Eckert C, Gell NM, Wingood M, Schollmeyer J, Tarleton EK. Malnutrition Risk, Rurality, and Falls among Community-Dwelling Older Adults.
J Nutr Health Aging 2021;
25:624-627. [PMID:
33949629 PMCID:
PMC8100280 DOI:
10.1007/s12603-021-1592-8]
[Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
OBJECTIVES
We aimed to evaluate if malnutrition and rurality are associated with fall risk and future falls in community-dwelling older adults.
DESIGN
Prospective Cohort.
SETTING
Community, Vermont.
PARTICIPANTS
Older adults receiving home support services who completed a health risk assessment (n=3,300; Mean age 79.6 years ±8.4, 75% female). Additional analysis was completed with a subset of 2,043 participants with two-years of consecutive health assessments.
MEASUREMENTS
Fall Risk Questionnaire, DETERMINE Nutrition Risk Questionnaire, and fall history.
RESULTS
Independently, high malnutrition risk and rurality were associated with fall risk (p<0.001) and high malnutrition risk was associated with rurality (p<0.001). After adjusting for age, sex, and physical function, individuals with high nutrition risk had a 66% increase in the odds of falling over the next year, but rurality was not significantly associated with a new fall.
CONCLUSION
These findings suggest that falls are associated with malnutrition risk, but the relationship between falls and rurality is less evident. Further research is needed to identify services that may best alleviate malnutrition risk in older adults and aspects of nutrition that are most protective against fall risk.
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