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Sociodemographic Characteristics as Determinants and Physical Performance Measures as Correlates of Falls Among Malaysian Community-Dwelling Older Adults

A Prospective Study

Singh, Devinder Kaur Ajit, PhD; Samah, Zunaidah Abu, MSc; Shahar, Suzana, PhD; Omar, Mohd Azahadi, MPh; Shaharudin, Muhammad Iqbal, BSc; Chin, Ai-Vyrn, PhD

Topics in Geriatric Rehabilitation: April/June 2019 - Volume 35 - Issue 2 - p 113–118
doi: 10.1097/TGR.0000000000000219
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There is limited information regarding combined sociodemographic data and physical performance measures as determinants and correlates of falls among community-dwelling older adults. In this study, we aimed to identify whether sociodemographic data and physical performance measures are significant determinants and correlates for falls in community-dwelling older adults. Three hundred twenty-five Malaysian community-dwelling older adults (145 men and 180 women), aged 60 to 89 (M = 67.64, SD = 5.56) years, were recruited through multistage random samplings for this prospective study (with 6 months' follow-up). Binary logistic regression analysis was performed on the sociodemographic data and physical performance measures to determine the determinants and correlates of falls among these participants. The Physiological Profile Assessment (PPA) was the only significant (P < .05) physical performance measure that correlated with falls. The Timed Up and Go (TUG) Test and education levels were significant correlates and determinants of falls in this population, with the absence of PPA in the model. The PPA is the best physical performance measure correlate of falls among Malaysian community-dwelling older adults. However, when the PPA is not available, the TUG Test, although a simple performance tool, may be used to predict falls among community-dwelling older adults.

Physiotherapy Programme & Center for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Malaysia (Dr Singh and Mr Shaharudin); Department of Medical Rehabilitation Services, Universiti Kebangsaan Malaysia Medical Center, Malaysia (Ms Samah); Center for Healthy Aging & Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Malaysia (Dr Shahar); Centre for Burden of Disease Research, Institute for Public Health, Ministry of Health, Malaysia (Mr Omar); and Ageing and Age-Associated Disorders Research Group, Division of Geriatric Medicine, Faculty of Medicine, University Malaya Kuala Lumpur, Malaysia (Dr Chin).

Correspondence: Devinder Kaur Ajit Singh, PhD, Physiotherapy Programme & Center for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz 50300 Kuala Lumpur, Malaysia (devinder@ukm.edu.my).

This study was funded by the Ministry of Education Malaysia, Long-term Research Grant Scheme (LRGS/BU/2012/UKM–UKM/K/01). The authors thank Mr Christopher C.W Fong and Mr Indarpal Singh Didar Singh for proof reading and providing English language correction of this manuscript.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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