Association between pain and recurrent falls in the elderly with self-care ability
10.3969/j.issn.1006-2483.2025.06.016
- VernacularTitle:有生活自理能力老年人疼痛与再次跌倒的关联研究
- Author:
Yaofang ZHOU
1
,
2
;
Yuliang ZHOU
1
,
2
Author Information
1. Department of Epidemiology and Health Statistics，School of Public Health，Wuhan University，Wuhan, Hubei 430071，China;
2. Health Management Research Center, School of Public Health, Wuhan University, Wuhan, Hubei 430071，China
- Publication Type:Journal Article
- Keywords:
The elderly;
Recurrent falls;
Limited daily activities;
Pain level
- From:
Journal of Public Health and Preventive Medicine
2025;36(6):67-71
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between pain and recurrent falls in the elderly with self-care ability. Methods Based on data from the 4th (2018) and 5th (2020) of the China Health and Retirement Longitudinal Study (CHARLS), a binary logistic regression model was used to analyze the association between pain and recurrent falls in the elderly. Results Among the 1219 elderly people, the average age was (69.6 ± 7.0) years old, with 407 males (33.39%) and 812 females (66.61%). 2) The risk of falling again with mild, moderate, and severe pain was 32.83%, 43.98% and 41.63%, respectively; The risk of falling again was 28.25%, 38.48% and 45.99% for pain sites ≤2, 3-5 and ≥6, respectively. 3) Regression analysis showed that the risk of falling again in the elderly with moderate pain was 1.38 times higher than that with mild pain (OR: 1.38, 95%CI: 1.05-1.81). Compared with those with less than 2 pain sites, the risk of falling again was increased by 50% (OR: 1.50, 95%CI: 1.07-2.09) and 76% (OR: 1.76, 95%CI: 1.28-2.42) in those with 3 to 5 pain sites and ≥6 pain sites, respectively. In women, the risk of falling again was 1.99 times higher in those with ≥6 pain sites than in those with ≤2 pain sites (OR: 1.99, 95%CI: 1.32-3.00). Conclusion The pain level and the risk of falling again in the elderly are in an inverted U-shaped distribution, and the number of pain sites is positively correlated with the risk of falling again in the elderly. Headache, shoulder pain, back pain, leg pain and ankle pain are all related to the risk of falling again in the elderly. It is recommended to manage pain reasonably to reduce the risk of recurrent falling in the elderly.
