Falls pose a significant hazard for older adults, leading to detrimental effects on their mobility and overall health, representing a pressing global health issue. This study investigates the association between the risk of falling and symptoms of insomnia, anxiety, and depression among Hong Kong's elderly population. In January 2024, a fall prevention program targeted self-sufficient seniors aged 60 and above. The 1.5-hour program included a health talk, a fall risk assessment (via three booths) and personalised health advice addressing physical and mental health. Data was collected and instantly shared with participants, with tailored health advice provided by healthcare professionals. The fall risk was measured using a 12-item tool, whereas insomnia and psychological symptoms were assessed via a 7-item Insomnia Severity Index and a 4-item Patient Health Questionnaire. Linear regression was used to analyze the association between fall risk and factors such as age, gender, and symptoms of insomnia, anxiety and depression. One hundred sixty-one community participants (mean age: 76 years, 75% female) enrolled in the program. Of these, 35% exhibited a high risk of falling. Additionally, 27% reported symptoms of insomnia, while 25% and 20% reported symptoms of anxiety and depression, respectively. After mutually adjusting for confounding variables, it was found that women, those of older age, and individuals with symptoms of insomnia, anxiety, and depression had a higher risk of falling. The findings highlight the need for inclusive fall risk assessments encompassing mental health, which might effectively decrease fall occurrences in the elderly population.

Authors:
Agnes Yuen Kwan Lai, Hong Kong Metropolitan University, Hong Kong
Grace Sun, Hong Kong Metropolitan University, Hong Kong
Queenie Law, Hong Kong Metropolitan University, Hong Kong
Tyrone Kwok, Hong Kong Metropolitan University, Hong Kong

About the Presenter(s)
Dr Agnes Yuen Kwan Lai is a University Associate Professor/Senior Lecturer at Hong Kong Metropolitan University in Hong Kong

See this presentation on the full schedule – Sunday Schedule

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