Purpose in Life and Risk of Falls: A Meta-Analysis of Cross-Sectional and Prospective Associations.

IF 2.1 Q3 GERIATRICS & GERONTOLOGY Gerontology and Geriatric Medicine Pub Date : 2024-03-06 eCollection Date: 2024-01-01 DOI:10.1177/23337214241236039
Angelina R Sutin, Martina Luchetti, Yannick Stephan, Brice Canada, Antonio Terracciano
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Abstract

Background and Aim: Purpose in life is an aspect of well-being that is associated with better health outcomes in older adulthood. We examine the association between purpose in life and likelihood of a recent fall and risk of an incident fall over time. Methods: Purpose in life and falls were reported concurrently and falls were reported again up to 16 years later in four established longitudinal studies of older adults (total N = 25,418). Results: A random-effects meta-analysis of the four samples indicated that purpose was associated with a 14% lower likelihood of having fallen recently at baseline (meta-analytic OR = 0.88, 95% CI [0.84-0.92]). Among participants who reported no falls at baseline (N = 15,632), purpose was associated with a nearly 10% lower risk of an incident fall over the up to 16-year follow-up (meta-analytic HR = 0.92, 95% CI [0.90-0.94]). These associations were independent of age, sex, race, ethnicity, and education, were not moderated by these factors, and persisted controlling for physical activity and disease burden. Conclusion and Recommendations: Purpose in life is a meaningful aspect of well-being that may be useful to identify individuals at risk for falling, particularly among individuals without traditional risk factors, and be a target of intervention to reduce fall risk.

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生活目的与跌倒风险:横断面和前瞻性关联的 Meta 分析。
背景和目的:生活目标是幸福感的一个方面,它与老年期更好的健康状况有关。我们研究了生活目标与近期跌倒的可能性以及随着时间推移发生跌倒的风险之间的关系。研究方法在四项已确立的老年人纵向研究(总人数 = 25,418)中,同时报告了生活目的和跌倒情况,并在 16 年后再次报告了跌倒情况。研究结果对四个样本的随机效应荟萃分析表明,生活目标与基线近期跌倒的可能性降低 14% 有关(荟萃分析 OR = 0.88,95% CI [0.84-0.92])。在基线时未报告跌倒的参与者中(N = 15,632),在长达 16 年的随访中,目的与发生跌倒的风险降低近 10%相关(元分析 HR = 0.92,95% CI [0.90-0.94])。这些关联不受年龄、性别、种族、民族和教育程度的影响,不受这些因素的调节,并且在控制体力活动和疾病负担的情况下依然存在。结论和建议:生活目标是幸福感的一个有意义的方面,可能有助于识别有跌倒风险的人,尤其是没有传统风险因素的人,并成为降低跌倒风险的干预目标。
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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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