The relationship between multiple cardiovascular and metabolic diseases and falls in middle-aged and elderly people
10.20039/j.cnki.1007-3949.2025.08.006
- VernacularTitle:中老年人多重心血管代谢性疾病与跌倒的关系
- Author:
Yuhong GAI
1
;
Fei GAO
1
;
Mengshan CUI
1
;
Kui FANG
1
Author Information
1. 中国医科大学附属第一医院,辽宁省沈阳市 110001
- Publication Type:Journal Article
- Keywords:
cardiovascular and metabolic diseases;
falls;
middle-aged and elderly people;
co-morbidity
- From:
Chinese Journal of Arteriosclerosis
2025;33(8):690-694
- CountryChina
- Language:Chinese
-
Abstract:
Aim To explore the relationship between multiple cardiovascular and metabolic diseases and falls in middle-aged and elderly people.Methods Using the fifth dataset of the China Health and Retirement Longitudinal Study(CHARLS),18 968 middle-aged and elderly people aged 45 years and above were enrolled as study subjects.The relationship between multiple cardiovascular and metabolic diseases and falls was analyzed by Logistic regression model.Results The incidence rates of falls,severe falls and hip fractures in the study subjects were 17.3％,6.8％and 0.9％,respectively.Cardiovascular and metabolic diseases were positively associated with the risk of falls.Compared with study subjects without cardiovascular and metabolic diseases,those with 1,2,3 and 4 cardiovascular and metabolic disea-ses had a 13％,44％,69％and91％increased risk of falls,respectively,with OR(95％CI)of 1.13(1.02～1.25),1.44(1.29～1.61),1.69(1.48～1.93)and 1.91(1.56～2.32);the risk of serious falls increased by 22％,51％,69％and 102％,respectively,with OR(95％CI)of 1.22(1.05～1.42),1.51(1.27～1.78),1.69(1.38～2.05)and 2.02(1.54～2.66).The risk of hip fractures increased by 95％,147％and 157％in study subjects with2,3 and 4 cardiovascular and metabolic diseases,respectively,with OR(95％CI)of 1.95(1.24～3.05),2.47(1.50～4.07)and 2.57(1.26～5.20).Conclusion Multiple cardiovascular and metabolic diseases significantly increased the risk of falls in middle-aged and elderly people.
