Relationship between fall risk and cognitive status in older adults from barrio Renacer, San Antonio

Authors

  • Liz Daniela Cáceres Ramos Carrera de Fisioterapia y Kinesiología, Facultad de Ciencias de la Salud, Universidad del Norte, sede Asunción, Asunción, Paraguay Autor/a
  • Felipe Miguel Oviedo Frutos Carrera de Fisioterapia y Kinesiología, Facultad de Ciencias de la Salud, Universidad del Norte, sede Asunción, Asunción, Paraguay Autor/a

DOI:

https://doi.org/10.5281/zenodo.22755605

Keywords:

aged, accidental falls, aging, cognition

Abstract

Introduction: Falls and cognitive impairment are frequent problems in older adults, with impact on function and quality of life, and a relationship described variably in the literature. The aim was to identify the relationship between fall risk and cognitive status among older adults from barrio Renacer, San Antonio, during 2023.

Materials and methods: Descriptive, non-experimental, prospective, cross-sectional quantitative correlational study. Tinetti Scale (gait and balance) and Mini-Mental State Examination in 31 older adults of both sexes.

Results: Male 61%, female 39%; mean age 68.65 years (SD 6.32; range 61–85). Mini-Mental: 52% without impairment (27–30), 16% suspected (25–26) and 31% mild-to-moderate impairment (10–24). Tinetti: 39% with maximum score (28); only 3% below 19 (high risk). Weak-to-moderate positive Pearson correlations between cognition and gait (r = 0.36), balance (r = 0.43) and total Tinetti (r = 0.44); no relevant correlation with age or sex.

Conclusions: Moderate relationship between fall risk and cognitive status, in a context of generally good cognitive and motor function among most participants.

References

GBD 2021 Demographics Collaborators. Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950-2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021. Lancet. 2024;403(10440):1989-2056. https://doi.org/10.1016/S0140-6736(24)00476-8

Sayer AA, Cooper R, Arai H, Cawthon PM, Ntsama Essomba MJ, Fielding RA, et al. Sarcopenia. Nat Rev Dis Primers. 2024;10(1):68. https://doi.org/10.1038/s41572-024-00550-w

Lord SR, Delbaere K, Sturnieks DL. Aging. Handb Clin Neurol. 2018;159:157-71. https://doi.org/10.1016/B978-0-444-63916-5.00010-0

Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, Osman A, Sarquis-Adamson Y, Close J, et al. Evaluation of Clinical Practice Guidelines on Fall Prevention and Management for Older Adults: A Systematic Review. JAMA Netw Open. 2021;4(12):e2138911. https://doi.org/10.1001/jamanetworkopen.2021.38911

Xiong W, Wang D, Ren W, Liu X, Wen R, Luo Y. The global prevalence of and risk factors for fear of falling among older adults: a systematic review and meta-analysis. BMC Geriatr. 2024;24(1):321. https://doi.org/10.1186/s12877-024-04882-w

Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34(2):119-26. https://doi.org/10.1111/j.1532-5415.1986.tb05480.x

Omaña H, Bezaire K, Brady K, Davies J, Louwagie N, Power S, et al. Functional Reach Test, Single-Leg Stance Test, and Tinetti Performance-Oriented Mobility Assessment for the Prediction of Falls in Older Adults: A Systematic Review. Phys Ther. 2021;101(10):pzab173. https://doi.org/10.1093/ptj/pzab173

Yang C, Mo Y, Cao X, Zhu S, Wang X, Wang X. Reliability and validity of the Tinetti performance oriented mobility assessment in Chinese community-dwelling older adults. Geriatr Nurse. 2023;53:85-9. https://doi.org/10.1016/j.gerinurse.2023.06.020

Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6

Lobo A, Saz P, Marcos G, Día JL, de la Cámara C, Ventura T, et al. Revalidación y normalización del Mini-Examen Cognoscitivo (primera versión en español del Mini-Mental Status Examination) en la población geriátrica general. Med Clin (Barc). 1999;112(20):767-74. https://pubmed.ncbi.nlm.nih.gov/10422057/

Molina-Donoso M, González-Hernández J, Delgado C, Cancino V, Bello-Lepe S, Alonso-Sánchez MF, et al. Elaboración de datos normativos del Mini Mental State Examination (MMSE) en población adulta mayor de Chile: estudio multicéntrico. Rev Med Chil. 2023;151(11):1464-70. https://doi.org/10.4067/s0034-98872023001101464

Sturnieks DL, Chan LL, Cerda MTE, Arbona CH, Pinilla BH, Martinez PS, et al. Cognitive functioning and falls in older people: A systematic review and meta-analysis. Arch Gerontol Geriatr. 2025;128:105638. https://doi.org/10.1016/j.archger.2024.105638

Chantanachai T, Sturnieks DL, Lord SR, Payne N, Webster L, Taylor ME. Risk factors for falls in older people with cognitive impairment living in the community: Systematic review and meta-analysis. Ageing Res Rev. 2021;71:101452. https://doi.org/10.1016/j.arr.2021.101452

Ordoobadi AJ, Dhanani H, Tulebaev SR, Salim A, Cooper Z, Jarman MP. Risk of Dementia Diagnosis After Injurious Falls in Older Adults. JAMA Netw Open. 2024;7(9):e2436606. https://doi.org/10.1001/jamanetworkopen.2024.36606

Vermette MJ, Prince F, Bherer L, Messier J. Concentrating to avoid falling: interaction between peripheral sensory and central attentional demands during a postural stability limit task in sedentary seniors. Geroscience. 2024;46(1):1181-1200. https://doi.org/10.1007/s11357-023-00860-z

Wiśniowska J, Łojek E, Olejnik A, Chabuda A. The Characteristics of the Reduction of Interference Effect during Dual-Task Cognitive-Motor Training Compared to a Single Task Cognitive and Motor Training in Elderly: A Randomized Controlled Trial. Int J Environ Res Public Health. 2023;20(2):1477. https://doi.org/10.3390/ijerph20021477

Knopman DS, Beiser A, Machulda MM, Fields J, Roberts RO, Pankratz VS, et al. Spectrum of cognition short of dementia: Framingham Heart Study and Mayo Clinic Study of Aging. Neurology. 2015;85(19):1712-21. https://doi.org/10.1212/WNL.0000000000002100

Livingston G, Huntley J, Liu KY, Costafreda SG, Selbæk G, Alladi S, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. Lancet. 2024;404(10452):572-628. https://doi.org/10.1016/S0140-6736(24)01296-0

Published

2024-11-27

Issue

Section

Original Articles

How to Cite

Relationship between fall risk and cognitive status in older adults from barrio Renacer, San Antonio. (2024). Revista UniNorte De Medicina Y Ciencias De La Salud, 13(3), 123–127. https://doi.org/10.5281/zenodo.22755605

Similar Articles

1-10 of 263

You may also start an advanced similarity search for this article.