title: The combined status of physical performance and depressive symptoms is strongly associated with a history of falling in community-dwelling elderly: cross-sectional findings from the Obu Study of Health Promotion for the Elderly (OSHPE).
abstract: The purpose of this study was to examine whether the combined factors of physical performance, depressive symptoms and cognitive status are significantly associated with a history of falling in community-dwelling elderly. We performed a cross-sectional community-based survey, the OSHPE, from August 2011 to February 2012. In total, 5104 community-dwelling older adults aged 65 years and older (mean age 72.0) participated in the OSHPE. Participants underwent a grip strength (GS) test, chair stand test (CST), Timed Up & Go (TUG) test, Geriatric Depression Scale (GDS), and Mini-Mental State Examination (MMSE). Of the 4481 participants who met our requirements, 645 (14.4%) participants reported falling at least once in the past year. In a signal detection analysis (SDA), we found that the combination of GDS (≥6 points) and TUG (≥10.6 s) had the highest fall rate (36.4%), and the combination of GDS (<6 points) and CST (<11.1 s) had the lowest fall rate (11.7%). The highest fall rate group had a significantly higher odds ratio (OR) compared with the lowest fall rate group after adjusting for other potentially confounding variables [OR 3.12 (95% confidence interval (CI) 2.08-4.68) p<0.001]. The combination of depressive symptoms, TUG, and CST performance was strongly associated with a history of falling in community-dwelling elderly.
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan; Japan Society for the Promotion of Science, Sumitomo-Ichibancho FS Building, 8 Ichibancho, Chiyoda-ku, Tokyo 102-8472, Japan. Electronic address: makizako@ncgg.go.jp.
authors: Hyuma
authors: H
authors: Makizako
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Hiroyuki
authors: H
authors: Shimada
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan; Japan Society for the Promotion of Science, Sumitomo-Ichibancho FS Building, 8 Ichibancho, Chiyoda-ku, Tokyo 102-8472, Japan.
authors: Takehiko
authors: T
authors: Doi
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Daisuke
authors: D
authors: Yoshida
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Kota
authors: K
authors: Tsutsumimoto
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan; Japan Society for the Promotion of Science, Sumitomo-Ichibancho FS Building, 8 Ichibancho, Chiyoda-ku, Tokyo 102-8472, Japan.
authors: Kazuki
authors: K
authors: Uemura
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Yuya
authors: Y
authors: Anan
authors: Section for Physical Functioning Activation, Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Hyuntae
authors: H
authors: Park
authors: Section for Physical Functioning Activation, Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Sangyoon
authors: S
authors: Lee
authors: Section for Health Promotion, Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Tadashi
authors: T
authors: Ito
authors: Research Institute, National Center for Geriatrics and Gerontology, 35 Gengo, Morioka-machi, Obu, Aichi 474-8511, Japan.
authors: Takao
authors: T
authors: Suzuki
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition / Q000502:physiology; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications* / Q000523:psychology; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D016017:Odds Ratio; D010809:Physical Fitness / Q000523:psychology*; D011597:Psychomotor Performance / Q000502:physiology*; D012044:Regression Analysis; D012111:Residence Characteristics
keywords: Chair stand performance; Depressive symptoms; Falls; SDA; TUG test