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KMID : 1039620180080050696
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Korean Journal of Family Practice
2018 Volume.8 No. 5 p.696 ~ p.702
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The Association between Depression and Falls in Korean Adults Aged 45 Years or Older
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Kim Su-Gyeong
Kim Su-Jin
Kim Kyae-Hyung
Jeong Su-Min
Ko Ah-Ryoung
Han Sil-Vi
Park Sang-Min
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Abstract
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Background: Falls are common in older adults and are associated with increased morbidity and mortality. Depression is also a common health issue observed in this population; however, its effect is underestimated, particularly in a growing population of older adults. This cross-sectional study investigated the association between depression and falls in Korean adults.
Methods: We utilized the Korean Longitudinal Study of Ageing database. We enrolled 10,180 subjects, aged ≥45 years in 2006 after excluding those with missing data. Depression was assessed using the 10-item Center for Epidemiologic Studies Depression Scale tool, and falls were assessed using patient self-reports. Multiple logistic regression analysis was used to evaluate the association between depression and falls after adjusting for sex, age, marital status, education, income, location, smoking status, alcohol consumption, physical activity, activities of daily living, cognitive function, and handgrip strength and vision.
Results: Of the 10,180 subjects studied, 410 reported falls. The adjusted odds ratio for all falls in the depressive group (compared to the non-depressive group) was 1.70 (95% confidence interval [CI] 1.31?2.21). The adjusted odds ratios for falls needing treatment and those causing hip fractures were 1.63 (95% CI 1.20?2.24) and 2.10 (95% CI 1.35?3.26), respectively.
Conclusion: Depression was associated with an increased risk of all falls, as well as falls needing treatment and those causing hip fractures.
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KEYWORD
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Depression, Falls, Fracture, Korean Longitudinal Study of Aging
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