Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study
Objectives: To explore diverse lifestyle-related factors associated with falls and fall-related hospitalizations among community-dwelling older adults. Methods: Individuals aged 60 and above were selected from “Psychology and Behavior Investigation of Chinese Residents,” a national cross-sectional s...
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Elsevier
2025-09-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398425002519 |
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| author | Yuan Luo Haiye Ran Siyuan Fan Yuqian Deng Jiaxin Liu Yibo Wu Liping Zhao |
| author_facet | Yuan Luo Haiye Ran Siyuan Fan Yuqian Deng Jiaxin Liu Yibo Wu Liping Zhao |
| author_sort | Yuan Luo |
| collection | DOAJ |
| description | Objectives: To explore diverse lifestyle-related factors associated with falls and fall-related hospitalizations among community-dwelling older adults. Methods: Individuals aged 60 and above were selected from “Psychology and Behavior Investigation of Chinese Residents,” a national cross-sectional study. Falls and fall-related hospitalizations were investigated, with an exploration of differences groups. Lastly, lifestyle-related factors were identified and analyzed using logistic regression to assess their association with falls and fall-related hospitalizations. Results: 366 (8.9 %) of 4116 older adults reported falls. Among these, 252 were injured, resulting in a 68.9 % injury rate. Furthermore, 64 individuals (17.5 %) were hospitalized due to fall. Older adults may be more prone to falls if they exhibit certain characteristics or engage in specific behaviors, such as suffering from multimorbidity or ophthalmic diseases, being an abstainer, regularly consuming tea, sugar-sweetened beverages and coffee, prolonged sitting habits (>3 h/a day), or experiencing nighttime awakening. The normal or higher body mass index and residing in urban areas could reduce fall risk. Advanced age (≥75years old) can further influence the likelihood of hospitalization due to fall. Moderate intake of sugar-sweetened beverages (1–3 bottles/a week) and inadequate daily walking (≥61 min/a day) could reduce the risk of hospitalization. Conclusions: The fall injury rate and hospitalization rate of older adults in the community are both relatively high. Future research can further focus on lifestyle-related factors to reduce falls and fall-related injuries, thereby alleviating the burden caused by falls. |
| format | Article |
| id | doaj-art-a4953b676e8a41a9bca5840575ed196d |
| institution | Kabale University |
| issn | 2213-3984 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
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| series | Clinical Epidemiology and Global Health |
| spelling | doaj-art-a4953b676e8a41a9bca5840575ed196d2025-08-20T03:59:37ZengElsevierClinical Epidemiology and Global Health2213-39842025-09-013510216110.1016/j.cegh.2025.102161Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional studyYuan Luo0Haiye Ran1Siyuan Fan2Yuqian Deng3Jiaxin Liu4Yibo Wu5Liping Zhao6Capital Medical University, School of Nursing, Beijing, 100069, ChinaCentral South University, Xiangya School of Nursing, Changsha, 410013, ChinaImperial College London, School of Public Health, London, W12 0BZ, UKCentral South University, Xiangya School of Nursing, Changsha, 410013, ChinaCentral South University, Xiangya School of Nursing, Changsha, 410013, ChinaZhejiang University, International School of Medicine, International Institutes of Medicine, Yiwu, 322000, China; Zhejiang University, the Fourth Affiliated Hospital of School of Medicine, Department of Nursing, Yiwu, 322000, ChinaCentral South University, The Second Xiangya Hospital, Changsha, 410011, China; Corresponding author.Objectives: To explore diverse lifestyle-related factors associated with falls and fall-related hospitalizations among community-dwelling older adults. Methods: Individuals aged 60 and above were selected from “Psychology and Behavior Investigation of Chinese Residents,” a national cross-sectional study. Falls and fall-related hospitalizations were investigated, with an exploration of differences groups. Lastly, lifestyle-related factors were identified and analyzed using logistic regression to assess their association with falls and fall-related hospitalizations. Results: 366 (8.9 %) of 4116 older adults reported falls. Among these, 252 were injured, resulting in a 68.9 % injury rate. Furthermore, 64 individuals (17.5 %) were hospitalized due to fall. Older adults may be more prone to falls if they exhibit certain characteristics or engage in specific behaviors, such as suffering from multimorbidity or ophthalmic diseases, being an abstainer, regularly consuming tea, sugar-sweetened beverages and coffee, prolonged sitting habits (>3 h/a day), or experiencing nighttime awakening. The normal or higher body mass index and residing in urban areas could reduce fall risk. Advanced age (≥75years old) can further influence the likelihood of hospitalization due to fall. Moderate intake of sugar-sweetened beverages (1–3 bottles/a week) and inadequate daily walking (≥61 min/a day) could reduce the risk of hospitalization. Conclusions: The fall injury rate and hospitalization rate of older adults in the community are both relatively high. Future research can further focus on lifestyle-related factors to reduce falls and fall-related injuries, thereby alleviating the burden caused by falls.http://www.sciencedirect.com/science/article/pii/S2213398425002519Older adultsFallFall-related hospitalizationLifestyle-related factorsCross-sectional study |
| spellingShingle | Yuan Luo Haiye Ran Siyuan Fan Yuqian Deng Jiaxin Liu Yibo Wu Liping Zhao Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study Clinical Epidemiology and Global Health Older adults Fall Fall-related hospitalization Lifestyle-related factors Cross-sectional study |
| title | Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study |
| title_full | Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study |
| title_fullStr | Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study |
| title_full_unstemmed | Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study |
| title_short | Lifestyle-related factors associated with fall and fall-related hospitalization among older adults in the community: A national cross-sectional study |
| title_sort | lifestyle related factors associated with fall and fall related hospitalization among older adults in the community a national cross sectional study |
| topic | Older adults Fall Fall-related hospitalization Lifestyle-related factors Cross-sectional study |
| url | http://www.sciencedirect.com/science/article/pii/S2213398425002519 |
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