Korean J Adult Nurs. 2014 Oct;26(5):533-542. Korean.
Published online Oct 31, 2014.
© 2014 Korean Society of Adult Nursing
Original Article

Fall Risk related Factors in Postmenopausal Women

Jung-Han Lee,1 and Hee Seung Kim2
    • 1Seoul St. Mary's Hospital, Seoul, Korea.
    • 2College of Nursing, The Catholic University of Korea, Seoul, Korea.
Received March 14, 2014; Revised September 29, 2014; Accepted October 10, 2014.

Abstract

Purpose

The purpose of this study was to understand the risk of falling associated with postmenopausal women and to identify the relationships between this risk and factors such as lifestyle, metabolic syndrome, and bone mineral density.

Methods

The sample was 128 postmenopausal women between 50 and 65 from one menopausal clinic in an urban city. The Risk Assessment for Falls Scale II, developed by Glydenvand and Reinboth (1982) and adapted by Park Young-Hye (2003), was modified and used for this study.

Results

The average fall-risk score in postmenopausal women was 7.2 out of 33, the fall-risk score associated with lifestyle was higher in women exposed to stress frequently or who favored spicy or salty foods. The fall-risk score associated with metabolic syndrome was higher in groups with HBP or with a waist circumference of 80cm or greater. The fall-risk score in groups with three or more factors of metabolic syndrome was the highest.

Conclusion

The risk of fall in postmenopausal women was higher in groups with only elementary education, unemployed, reported two or more chronic diseases or reported frequent exposure to stress and for women who preferred spicy or salty foods or exhibited three or more factors of metabolic syndrome.

Keywords
Postmenopausal women; Fall risk; Lifestyle; Metabolic syndrome

Tables

Table 1
Fall Risk Scores by Characteristics of the Subjects (N=128)

Table 2
Fall Risk Factor and Score

Table 3
Fall Risk Scores by Life Styles (N=128)

Table 4
Fall Risk Scores by Metabolic Syndrome Risk Factors (N=128)

Table 5
Fall Risk Scores by Bone Mineral Density (N=128)

Notes

This article is based on part of the first author's master's thesis from The Catholic University of Korea.

References

    1. Bone Health and Osteoporosis. A surgeon general report. Washington: US Department of Health Service; 2004.
    1. Choi JY, Han SH, Shin AS, Shin CS, Park SK, Cho SI, et al. Prevalence and risk factors of osteoporosis and osteopenia in Korean women: Cross-sectional study. J Korean Soc Menopause 2008;14(1):35–49.
    1. Choi KW, Park UA, Lee IS. Factors influencing the fear of falling according to gender in frail elderly. J Korean Gerontol Soc 2011;31(3):539–551.
    1. Fletcher PC, Berg K, Dalby DM, Hirdes JP. Risk factors for falling among community-based seniors. J Patient Saf 2009;5(2):61–66.
    1. Glydenvand T. In: Falls: The construction and validation of the Risk Assessment for Fall Scale II (RAFSII). Iowa City: University of Iowa; 1984.
      Unpublished master thesis.
    1. Harling A, Sompson JP. A systematic review to determine the effectiveness of Tai Chi in reducing falls and fear of falling in older adults. Phys Ther Rev 2008;13(4):237–248.
    1. Heinze C, Dassen T, Halfens R, Lohrmann C. Screening the risk of falls: A general or a specific instrument? J Clin Nurs 2009;15:350–356.
    1. Jang GJ, Jeon EY, Kwon BH. Differences of prevalence and Associated factors of falls in community-dwelling older people with hypertension. J Korean Acad Public Health Nurs 2010;24(2):302–310.
    1. Jung JW, Shin HC, Park YW, Kim CH, Cheong SY, Sung EJ. The relationship between metabolic syndrome, stress and depression-among the 35-64 years old clients of comprehensive medical examination center in one university hospital. Korean J Health Promot Dis Prev 2004;4(1):10–16.
    1. Kang TH, Park YK, Kim EH, Kim SM, Oh HJ. Spinal bone mineral density related YSM in Korean menopausal women. J Korean Acad Fam Med 2002;23(2):224–232.
    1. Kempen GI, van Haastregt JC, McKee KJ, Delbaere K, Zijlstra GA. Socio-demographic, health-related and psychosocial correlates of fear of falling and avoidance of activity in community-living older persons who avoid activity due to fear of falling. BMC Public Health 2009;9:170. [doi: 10.1186/1471-2458-9-170]
    1. Kim CH, Kim C. Effectiveness of a community-based exercise intervention of falls and fall risk factors for reducing risks of osteoporotic fracture. Korean J Meas Eval Phys Educ Sport Sci 2008;10(3):81–90.
    1. Kim EK, Lee J, Eom MR. Falls risk factors of inpatients. J Korean Acad Nurs 2008;38(5):676–684. [doi: 10.4040/jkan.2008.38.5.676]
    1. Kim JM. In: An analysis of falls in the elderly: A PRECEDE model approach. Seoul: Ewha Womans University; 2009.
      Unpublished doctoral dissertation.
    1. Kim MS. In: Prevalence rate of metabolic syndrome and analysis of dietary behaviors for premenopausal and postmenopausal women. Seoul: Konkuk University; 2009.
      Unpublished master's thesis.
    1. Korea National Statistical Office. Life table. Daejeon: Korea National Statistical Office; 2008.
    1. Kuczynski M, Ostrowska B. Understanding falls in osteoporosis: The viscoelastic modeling perspective. Gait Posture 2006;23(1):51–58. [doi: 10.1016/j.gaitpost.2004.11.018]
    1. Lee IS, Ko Y, Lee KO, Yim ES. Evaluation of the effects of a frailty preventing multi-factorial program concentrated on local communities for high-risk younger and older elderly people. J Korean Acad Community Health Nurs 2012;23(2):201–211.
    1. Lee KJ, Park HS. A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Korean J Women Health Nurs 2006;12(3):221–230.
    1. Lee O, Nam HS, Kong SA, Kim JW, Kim CZ, Kang HJ. The relationships between physical activity and immanent fall risk factors in the elderly. Korean J Sports Med 2010;28(2):95–102.
    1. Lee SW, Kim MR, Kwon DJ, Kim JH, Kim JH, You YO, et al. Relationship between metabolic syndrome and bone mineral density in the postmenopausal women. Korean J Obstet Gynecol 2009;52(8):835–842.
    1. Minister of Health & Welfare. The Korea Health & Nutrition Examination Survey. Seoul: Minister of Health & Welfare; 2001.
    1. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third report of the NCEP expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 2002;106(25):3143–3421.
    1. National Institutes of Health Consensus Conference. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001;285:785–795. [doi: 10.1001/jama.285.6.785]
    1. Oh EJ, Joh HK, Lee R, Do HJ, Oh SW, Lym YL, et al. Relations between the dietary habits and components of the metabolic syndrome in premenopausal women. J Korean Acad Fam Med 2008;29(10):746–761.
    1. Park EK, Ahn WH, Oh HW. Relationships of hemodynamic variables, dementia, falling related fitness and lower extremity strength in older person with chronic disease. J Sport Leis Stud 2008;34(9):1237–1246.
    1. Park HS, Chang R, Park KY. Comparative study on fall related characteristics between single and recurrent falls in community-dwelling older women. J Korean Acad Adult Nurs 2008;20(6):905–916.
    1. Park SH. In: Relations among metabolic syndrome, dietary behaviors health-related factors, and serum minerals in Korean adult male. Asan: Soonchunhyang University; 2008.
      Unpublished doctoral dissertation.
    1. Park YH. Fall risk assessment in the community-dwelling elderly. J Korean Gerontol Nurs 2004;6(2):170–178.
    1. Roux C. Can practitioners use the WHO definition for osteoporosis? Joint Bone Spine 2001;68:10–11. [doi: 10.1016/S1297-319X(00)00224-4]
    1. Roux C, Priol G, Fechtenbaum J, Colet B, Liu-Leage S, Audran M. A clinical tool to determine the necessity of spine radiography in postmenopausal women with osteoporosis presenting with back pain. Ann Rheum Dis 2007;66:81–85. [doi: 10.1136/ard.2006.051474]
    1. Scheffér AC, Schuurmans MJ, van Dijk N, van der Hooft T, de Rooij SE. Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 2008;37(1):19–24. [doi: 10.1093/ageing/afm169]
    1. Yoo IY. Recurrent falls among community dwelling older Koreans. J Gerontol Nurs 2011;37:28–40. [doi: 10.3928/00989134-20110503-01]
    1. Zijlstra GA, van Haastregt JC, van Eijk JT, van Rossum E, Stalenhoef PA, Kempen GI. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age Ageing 2007;36:304–309. [doi: 10.1093/ageing/afm021]

Metrics
Share
Tables

1 / 5

PERMALINK