https://scholars.lib.ntu.edu.tw/handle/123456789/521087
標題: | Epidemiological Survey of Quantitative Ultrasound in Risk Assessment of Falls in Middle-Aged and Elderly People | 作者: | Ou L.-C. Sun Z.-J. Chang Y.-F. Chang C.-S. Chao T.-H. PO-HSIU KUO Lin R.-M. HSIU-PO KUO |
公開日期: | 2013 | 卷: | 8 | 期: | 8 | 來源出版物: | PLoS ONE | 摘要: | The risk assessment of falls is important, but still unsatisfactory and time-consuming. Our objective was to assess quantitative ultrasound (QUS) in the risk assessment of falls. Our study was designed as epidemiological cross-sectional study occurring from March 2009 to February 2010 by community survey at a medical center. The participants were collected from systemic sample of 1,200 community-dwelling people (Male/Female = 524/676) 40 years old and over in Yunlin County, Mid-Taiwan. Structural questionnaires including socioeconomic status, living status, smoking and drinking habits, exercise and medical history were completed. Quantitative ultrasound (QUS) at the non-dominant distal radial area (QUS-R) and the left calcaneal area (QUS-C) were measured. The overall prevalence of falls was 19.8%. In men, the independently associated factors for falls were age (OR: 1.04; 95%CI: 1.01?1.06), fracture history (OR: 1.89; 95%CI: 1.12?3.19), osteoarthritis history (OR: 3.66; 95%CI: 1.15?11.64) and speed of sound (OR: 0.99; 95%CI: 0.99?1.00; p<0.05) by QUS-R. In women, the independently associated factors for falls were current drinking (OR: 3.54; 95%CI: 1.35?9.31) and broadband ultrasound attenuation (OR: 0.98; 95%CI: 0.97?0.99; p<0.01) by QUS-C. The cutoffs at -2.5< T-score<-1 derived using QUS-R (OR: 2.85; 95%CI: 1.64?4.96; p<0.01) in men or T-score ≦-2.5 derived using QUS-C (OR: 2.72; 95%CI: 1.42?5.21; p<0.01) in women showed an independent association with falls. The lowest T-score derived using either QUS-R or QUS-C was also revealed as an independent factor for falls in both men (OR: 2.13; 95%CI: 1.03?4.43; p<0.05) and women (OR: 2.36; 95%CI: 1.13?4.91; p<0.05). Conclusions: Quantitative ultrasounds, measured either at the radial or calcaneal area, are convenient tools by which to assess the risk of falls in middle-aged and elderly people. ? 2013 Ou et al. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84881351350&doi=10.1371%2fjournal.pone.0071053&partnerID=40&md5=80c7b8742b87525696dd72e9fe6e9374 https://scholars.lib.ntu.edu.tw/handle/123456789/521087 |
ISSN: | 1932-6203 | DOI: | 10.1371/journal.pone.0071053 | SDG/關鍵字: | alcohol; adult; age; aged; article; controlled study; drinking behavior; echography; elderly care; fall risk assessment; falling; female; fracture; human; male; medical history; osteoarthritis; outcome assessment; prevalence; quantitative analysis; risk factor; scoring system; sex difference; Taiwan; Accidental Falls; Age Factors; Aged; Calcaneus; Cross-Sectional Studies; Female; Fractures, Bone; Health Surveys; Humans; Logistic Models; Male; Middle Aged; Osteoarthritis; Prevalence; Questionnaires; Radius; Risk Assessment; Risk Factors; Taiwan |
顯示於: | 流行病學與預防醫學研究所 |
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