@article{ref1,
title="Associations of falls and severe falls with blood pressure and frailty among Chinese community-dwelling oldest olds: the Chinese Longitudinal Health and Longevity Study",
journal="Aging (Albany NY)",
year="2021",
author="Song, Yujian and Deng, Yujiao and Li, Jianhua and Hao, Benchuan and Cai, Yulun and Chen, Jianqiao and Shi, Haiyan and Xu, Weihao",
volume="13",
number="",
pages="e203174-e203174",
abstract="INTRODUCTION: Falls are a leading cause of death among Chinese oldest olds. However, studies on Chinese community-dwelling older adults are lacking. We aimed to identify the associations of falls and severe falls with blood pressure and frailty among Chinese community-dwelling oldest olds. <br><br>METHODS: Cross-sectional analyses were conducted with 6,595 community-dwelling oldest olds (aged ≥80 years) from 22 Chinese provinces from the Chinese Longitudinal Health and Longevity Study (CLHLS). Systolic BP (SBP) and diastolic BP (DBP) were measured twice at participants' homes, and a 38-item frailty index was used to assess the frailty status of participants. Falls and severe falls were confirmed through face-to-face interviews. Multivariate logistic regression was used to investigate the associations of BP and frailty with falls and severe falls. <br><br>RESULTS: The mean participant age was 91.0 years, and 56.1% were female. In total, 24.2% participants had a history of fall and 8.3% had a history of severe falls. The multivariate-adjusted odds ratio (OR) for falls among the oldest old with SBP ≥140 mm Hg compared to those with an SBP of 120-129 mm Hg was 1.20 (95% confidence interval [CI], 1.01-1.44). The adjusted OR for falls among frail participants compared to robust participants was 1.39 (95% CI, 1.02-1.89). DBP and pre-frailty were not associated with falls after multivariate adjustment. SBP, DBP, and frailty status were not associated with severe falls after multivariate adjustment. <br><br>CONCLUSIONS: SBP and frailty but not DBP and pre-frailty are associated with increased odds of falls among Chinese community-dwelling oldest olds.<p /> <p>Language: en</p>",
language="en",
issn="1945-4589",
doi="10.18632/aging.203174",
url="http://dx.doi.org/10.18632/aging.203174"
}