CARDIOVASCULAR DISEASE AND PHYSICAL ACTIVITY PHENOTYPES WITH FALLS: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. (20th December 2022)

• Record Type: Journal Article
• Authors: Oh, Minsuk; Ylitalo, Kelly
• Is Part Of: Innovation in aging. Volume 6(2022)Supplement 1
• Page Start: 626
• Page End: 626
• Publication Date: 2022-12-20
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igac059.2324
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: Cardiovascular disease (CVD) is associated with a higher risk of falls and physical activity (PA) can prevent falls. However, the role of PA in the association between CVD and falls is unknown. We examined the associations of four CVD–PA phenotypes (no CVD–PA, no CVD–no PA, CVD–PA, CVD–no PA) with any, recurrent, and injurious falls. Middle-aged and older adults ≥ 45 years (n=295, 282; N=130, 103, 093) from the 2018 Behavioral Risk Factor Surveillance System who self-reported CVD, leisure-time PA, and falls in the previous 12 months were examined. The weighted prevalence ratio (PR) of any (≥ 1 fall), recurrent (≥ 2 falls), and injurious (≥ 1 injurious fall) falls across CVD–PA phenotypes was estimated using Poisson regression models with adjustment for sociodemographics and major health characteristics. The likelihood of any, recurrent, and injurious falls was greater across the unhealthier CVD–PA phenotypes in fully adjusted models. In the total sample, no CVD–no PA (PR: 1.19; 95% confidence interval (CI): 1.14, 1.24), CVD– PA (PR: 1.22; 95% CI: 1.15, 1.29), and CVD–no PA (PR: 1.29; 95% CI: 1.23, 1.35) phenotypes were more likely to report injurious falls, than no CVD– PA phenotype. Engaging in leisure-time PA may be an important lifestyle strategy for fall prevention in midlife and older adults, particularly those with CVD. Our findings could be useful for primary and/or secondary fall prevention efforts by healthcare providers who treat midlife and older adults with CVD.