TY  - JOUR
PY  - 2012//
TI  - Do Elderly People at More Severe Activity of Daily Living Limitation Stages Fall More?
JO  - American journal of physical medicine and rehabilitation
A1  - Henry-Sánchez, John T.
A1  - Kurichi, Jibby E.
A1  - Xie, Dawei
A1  - Pan, Qiang
A1  - Stineman, Margaret G.
SP  - 601
EP  - 610
VL  - 91
IS  - 7
N2  - OBJECTIVE: The aim of this study was to explore how activity of daily living (ADL) stages and the perception of unmet needs for home accessibility features associate with a history of falling. DESIGN: Participants were from a nationally representative sample from the Second Longitudinal Survey of Aging conducted in 1994. The sample included 9250 community-dwelling persons 70 yrs or older. The associations of ADL stage and perception of unmet needs for home accessibility features with a history of falling within the past year (none, once, or multiple times) were explored after accounting for sociodemographic characteristics and comorbidities using a multinomial logistic regression model. RESULTS: The adjusted relative risk of falling more than once peaked at 4.30 (95% confidence interval, 3.29-5.61) for persons with severe limitation (ADL-III) compared those with no limitation (ADL-0) then declined for those at complete limitation (ADL-IV). The adjusted relative risks of falling once and multiple times were 1.42 (95% confidence interval, 1.07-1.87) and 1.85 (95% confidence interval, 1.44-2.36), respectively, for those lacking home accessibility features. CONCLUSIONS: Risk of falling appeared greatest for those whose homes lacked accessibility features and peaked at intermediate ADL limitation stages, presumably at a point when people have significant disabilities but sufficient function to remain partially active.<p />  <p>Language: en</p>
LA  - en
SN  - 0894-9115
UR  - http://dx.doi.org/10.1097/PHM.0b013e31825596af
ID  - ref1
ER  -