title: Predictors of injurious falls and fear of falling differ: an 11-year longitudinal study of incident events in older people.
abstract: OBJECTIVE
  The objective of the study is to identify the intrinsic, psychosocial and lifestyle factors, which, over time, predict the incidence of having a fall requiring medical attention (injurious fall) or of acquiring a fear of falling (FOF).
  
  
  METHODS
  Data from 1,000 participants in the Melbourne Longitudinal Studies on Healthy Ageing (MELSHA, 1994-2005) were analyzed using cox regressions and hazard ratios.
  
  
  RESULTS
  The predictors of injurious falls (n = 900, events = 200) were increasing age, slower gait speed, and being depressed. Main predictors of developing a FOF (n = 855, events =117) were increasing age, cognitive impairment, reduced social activity, and gender. A history of falls at baseline did not predict acquiring a FOF nor did FOF predict a future fall.
  
  
  CONCLUSIONS
  The profile of the person who will have an injurious fall differs from the profile of the person who develops a FOF and should be considered when designing interventions.
authors.affiliation: The University of Sydney, Australia ARC Centre of Excellence in Population Ageing Research, Sydney & Canberra, Australia lindy.clemson@sydney.edu.au.
authors.forename: Lindy
authors.initials: L
authors.lastname: Clemson
authors.affiliation: ARC Centre of Excellence in Population Ageing Research, Sydney & Canberra, Australia The Australian National University, Canberra, Australia.
authors.forename: Hal
authors.initials: H
authors.lastname: Kendig
authors.affiliation: The University of Sydney, Australia.
authors.forename: Lynette
authors.initials: L
authors.lastname: Mackenzie
authors.affiliation: ARC Centre of Excellence in Population Ageing Research, Sydney & Canberra, Australia Monash University, Melbourne, Australia.
authors.forename: Colette
authors.initials: C
authors.lastname: Browning
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D005239:Fear; D005260:Female; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D012307:Risk Factors; D014947:Wounds and Injuries / Q000453:epidemiology*
keywords: accidental falls; aged; community-residing; injurious falls; older adults