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Fall risk assessment

Marc Sim, Lauren C Blekkenhorst, Joshua R Lewis, Catherine P Bondonno, Amanda Devine, Kun Zhu, Richard J Woodman, Richard L Prince, Jonathan M Hodgson
The importance of vegetable diversity for the risk of falling and fractures is unclear. Our objective was to examine the relationship between vegetable diversity with injurious falling and fractures leading to hospitalization in a prospective cohort of older Australian women ( n = 1429, ≥70 years). Vegetable diversity was quantified by assessing the number of different vegetables consumed daily. Vegetable intake (75 g servings/day) was estimated using a validated food frequency questionnaire at baseline (1998)...
August 13, 2018: Nutrients
Håkon With Solvang, Robin Andre Nordheggen, Ståle Clementsen, Ola-Lars Hammer, Per-Henrik Randsborg
BACKGROUND: Several studies published over the last decade indicate an increased incidence of distal radius fractures (DRF). With Norway having one of the highest reported incidence of DRFs, we conducted a study to assess the epidemiology of DRFs and its treatment in the catchment area of Akershus University Hospital (AHUS). METHODS: Patients 16 years or older who presented to AHUS with an acute DRF during the years 2010 and 2011 were prospectively recorded and classified according to the AO fracture classification system...
August 13, 2018: Journal of Orthopaedic Surgery and Research
Gillian Quinn, Laura Comber, Chris McGuigan, Rose Galvin, Susan Coote
OBJECTIVE: To investigate discriminative ability and clinical utility of the Timed Up and Go under single- and dual-task conditions between fallers and non-fallers in multiple sclerosis (MS). DESIGN: Prospective cohort study. SETTING: Neurology service in a tertiary hospital. SUBJECTS: Participants were 101 people with MS and Expanded Disability Status Scale score of 3-6.5. One participant withdrew after the baseline assessment, and hence the data were analysed for 100 participants...
August 14, 2018: Clinical Rehabilitation
David W Russ, Sean M Garvey, Clay Densmore, Trevor Hawks, Stephanie Herman, Katherine Pardi
AIM: Contusion injury in aging muscle has not been studied in detail, but older adults are at risk for such injuries due to increased risk of falls. As falls in older populations are unlikely to be eliminated, interventions to minimize the negative impact of falls, including contusion injury should be pursued. Dietary fish oil (FO) is a common often supplement in older adults, which is associated with factors that might reduce or worsen the negative impact of contusion. METHODS: Here, we investigate whether 8 weeks of FO can blunt the impact of contusion injury in adult (n = 14) and aged (n = 12) rats...
August 10, 2018: Experimental Gerontology
Danielle Nichole O'Hara, Vikram Chabra, Sahar Ahmad
Fluid retention is the most common risk factor for mortality and cardiovascular complications in patients with volume-overloaded disease states. The extent of diuresis or fluid removal is frequently determined by physical examination which is subject to inaccuracies. Bedside ultrasound (US) is a portable tool that brings real-time diagnostic imaging to the patient's bedside. This versatile modality makes it possible for the clinician to investigate patients' extravascular and intravascular volume states. The extravascular volume, particularly in the case of pulmonary edema, can be quantitatively assessed by US of the anterior chest...
July 28, 2018: Journal of Visualized Experiments: JoVE
Alex J Olson, Trevor Cyphers, Gretchen Gerrish, Colin Belby, Tisha C King-Heiden
The widespread use of lead (Pb) shot in shooting activities, including at former shooting ranges, continues to pose environmental risks. The La Crosse River Marsh (located in Wisconsin, USA) is a biologically diverse urban riparian wetland with a legacy of Pb-contaminated sediment resulting from its use as a trap shooting range from 1929-1963. Within the shot fall zone, shot densities exceed 43,000 pellets/m2 and surface sediments exceed 25,000 mg/kg in some areas. This study used the Zebrafish as a model to determine the acute toxicity of these contaminated sediments...
August 13, 2018: Journal of Toxicology and Environmental Health. Part A
Amandine Dubois, Titus Bihl, Jean-Pierre Bresciani
Fall risk assessment is usually conducted in specialized centers using clinical tests. Most of the time, these tests are performed only after the occurrence of health problems potentially affecting gait and posture stability. Our aim is to define fall risk indicators that could routinely be used at home to automatically monitor the evolution of fall risk over time. We used the standard Timed Up and Go (T.U.G.) test to classify 43 individuals into two classes of fall risk, namely high- vs low- risk. Several parameters related to the gait pattern and the sitting position included in the T...
August 13, 2018: Informatics for Health & Social Care
Ehab Salah Eshak
An important factor for which work and family compete is time. Due to lack of evidence, I investigated the associations between work-family conflict (assessed by the National Study of Midlife Development in the US) and sleep disorders (assessed by the Jenkins Sleep Questionnaire) in a cross-sectional study included 1,021 Egyptians aged 18-59 years. Both work-to-family (WFC) and family-to-work (FWC) were associated with reduced sleep quantity. Moreover, high WFC was associated with sleep disorders; the multivariable ORs (95% CIs) were 2...
August 11, 2018: Industrial Health
Manuel Montero-Odasso, Quincy J Almeida, Louis Bherer, Amer M Burhan, Richard Camicioli, Julien Doyon, Sarah Fraser, Susan Muir-Hunter, Karen Z H Li, Teresa Liu-Ambrose, William McIlroy, Laura Middleton, José A Morais, Ryota Sakurai, Mark Speechley, Akshya Vasudev, Olivier Beauchet, Jeffrey M Hausdorff, Caterina Rosano, Stephanie Studenski, Joe Verghese
Background: A new paradigm is emerging in which mobility and cognitive impairments, previously studied, diagnosed, and managed separately in older adults, are in fact regulated by shared brain resources. Deterioration in these shared brain mechanisms by normal aging and neurodegeneration increases the risk of developing dementia, falls, and fractures. This new paradigm requires an integrated approach to measuring both domains. We aim to identify a complementary battery of existing tests of mobility and cognition in community-dwelling older adults that enable assessment of motor-cognitive interactions...
June 21, 2018: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Muhammad Haroon, Kamil Khan, Lorraine Thong, Kabir Ali, Fayyaz Janjua
AIMS: (1) To calculate the absolute fracture risk by using the fracture risk assessment (FRAX) model among elderly medical inpatients; (2) to assess the risk of falls, especially among patients with increased risk of fractures; and (3) to design and implement a bone health protocol to improve the assessment of fracture risk. METHODS: The study participants were all inpatients admitted to the medical wards at University Hospital Kerry, Ireland. All consecutive eligible patients aged ≥ 65 years were prospectively evaluated to populate clinical risk factor variables used in the FRAX model and the fall assessment was made by using Fracture Risk Questionnaire...
August 11, 2018: Irish Journal of Medical Science
Deborah Jehu, Julie Nantel
BACKGROUND: The relationship between falls and static and dynamic postural control has not been established in Parkinson's disease (PD). The purpose was to compare the compensatory postural strategies among fallers and non-fallers with PD as well as older adults during static and dynamic movements. METHODS: Twenty-five individuals with PD (11 fallers) and 17 older adults were outfitted with 6 accelerometers on the wrists, ankles, lumbar spine, and sternum, stood quietly for 30 s on a force platform, and walked back and forth for 30 s along a 15 m walkway...
August 3, 2018: Gait & Posture
Mark Graves, Kim Snyder, Joni McFelea, Jan Szczepanski, Mark Philip Smith, Thomas Strobel, Nona Mehrnia, Jacob Schneider, Madison J Snyder, Andrew Kilian Graves, Judith Canlas
INTRODUCTION/BACKGROUND: Osteoporosis is a common disorder and is associated with an increased risk of bone fracture. Falls are a proximate cause of a high proportion of medical costs and mortality. Improving balance can reduce the risk of falls and improve health outcomes, especially for the at-risk population of people with osteoporosis and osteopenia. The FrameWorksTM exercise program is a formal, standardized, informational and interventional 10-month exercise program. The purpose of this study was to quantitatively assess the improvement in standing balance, functional reach, and overall confidence in balance after participating in the 10-month program...
June 23, 2018: Journal of Clinical Densitometry
Anne-Violette Bruyneel, Simone C Gafner, Serge Ferrari, Gabriel Gold, Dominique Monnin, Philippe Terrier, Caroline H Bastiaenen, Lara Allet
Background: Reduced hip muscle strength has been shown to be a major factor related to falls in older persons. However, comprehensive assessment of hip abduction strength in the clinical setting is challenging. The aim of this study was to investigate the feasibility and intra-rater reliability of a quick and simple hip abductor strength test in a functional standing position. Methods: Individuals over 65 years of age were recruited from the geriatric department of a university hospital and an outpatient clinic...
2018: European Review of Aging and Physical Activity
Matthew C Shake, K Jason Crandall, Rilee P Mathews, Dustin G Falls, A Kathryn Dispennette
OBJECTIVE: A significant barrier to improving the health and well-being of older adults is that they often do not adhere to health-promoting programs. The present study examined whether Bingocize® , a game-centered mobile app that can combine bingo with healthy activities such as exercise and/or health topic education, could (1) engender high rates of adherence among sedentary community-dwelling older adults, and (2) potentially improve aspects of physical and cognitive performance. MATERIALS AND METHODS: Participants used the app for ∼1 hour, twice per week, for 10 weeks...
August 8, 2018: Games for Health
Mamta Jaiswal, Lynn Ang, Kara Mizokami-Stout, Rodica Pop-Busui
AIM: To assess the relationship between glucose variability (GV) and non-dipping of blood pressure (BP) as a marker of cardiovascular autonomic neuropathy (CAN) among patients with type 1 diabetes (T1D). METHODS: Forty-one subjects with T1D (age 34 ± 13 years, duration 13 ± 6 years, HbA1c 8 ± 1.2%) without cardiovascular disease, dyslipidemia, or hypertension at baseline were enrolled in a 3-year observational cohort study. Subjects were phenotyped for CAN with heart rate variability, cardiovascular autonomic reflex tests, and 24-h BP profiles at baseline and during follow-up...
July 31, 2018: Journal of Diabetes and its Complications
Alon Kalron, Roy Aloni, Gilles Allali
Although falls, cognitive impairments and mood disorders are very common in people with MS (PwMS) the relationship between these conditions has received scant attention. Therefore, the purpose of the study was to investigate the specific involvement of depression and anxiety on cognition and falls in PwMS. The study included 122 PwMS (75 women) divided into four subgroups according to their manifestation of depression and anxiety assessed by the Hospital Anxiety and Depression Scale (HADS) (i.e. no depression/no anxiety, depression/no anxiety, no depression/anxiety and depression/anxiety)...
July 27, 2018: Multiple Sclerosis and related Disorders
C N Hughes-Oliver, D Srinivasan, D Schmitt, R M Queen
BACKGROUND: The effects of ankle osteoarthritis on gait are noticeable in the clinic, but are difficult to quantify and score without detailed kinematic and kinetic analysis. Evaluationof temporal gait parameters and gait variability is a potential alternative. RESEARCH QUESTION: This study aimed to determine associations between limb and gender with temporal gait parameters and gait variability in ankle OA patients to evaluate the utility of these parameters for gait assessment in a clinical setting...
July 31, 2018: Gait & Posture
Geeske Peeters, Natasja M van Schoor, Rachel Cooper, Leigh Tooth, Rose Anne Kenny
The prevalence of risk factors for falls increases during middle-age, but the prevalence of falls in this age-range is often overlooked and understudied. The aim was to calculate the prevalence of falls in middle-aged adults (aged 40-64 years) from four countries. Data were from four population-based cohort studies from Australia (Australian Longitudinal Study on Women's Health, n = 10556, 100% women, 51-58 years in 2004), Ireland (The Irish Longitudinal Study on Ageing, n = 4968, 57.5% women, 40-64 years in 2010), the Netherlands (Longitudinal Aging Study Amsterdam, n = 862, 51...
2018: PloS One
Jack Herrmann
Following the tragic events of 11 September 2001, the nation has made significant strides in preparing for disasters and emergencies of all types. Federal funding to state, local, territorial, and tribal public health and healthcare systems has required an all-hazards preparedness approach with special focus on those incidents that rise to the top of a jurisdiction's Threat and Hazard Identification and Risk Assessment. While disaster planners in many areas of the country have recognized the potential for nuclear accidents and radiological terrorism, these presumably rare events fall further down on their list to plan for when funding and human resources are limited...
February 2018: Health Physics
Amihai Rottenstreich, Adi Schwartz, Yosef Kalish, Ela Shai, Liat Appelbaum, Tali Bdolah-Abram, Itamar Sagiv
BACKGROUND: Risk factors for bleeding complications after percutaneous kidney biopsy (PKB) and the role of primary hemostasis screening are not well established. OBJECTIVES: To determine the role of primary hemostasis screening and complication outcomes among individuals who underwent PKB. METHODS: We reviewed data of 456 patients who underwent PKB from 2010 to 2016 in a large university hospital. In 2015, bleeding time (BT) testing was replaced by light transmission aggregometry (LTA) as a pre-PKB screening test...
August 2018: Israel Medical Association Journal: IMAJ
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