Fall-risk assessment in elderly pilgrims attending large religious congregation: A cross-sectional cohort study

Q2 Medicine Medical Journal Armed Forces India Pub Date : 2025-07-01 Epub Date: 2024-07-15 DOI:10.1016/j.mjafi.2024.05.018

Vivek Aggarwal , V.K. Sashindran , P. Prashant , Nandini Sarkar , A.K. Yadav , V. Vasdev , Y. Uday

{"title":"Fall-risk assessment in elderly pilgrims attending large religious congregation: A cross-sectional cohort study","authors":"Vivek Aggarwal , V.K. Sashindran , P. Prashant , Nandini Sarkar , A.K. Yadav , V. Vasdev , Y. Uday","doi":"10.1016/j.mjafi.2024.05.018","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Falls are an important geriatric syndrome with tremendous economic burden. The aim of this study was to find the prevalence of fall risk as assessed by digital sensor–based quantitative timed up and go (QTUG) device in elderly pilgrims attending Mahakumbh festival 2019.</div></div><div><h3>Methods</h3><div><span>An observational cross-sectional study done in elderly pilgrims attending the Kumbh Festival 2019. Combined fall risk and frailty assessment was estimated objectively using a digital sensor–based QTUG device. Details of age, </span>body mass index (BMI), co-morbidities, and history of falls were also recorded. The association of fall and frailty assessment with gender, age, BMI, co-morbidities, and timed up and go (TUG) time was noted.</div></div><div><h3>Results</h3><div>In total, 370 elderly (aged >60 years) individuals were assessed. The mean age was 65.51 ± 5.22 years. The mean BMI was 25.17 ± 4.56 kg/m2. Previous falls history was seen in 40.12%. The mean combined fall risk and combined frailty risk was 51.79 ± 18.11% and 50.12 ± 18.55%, respectively. The mean TUG time was 16.16 ± 7.46 seconds. Age, female gender, and TUG time had significantly increased combined fall-risk percentage and combined frailty estimate (p: <0.0006, <0.0001, and <0.0001, respectively) and combined frailty percentage (p < 0.0001). BMI and age also had a significant correlation with combined frailty risk (p = 0.0018).</div></div><div><h3>Conclusion</h3><div>More than 50% of elderly Indians at Kumbh 2019 had a high combined fall risk and frailty estimate. The mean TUG time of elderly in our study was 16.16 seconds. There was a strong association between increased fall risk and female gender, age, and TUG time.</div></div>","PeriodicalId":39387,"journal":{"name":"Medical Journal Armed Forces India","volume":"81 ","pages":"Pages S17-S22"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Journal Armed Forces India","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S037712372400100X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/15 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Falls are an important geriatric syndrome with tremendous economic burden. The aim of this study was to find the prevalence of fall risk as assessed by digital sensor–based quantitative timed up and go (QTUG) device in elderly pilgrims attending Mahakumbh festival 2019.

Methods

An observational cross-sectional study done in elderly pilgrims attending the Kumbh Festival 2019. Combined fall risk and frailty assessment was estimated objectively using a digital sensor–based QTUG device. Details of age, body mass index (BMI), co-morbidities, and history of falls were also recorded. The association of fall and frailty assessment with gender, age, BMI, co-morbidities, and timed up and go (TUG) time was noted.

Results

In total, 370 elderly (aged >60 years) individuals were assessed. The mean age was 65.51 ± 5.22 years. The mean BMI was 25.17 ± 4.56 kg/m2. Previous falls history was seen in 40.12%. The mean combined fall risk and combined frailty risk was 51.79 ± 18.11% and 50.12 ± 18.55%, respectively. The mean TUG time was 16.16 ± 7.46 seconds. Age, female gender, and TUG time had significantly increased combined fall-risk percentage and combined frailty estimate (p: <0.0006, <0.0001, and <0.0001, respectively) and combined frailty percentage (p < 0.0001). BMI and age also had a significant correlation with combined frailty risk (p = 0.0018).

Conclusion

More than 50% of elderly Indians at Kumbh 2019 had a high combined fall risk and frailty estimate. The mean TUG time of elderly in our study was 16.16 seconds. There was a strong association between increased fall risk and female gender, age, and TUG time.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

参加大型宗教集会的老年朝圣者的跌倒风险评估：横断面队列研究

背景：跌倒是一种重要的老年综合征，具有巨大的经济负担。本研究的目的是通过基于数字传感器的定量定时起跳（QTUG）装置评估参加2019年马哈布节的老年朝圣者的跌倒风险发生率。方法对参加2019年大壶节的老年朝圣者进行观察性横断面研究。使用基于数字传感器的QTUG装置客观地评估跌倒风险和脆弱性。年龄、身体质量指数（BMI）、合并症和跌倒史的详细信息也被记录下来。注意到跌倒和虚弱评估与性别、年龄、BMI、合并症和拔腿时间（TUG）的关系。结果共评估老年人370例（60岁）。平均年龄65.51±5.22岁。平均BMI为25.17±4.56 kg/m2。以前的下跌历史为40.12%。平均联合跌倒风险为51.79±18.11%，联合衰弱风险为50.12±18.55%。平均TUG时间为16.16±7.46秒。年龄、女性性别和TUG时间显著增加了综合跌倒风险百分比和综合衰弱估计（p分别为<；0.0006、<；0.0001和<；0.0001）和综合衰弱百分比(p <；0.0001)。BMI和年龄也与综合虚弱风险有显著相关性（p = 0.0018）。在2019年大壶节上，超过50%的印度老年人有很高的跌倒风险和虚弱估计。本研究中老年人的平均TUG时间为16.16秒。女性性别、年龄和TUG时间与跌倒风险增加有很强的相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Medical Journal Armed Forces India Medicine-Medicine (all)

CiteScore

3.40

自引率

0.00%

发文量

206

期刊介绍： This journal was conceived in 1945 as the Journal of Indian Army Medical Corps. Col DR Thapar was the first Editor who published it on behalf of Lt. Gen Gordon Wilson, the then Director of Medical Services in India. Over the years the journal has achieved various milestones. Presently it is published in Vancouver style, printed on offset, and has a distribution exceeding 5000 per issue. It is published in January, April, July and October each year.

期刊最新文献

Table of contents Anti-personnel mine injuries: pulmonary complications may ensue along unanticipated timelines The Zika vaccine pursuit: Now is it the right time to act? Thermonectus marmoratus: A larvicidal and pupicidal aquatic predator observed in Jodhpur Military Station Central medical gas contamination: An underestimated risk for anaesthesia machine malfunction!