Orientation and verbal fluency in the English Longitudinal Study of Ageing: modifiable risk factors for falls?

Smith, Toby, Neal, Samuel, Peryer, Guy, Sheehan, Katie, Maw Pin, Tan and Myint, Phyo (2019) Orientation and verbal fluency in the English Longitudinal Study of Ageing: modifiable risk factors for falls? International Psychogeriatrics, 31 (10). pp. 1491-1498. ISSN 1041-6102

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Abstract

Objectives:To determine the relationship between falls and deficits in specific cognitive domains in older adults.Design:An analysis of the English Longitudinal Study of Ageing (ELSA) cohort.Setting:United Kingdom community-based.Participants:5197 community-dwelling older adults recruited to a prospective longitudinal cohort study.Measurements:Data on the occurrence of falls and number of falls, which occurred during a 12-month follow-up period, were assessed against the specific cognitive domains of memory, numeracy skills, and executive function. Binomial logistic regression was performed to evaluate the association between each cognitive domain and the dichotomous outcome of falls in the preceding 12 months using unadjusted and adjusted models.Results:Of the 5197 participants included in the analysis, 1308 (25%) reported a fall in the preceding 12 months. There was no significant association between the occurrence of a fall and specific forms of cognitive dysfunction after adjusting for self-reported hearing, self-reported eyesight, and functional performance. After adjustment, only orientation (odds ratio [OR]: 0.80; 95% confidence intervals [CI]: 0.65-0.98, p = 0.03) and verbal fluency (adjusted OR: 0.98; 95% CI: 0.96-1.00; p = 0.05) remained significant for predicting recurrent falls.Conclusions:The cognitive phenotype rather than cognitive impairment per se may predict future falls in those presenting with more than one fall.

Item Type: Article
Additional Information: Issue Theme: Dementia and the Society
Uncontrolled Keywords: aged,cognitive skills,executive function,fall,injury,memory,clinical psychology,gerontology,geriatrics and gerontology,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/3200/3203
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 06 Nov 2018 10:31
Last Modified: 22 Jul 2020 02:38
URI: https://ueaeprints.uea.ac.uk/id/eprint/68776
DOI: 10.1017/S1041610218002065

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