TY  - JOUR
PY  - 2018//
TI  - Environmental and physical factors predisposing middle-aged and older Japanese adults to falls and fall-related fractures in the home
JO  - Geriatrics and gerontology international
A1  - Tanaka, Tomoki
A1  - Matsumoto, Hiroshige
A1  - Son, Bo-Kyung
A1  - Imaeda, Shujirou
A1  - Uchiyama, Emiko
A1  - Taniguchi, Sakiko
A1  - Nishino, Akiko
A1  - Miura, Takahiro
A1  - Tanaka, Toshiaki
A1  - Otsuki, Toshio
A1  - Nishide, Kazuhiko
A1  - Iijima, Katsuya
A1  - Okata, Junichiro
SP  - 1372
EP  - 1377
VL  - 18
IS  - 9
N2  - AIM: To identify environmental and physical factors that predispose middle-aged and older Japanese adults to falls and fall-related fractures in the home. <br><br>METHODS: A cross-sectional survey was carried out in 2014. Self-administered questionnaires were distributed to 15 000 community-dwelling adults in Japan. The overall crude response rate was 13%. Response data were analyzed from 1561 individuals aged ≥40 years using multiple imputation to analyze missing data. We evaluated falls without fractures and fall-related fractures during the previous 3 years according to demographic, physical and environmental factors, including age, sex, long-term care insurance certification, type of house and barrier-free housing. <br><br>RESULTS: Of the 1561 adults (mean age 68.1 ± 13.0 years), 28% experienced a fall in the home. Among the individuals who experienced a fall, 11% experienced fall-related fractures. These individuals were more likely to be women (OR 2.4, 95.0% CI 1.1-5.1), have LTCI certification (OR 3.9, 95.0% CI 1.6-9.4) and be living in a barrier home (OR 4.0, 95.0% CI 1.6-9.8), after adjustment for covariates. <br><br>CONCLUSIONS: Environmental factors, such as living in a barrier home, are critical for fall-related fractures, in addition to demographic and physical factors. A multidisciplinary approach that considers both physical and environmental factors is necessary for reducing the incidence of fall-related fractures among middle-aged and older Japanese adults. Geriatr Gerontol Int 2018; ••: ••-••.<br><br>© 2018 Japan Geriatrics Society.<p />  <p>Language: en</p>
LA  - en
SN  - 1444-1586
UR  - http://dx.doi.org/10.1111/ggi.13494
ID  - ref1
ER  -