@article{ref1,
title="Sex-specific association between obesity and self-reported falls and injuries among community-dwelling Canadians aged 65 years and older",
journal="Osteoporosis international",
year="2016",
author="Handrigan, G. A. and Maltais, N. and Gagné, M. and Lamontagne, P. and Hamel, D. and Teasdale, N. and Hue, O. and Corbeil, P. and Brown, J. P. and Jean, S.",
volume="28",
number="2",
pages="483-494",
abstract="This study investigated the relationship between body mass index (BMI) and falls among community-dwelling elderly. <br><br>RESULTS indicate that obesity is associated with increased falls and there appears to be a sex-specific difference with obese men at higher risk of falling. Obesity is identified as a risk factor for falls in men. <br><br>INTRODUCTION: The prevalence of falls, fall-related injuries, and obesity has increased over the last decade. The objectives of this study were to investigate sex-specific association and dose-response relationship between BMI and falls (and related injuries) among community-dwelling elderly. <br><br>METHODS: Our study sample consisted of 15,860 adults aged 65 years or older (6399 men and 9461 women) from the 2008-2009 Canadian Community Health Survey-Healthy Aging (CCHS-HA). Falls, fall-related injuries, and BMI measures were self-reported. For both sex, dose-response curves presenting the relationship between BMI, falls, and fall-related injuries were first examined. Thereafter, multivariate logistic regression analyses were also performed to investigate these relationships after adjustment for potentially confounding variables. <br><br>RESULTS: Of women, 21.7 % reported a fall and 16.9 % of men. The dose-response relationship between BMI and prevalence of falls showed that underweight and obese individuals reported falling more than normal and overweight individuals; this being more apparent in men than women. Finally, the dose relationship between BMI and prevalence of fall-related injuries showed that only obese men seem more likely to have sustained a fall-related injury. <br><br>RESULTS from the multivariate analysis showed that obesity in men was significantly associated with higher odds of falling odds ratio (OR) 1.33 (1.04-1.70) and was not significantly associated with higher odds of fall-related injuries OR 1.10 (0.66-1.84) over a 12-month period compared to normal weight men. For women, obesity was not significantly associated with higher fall prevalence OR 0.99 (0.79-1.25) and fall-related injuries OR 0.71 (0.51-1.00). <br><br>CONCLUSION: Obesity is associated with self-reported falls, and there appears to be a sex-specific difference in elderly persons.<p /> <p>Language: en</p>",
language="en",
issn="0937-941X",
doi="10.1007/s00198-016-3745-x",
url="http://dx.doi.org/10.1007/s00198-016-3745-x"
}