@article{ref1,
title="Depressive symptoms, subjective cognitive decline, and subjective sleep quality are associated with slips and falls: data from the community health survey in Korean adults",
journal="Gerontology",
year="2022",
author="Kim, Ji Hee and Song, Joon Ho and Wee, Jee Hye and Lee, Jung Woo and Choi, Hyo Geun",
volume="68",
number="5",
pages="518-528",
abstract="BACKGROUND: Identifying the risk factors for falls among the elderly population is arguably one of the most imperative public health issues in the current aging society. <br><br>OBJECTIVES: This study aimed to determine the associations between depressive symptoms, subjective cognitive decline (SCD), and poor subjective sleep quality and the risk of slips/falls in a Korean older population. <br><br>METHODS: This cross-sectional study involved 228,340 elderly individuals living in Korea. Measurements included self-reported depressive symptoms, SCD, and self-reported sleep quality. The risk of slips/falls was dichotomized depending on whether slips/falls had occurred during the past year, and the associations between different risk factors and slips/falls were explored. Multiple logistic regression was used to obtain the odds ratios (ORs) and 95% confidence intervals (CIs). Complex sampling methods were used to estimate the weighted value of each participant. <br><br>RESULTS: The risk of slips/falls was significantly associated with high levels of depressive symptoms (adjusted OR 1.06, 95% CI: 1.05-1.07) and SCD (adjusted OR 1.33, 95% CI: 1.19-1.50). Regarding each sleep quality component, the adjusted ORs for slips/falls were 1.85 for very poor sleep quality, 1.49 for long sleep latency, 1.04 for <5 h of sleep duration, 1.32 for low sleep efficiency, 2.78 for high sleep disturbance, 1.52 for the use of sleep medication ≥3 times a week, and 1.82 for high daytime dysfunction due to sleep problems compared to the respective good sleep conditions. <br><br>CONCLUSIONS: Our results demonstrated that depressive symptoms, SCD, and poor subjective sleep quality are independent factors affecting the occurrence of slips/falls. Thus, efforts to manage depressive symptoms and cognitive decline early and to improve sleep quality can be an alternative strategy to decrease the likelihood of falls.<p /> <p>Language: en</p>",
language="en",
issn="0304-324X",
doi="10.1159/000518007",
url="http://dx.doi.org/10.1159/000518007"
}