The Nebulous Association between Cognitive Impairment and Falls in Older Adults: A Systematic Review of the Literature. - Université de Lille Accéder directement au contenu
Article Dans Une Revue (Article De Synthèse) International Journal of Environmental Research and Public Health Année : 2023

The Nebulous Association between Cognitive Impairment and Falls in Older Adults: A Systematic Review of the Literature.

Résumé

Background: In older people, dementia is a well-established risk factor for falls. However, the association and the causal relationship between falls and the earlier stages of cognitive impairment remains unclear. The purpose of the study was to review the literature data on the association between falls and cognitive impairment, no dementia, including Mild Cognitive Impairment. Methods: According to PRISMA guidelines, we searched five electronic databases (EMBASE, Web of Science, Medline, CINAHL, and PsychINFO) for articles published between January 2011 and August 2022 on observational studies of older people with a cognitive assessment and/or cognitive impairment diagnosis and a recording of falls. Their quality was reviewed according to the STROBE checklist. Results: We selected 42 of the 4934 initially retrieved publications. In 24 retrospective studies, a statistically significant association between falls and cognitive status was found in only 15 of the 32 comparisons (47%). Of the 27 cross-sectional analyses in prospective studies, only eight (30%) were positive and significant. We counted four longitudinal analyses, half of which suggested a causal relationship between falls and cognitive impairment. The investigational methods varied markedly from one study to another. Conclusion: It is still not clear whether falls are associated with cognitive impairment, no dementia. Data in favor of a causal relationship are scarce. Further studies are needed to clarify their relationship. Keywords: falls; mild cognitive impairment; gait disorders; cognitive impairment
Fichier principal
Vignette du fichier
ijerph-20-02628.pdf (1.48 Mo) Télécharger le fichier
Origine : Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-04548338 , version 1 (16-04-2024)

Licence

Paternité

Identifiants

Citer

Victoire Leroy, Valérie Martinet, Oumashankar Nunkessore, Christel Dentel, Hélène Durand, et al.. The Nebulous Association between Cognitive Impairment and Falls in Older Adults: A Systematic Review of the Literature.. International Journal of Environmental Research and Public Health, 2023, International Journal of Environmental Research and Public Health, 20, ⟨10.3390/ijerph20032628⟩. ⟨hal-04548338⟩

Collections

UNIV-LILLE
3 Consultations
4 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More