We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Patterns of alcohol consumption and risk of falls in older adults: a prospective cohort study.
- Authors
Ortolá, R.; García-Esquinas, E.; Galán, I.; Guallar-Castillón, P.; López-García, E.; Banegas, J.; Rodríguez-Artalejo, F.
- Abstract
Summary: Falls are a major health problem in older adults, but their relationship with alcohol consumption in this population remains unclear. In a cohort with 2170 older adults followed up for 3.3 years, both moderate drinking and the Mediterranean drinking pattern were associated with a lower risk of falls and injurious falls. Introduction: This study aims to examine the association between certain patterns of alcohol consumption, including the Mediterranean drinking pattern (MDP), and the risk of falls in older adults. Methods: A prospective cohort with 2170 community-dwelling individuals aged ≥60 years was recruited in Spain in 2008-2010 and followed up through 2012. At baseline, participants reported alcohol consumption and, at the end of follow-up, their falls during the previous year. The MDP was defined as moderate alcohol consumption (threshold between moderate and heavy intake was 40 g/day for men and 24 g/day for women) with preference for wine and drinking only with meals. Analyses were conducted with negative binomial or logistic regression, as appropriate, and adjusted for the main confounders. Results: Compared with never drinkers, the number of falls was lower in moderate drinkers (incidence rate ratio (95% confidence interval), 0.79 (0.63-0.99)) and drinkers with MDP (0.73 (0.56-0.96)). Also, moderate drinkers and those with MDP showed a lower risk of ≥2 falls (odds ratio (95% confidence interval), 0.58 (0.38-0.88) and 0.56 (0.34-0.93), respectively) and of falls requiring medical care (0.67 (0.46-0.96) and 0.61 (0.39-0.96), respectively). Conclusion: Both moderate drinking and the MDP were associated with a lower risk of falls and injurious falls in older adults. However, sound advice on alcohol consumption should balance risks and benefits.
- Subjects
SPAIN; RISK factors of falling down; CONFIDENCE intervals; ALCOHOL drinking; LONGITUDINAL method; LOGISTIC regression analysis; DISEASE incidence
- Publication
Osteoporosis International, 2017, Vol 28, Issue 11, p3143
- ISSN
0937-941X
- Publication type
Article
- DOI
10.1007/s00198-017-4157-2