2019年12月5日
An Epidemiological Study of the Risk Factors of Bicycle-Related Falls Among Japanese Older Adults
Journal of Epidemiology
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- 巻
- 29
- 号
- 12
- 開始ページ
- 487
- 終了ページ
- 490
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.2188/jea.je20180162
- 出版者・発行元
- Japan Epidemiological Association
BACKGROUND: Considering the rate of growth of the older population in several countries, accidental falls in older cyclists are expected to increase. However, the prevalence and correlates of bicycle-related falls (BR-falls) are unknown. The aim of the present study was to explore the characteristics of BR-falls, focusing on the risk factors. METHODS: Seven-hundred and ninety-one older adults participated in a comprehensive baseline assessment that included questions on bicycle use, BR-falls, lifestyle, and physical and cognitive evaluations. A cyclist was defined as a person who cycled at least a few times per month. The incidence of BR-falls in participants who did not report BR-falls at baseline was again ascertained 3 years later. Logistic regression analyses examined the predictors of BR-falls incidence. RESULTS: At baseline, 395 older adults were cyclists and 45 (11.4%) of them had experienced BR-falls. Adjusted regression analysis showed that slower gait velocity, shorter one-leg standing time, and experience of falls (ie, non-BR-falls) were associated with BR-falls. Among the 214 cyclists who did not report BR-falls at baseline and who participated in both baseline and follow-up assessments, 35 (16.4%) cyclists experienced BR-falls during the 3-year follow-up. Adjusted regression analysis revealed that higher body mass index and non-BR-falls were predictors of future incidence of BR-falls, independent of physical function. CONCLUSIONS: Our results showed that experience of falls, irrespective of bicycling, is an independent correlate and risk factor of BR-falls. This suggests that experience of falls and BR-falls may share the same risk factors.
- リンク情報
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- DOI
- https://doi.org/10.2188/jea.je20180162
- PubMed
- https://www.ncbi.nlm.nih.gov/pubmed/30531123
- PubMed Central
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859081
- Web of Science
- https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000502629600006&DestApp=WOS_CPL
- URL
- https://www.jstage.jst.go.jp/article/jea/29/12/29_JE20180162/_pdf
- ID情報
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- DOI : 10.2188/jea.je20180162
- ISSN : 0917-5040
- ISSN : 1349-9092
- eISSN : 1349-9092
- ORCIDのPut Code : 95201314
- PubMed ID : 30531123
- PubMed Central 記事ID : PMC6859081
- Web of Science ID : WOS:000502629600006