TY  - JOUR
PY  - 2012//
TI  - Falls and Risk Factors for Falls in Community-Dwelling Adults With Dementia (NutriAlz Trial)
JO  - Alzheimer disease and associated disorders
A1  - Salvà, Antoni
A1  - Roqué, Marta
A1  - Rojano, Xavier
A1  - Inzitari, Marco
A1  - Andrieu, Sandrine
A1  - Schiffrin, Eduardo J.
A1  - Guigoz, Yves
A1  - Vellas, Bruno
SP  - 74
EP  - 80
VL  - 26
IS  - 1
N2  - To estimate the number of fallers and risk factors for falls in a cohort with dementia, we did a secondary analysis of a cluster-randomized controlled trial (NutriAlz) in 11 outpatient and day care centers in Catalonia (Spain) including 626 community-dwelling patients with dementia, followed for 12 months. Participants' characteristics were assessed at baseline, at 6 and 12 months [fall in the earlier 6 mo, anthropometric data, comorbidities, Mini-Mental State Examination, Clinical Dementia Rating, Basic Activities of Daily Living (BADL), Instrumental Activities of Daily Living, Neuropsychiatric Inventory Questionnaire, Zarit Caregiver Burden Interview and Mini-Nutritional Assessment]. Multivariate logistic regression models and generalized linear models were used to explore risk factors for falls and changes in health and function. Two hundred twenty-three participants fell during the 12 months follow-up (35.62%). Risk factors identified for falls were age (odds ratio (OR)=1.03, 95% confidence interval (CI), 1.00-1.05), BADL (OR=1.18, 95% CI, 1.05-1.32), and earlier fall (OR=2.30, 95% CI, 1.57-3.35). Fallers had worse health than nonfallers, and their dependence increased significantly more in BADL during the study, compared with nonfallers. Dependence in BADL is a risk factor and a consequence of falls; interventions aimed at preventing falls in dementia patients could promote autonomy in BADL and slow its decline.<p />  <p>Language: en</p>
LA  - en
SN  - 0893-0341
UR  - http://dx.doi.org/10.1097/WAD.0b013e318215ca90
ID  - ref1
ER  -