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Published in: Osteoporosis International 10/2020

Open Access 01-10-2020 | Review

Identification of risk factors for falls in postmenopausal women: a systematic review and meta-analysis

Authors: J. Zhao, G. Liang, H. Huang, L. Zeng, W. Yang, J. Pan, J. Liu

Published in: Osteoporosis International | Issue 10/2020

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Abstract

The purpose of this study was to identify risk factors for falls in postmenopausal women and provide evidence for the primary prevention of falls in postmenopausal women. The protocol for this meta-analysis is registered with PROSPERO (CRD42020170927). We searched PubMed, the Cochrane Library and EMBASE for observational studies on the risk factors for falls in postmenopausal women. Review Manager 5.3 was used to calculate the relative risk (RR) or weighted mean difference (WMD) of potential risk factors related to falls. STATA 14.0 was used for the quantitative evaluation of publication bias. Eleven studies with 42,429 patients from 7 countries were included. The main risk factors for falls in postmenopausal women were patient sociodemographic risk factors (age: WMD = 0.37, 95% CI 0.07 to 0.68; body weight: WMD = 0.88, 95% CI 0.56 to 1.12; BMI: WMD = 0.34, 95% CI 0.21 to 0.46; exercise: RR = 0.97, 95% CI 0.94 to 0.99; and FES-I: WMD = 6.60, 95% CI 0.72 to 12.47) and medical risk factors (dietary calcium intake: WMD = − 16.91, 95% CI − 25.80 to − 8.01; previous fracture history: RR = 1.21, 95% CI 1.13 to 1.29; previous falls: RR = 2.02, 95% CI 1.91 to 2.14; number of diseases, ˃ 2: RR = 1.17, 95% CI 1.11 to 1.23; and number of reported chronic health disorders: WMD = 0.30, 95% CI 0.10 to 0.49). Knowledge of the many risk factors associated with falls in postmenopausal women can aid in fall prevention. However, we cannot rule out some additional potential risk factors (age at the onset of menopause, years since last menstruation, hormone therapy and BMD) that need further clinical research.
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Literature
31.
go back to reference Neri Silvia GR, Oliveira JS, Dario Amabile B, Lima Ricardo M, Anne T (2019) Does obesity increase the risk and severity of falls in people aged 60 years and older? A systematic review and meta-analysis of observational studies. J Gerontol A Biol Sci Med Sci 75:952–960. https://doi.org/10.1093/gerona/glz272CrossRef Neri Silvia GR, Oliveira JS, Dario Amabile B, Lima Ricardo M, Anne T (2019) Does obesity increase the risk and severity of falls in people aged 60 years and older? A systematic review and meta-analysis of observational studies. J Gerontol A Biol Sci Med Sci 75:952–960. https://​doi.​org/​10.​1093/​gerona/​glz272CrossRef
34.
go back to reference de Cesar NC, Godoy-Santos AL, Saito GH, Lintz F, Siegler S, O'Malley MJ, Deland JT, Ellis SJ (2019) Subluxation of the middle facet of the subtalar joint as a marker of peritalar subluxation in adult acquired flatfoot deformity: a case-control study. J Bone Joint Surg Am 101:1838–1844. https://doi.org/10.2106/JBJS.19.00073CrossRef de Cesar NC, Godoy-Santos AL, Saito GH, Lintz F, Siegler S, O'Malley MJ, Deland JT, Ellis SJ (2019) Subluxation of the middle facet of the subtalar joint as a marker of peritalar subluxation in adult acquired flatfoot deformity: a case-control study. J Bone Joint Surg Am 101:1838–1844. https://​doi.​org/​10.​2106/​JBJS.​19.​00073CrossRef
39.
go back to reference Parasuraman S, Zaman AG, Egred M, Bagnall A, Broadhurst PA, Ahmed J, Edwards R, Das R, Garg D, Purcell I, Noman A (2020) Smoking status and mortality outcomes following percutaneous coronary intervention. Eur J Prev Cardiol:204748732090232. https://doi.org/10.1177/2047487320902325 Parasuraman S, Zaman AG, Egred M, Bagnall A, Broadhurst PA, Ahmed J, Edwards R, Das R, Garg D, Purcell I, Noman A (2020) Smoking status and mortality outcomes following percutaneous coronary intervention. Eur J Prev Cardiol:204748732090232. https://​doi.​org/​10.​1177/​2047487320902325​
42.
go back to reference Sherrington C, Fairhall N, Kirkham C, Clemson L, Tiedemann A, Vogler C, Close JCT, O'Rourke S, Moseley AM, Cameron ID, Mak JCS, Lord SR (2020) Exercise to reduce mobility disability and prevent falls after fall-related leg or pelvic fracture: RESTORE randomized controlled trial. J Gen Intern Med. https://doi.org/10.1007/s11606-020-05666-9 Sherrington C, Fairhall N, Kirkham C, Clemson L, Tiedemann A, Vogler C, Close JCT, O'Rourke S, Moseley AM, Cameron ID, Mak JCS, Lord SR (2020) Exercise to reduce mobility disability and prevent falls after fall-related leg or pelvic fracture: RESTORE randomized controlled trial. J Gen Intern Med. https://​doi.​org/​10.​1007/​s11606-020-05666-9
46.
go back to reference Vadivelu R, Mathew EJ, Hadid N (2002) Hidden diseases detected after a fall. J Postgrad Med 48:328–329PubMed Vadivelu R, Mathew EJ, Hadid N (2002) Hidden diseases detected after a fall. J Postgrad Med 48:328–329PubMed
47.
go back to reference Li W, Cheng R (2016) Research on the influence factors of the fall efficiency of the hospitalized geriatric patients with cerebrovascular diseases. Pak J Pharm Sci 29:2343–2348PubMed Li W, Cheng R (2016) Research on the influence factors of the fall efficiency of the hospitalized geriatric patients with cerebrovascular diseases. Pak J Pharm Sci 29:2343–2348PubMed
48.
go back to reference Srulijes K, Klenk J, Schwenk M, Schatton C, Schwickert L, Teubner-Liepert K, Meyer M, Srijana KC, Maetzler W, Becker C, Synofzik M (2019) Fall risk in relation to individual physical activity exposure in patients with different neurodegenerative diseases: a pilot study. Cerebellum 18:340–348. https://doi.org/10.1007/s12311-018-1002-xCrossRefPubMed Srulijes K, Klenk J, Schwenk M, Schatton C, Schwickert L, Teubner-Liepert K, Meyer M, Srijana KC, Maetzler W, Becker C, Synofzik M (2019) Fall risk in relation to individual physical activity exposure in patients with different neurodegenerative diseases: a pilot study. Cerebellum 18:340–348. https://​doi.​org/​10.​1007/​s12311-018-1002-xCrossRefPubMed
Metadata
Title
Identification of risk factors for falls in postmenopausal women: a systematic review and meta-analysis
Authors
J. Zhao
G. Liang
H. Huang
L. Zeng
W. Yang
J. Pan
J. Liu
Publication date
01-10-2020
Publisher
Springer London
Published in
Osteoporosis International / Issue 10/2020
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-020-05508-8

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