ABSTRACT

Aim: The aim of this cross-sectional study was to determine which functional tests are able to predict falls in nursing home residents (NHR) and community-dwelling (CDW) older adults grouped by age. Methods: Two hundred and fifty-two older adults were assessed in the following tests, Mini-Mental State Examination, anthropometric characteristics, fall history and functional tests. The participants were assigned to one of the following groups: Young Older Adults (YOA; 60–69 years, n = 102; 27.5% NHR), Old Older Adults (OOA; 70–79 years; n = 100; 23.5% NHR) and Very Older Adults (VOA, ≥80 years; n = 50; 52% NHR). Results: The five times sit-to-stand showed 1.41 odds to experience a fall in the NHR of the VOA. In the CDW, the handgrip strength score decreased the odds to fall occurrence (0.92 odds) in the YOA, while the low score in timed up and go test of the OOA showed 1.21 odds to experience a fall. Conclusions: Therefore, the five times sit-to-stand test can predict falls in NHR of VOA groups, while handgrip strength and timed up and go tests can predict falls in CDW of YOA and OOA groups, respectively.

摘要

目的：这项横断面研究的目的是确定哪些功能测试能够预测按年龄分组的养老院居民（NHR）和社区住宅（CDW）老年人的跌倒情况。方法：在以下测试，迷你精神状态检查，人体测量学特征，跌倒病史和功能测试中评估了252名老年人。参与者被分配为以下组之一：年轻的老年人（YOA； 60-69岁，n = 102； 27.5％NHR），年龄较大的成年人（OOA； 70-79岁； n = 100； 23.5％NHR）和非常大的成年人（VOA，≥80岁； n = 50； NHR为52％）。结果：坐姿到站姿五次显示VOA的NHR下降的赔率为1.41。在CDW中，握力强度得分降低了YOA发生摔倒的几率（0.92赔率），而OOA的定时起跑测试中的低分数显示有1.21跌倒的几率。结论：因此，五次静坐试验可以预测VOA组NHR的下降，而握力和定时走法可以分别预测YOA和OOA组CDW的下降。