti PhD; Dias, Rosângela Corrêa PhD

Topics in Geriatric Rehabilitation: April/June 2016 - Volume 32 - Issue 2 - p 134–143
doi: 10.1097/TGR.0000000000000100
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Objectives: To determine associated risk factors for falls in low bone mineral density older women.

Methods: A longitudinal study involving 116 individuals. Falls history, mobility and balance, multidimensional risk, self-efficacy for falls, frailty, and muscle performance were investigated. The occurrence of falls was monitored monthly for 1 year.

Results: Sixty-four (55.2%) older women reported falls. The hamstring muscle strength was associated with falls (odds ratio = 0.974) and with recurrent falls (odds ratio = 0.966). The falls history was associated with recurrent falls (odds ratio = 1.336).

Conclusions: The low bone mineral density older women showed high frequency of falls. Hamstring muscle strength and falls history characterized predictors of falls.

University of Brasilia (UnB)—Campus Ceilândia, Brasilia, DF, Brazil (Dr Garcia; School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil (Drs Domingues Dias and Corrêa Dias); and Federal University of Alfenas (UNIFAL), Alfenas, MG, Brazil (Dr Silva).

Correspondence: Patrícia Azevedo Garcia, PhD, Universidade de Brasília (UnB)—Campus Ceilândia, Colegiado de Fisioterapia, Centro Metropolitano, Conjunto A, Lote 01, Ceilândia, Brasília, DF, CEP: 72220 (

The authors are grateful to Ms Adrienne C. O. Vieira and Ms Luciana L. L. Martini for their support in screening the subjects. The authors also thank Ms Rosane L. Reis, Ms Natanny C. Almeida, Ms Anny S. S. Rocha, and Ms Danielle B. B. Silva for their assistance in organizing the data collection.

The authors declare that they have no conflicts of interest or source of funding.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.