GOALS AND SUMMARY
The goal of the study was to evaluate and analyze the mobility and fall risks of the elderly subjects. Precisely, the main objective of the study was to evaluate the decremental effects of aging on a novel index of mobility, i.e., dynamic stability, and fall risk in an elderly population, and to test for correlation of vitamin D levels with fall risk and mobility-related outcomes (i.e., dynamic stability, strength, gait parameters, and physical activity).
Mortalities from fall accidents are steadily on the rise for the elderly. In this study, the cause of the fall risk will be inferred by analyzing the relationship between Vitamin D statuses (deficiency) and how it relates to mobility and fall risk related outcomes
…show more content…
In most subjects, sun exposure is the primary determinant of vitamin D status, accounting for 80-90% of the vitamin D body stores. Cholecalciferol (vitamin D3) is synthesized in the skin and found in fatty fish and mammals, whereas ergocalciferol (vitamin D2) comes from yeasts and plants. Vitamin D supplements may contain either vitamin D2 or D3. Previously, the two vitamin D metabolites were considered to have an equal potency, but recent studies have suggested that vitamin D2 may be inferior to vitamin D3 in the treatment of vitamin D insufficiency [Romagnoli et al. 2008].
Moreover, there are few studies on the effects of vitamin D supplementation on muscle strength and mobility in older people with low vitamin D status, although a recent study has suggested benefit on mediolateral sway in participants who had large sway at baseline. Recent investigations have posited a direct link between vitamin D and skeletal muscle, with a deficiency correlating with muscle atrophy, decreased strength, functionality, and greater prevalence of falls and fractures. Moreover, this deficiency is increasingly recognized as a worldwide epidemic [Cando et al. 2011; Holick 2007] [Girgis et al. 2012] with more than a billion people worldwide deficient in vitamin D [Jannsen 2009].
Apropos to our investigation, only a few studies have objectively measured muscle strength longitudinally in relation to vitamin D status (i.e., serum 25(OH)D levels) in elderly individuals [Jannsenn et
Current literature has exposed many risk factors for falls. There are both intrinsic risk factors and extrinsic risk factors. Intrinsic risk factors include changes that come with age, such as gait issues, urinary incontinence, and fear of falling. Extrinsic risk factors include those that are related to the physical environment such as improper use of assistive devices and poor floor surfaces. No matter the type of risk factor, it is crucial to conduct a risk assessment when trying to prevent falls from occurring. Pearson and Coburn (2011) found that identifying risk factor for falls will help identify appropriate prevention strategies. Fall risk assessments help determine Talk about
The widespread falls among the geriatric population reduce their quality of life and take away their functional independence. Lee et al (2013) state that falls leads to the rise in mortality rates and morbidity complications such as fractures and disabilities,1 out of 3 elderly persons in a community setting falls in a year. About 87% of all fractures in the elderly are due to falls. Several of the risk factors that are associated with falls are visual impairments, cognitive impairments, and health-related problems: arthritis, orthostatic, back pains, lack of balance-weakening muscles, previous falls, polypharmacy or psychoactive drugs (Lee et al, 2013).
According to World Health Organization (2007), the magnitude of falls worldwide of people aged 65 and over is 28-35%. Whereas, people over 70 is 32-42%. Globally, fall mortality rate accounts for 40% and in next few
From the electronic database searches, several articles were appropriate. The first, "Vitamin D deficiency and depression in adults: systematic review and meta-analysis", was designed to find a relationship between Vitamin D and depression (Anglin, Samaan, Walter, & McDonald, 2013). Although, limited by the lack of random control trials, the data was presented in a uniform and consistent manner (Anglin et al., 2013). The results were in line with their goal, finding that low Vitamin D levels did correlate with increased depression (Anglin et al., 2013). Second, Meehan, and Penckofer, provided their inductive, exploratory opinion of "The role of Vitamin D in the aging adult" (2014). Although, the study was short and depression symptoms were self-reported, it, nevertheless, showed a correlation between low levels of Vitamin D and depression symptoms (Meehan, & Penckofer, 2014). The third article, "Vitamin D supplementation to prevent
Vitamin D plays a critical role in many normal bodily functions as well as fighting against a wide number of health barriers. In an article by Jacqueline Kanopa, studies revealed that exposure to ultraviolet rays play a huge part in Vitamin D production, as well as having preventative effects on a disorder known as rickets; which leads to weakened bones due to lack of Vitamin D. This study supports the belief that exposure to UV rays play a critical role in Vitamin D production, and can be beneficial to those prone to certain
Falls are highly common amongst the elderly, particularly those who lack mobility, are in hospital, or are living in a nursing home. When an elderly person falls, their activities of daily living may be impacted due to injuries sustained from the fall. It is essential that precautions are put in place to prevent falls in all settings. This essay will discuss the statistics surrounding falls, prevention strategies, and the impacts of a fall on a patient’s ability to complete activities of daily living.
Falls in the elderly is a significant health problem, which can lead to severe issues such as morbidity and mortality. The topic of falls within the elderly was chosen so that the many interventions, risks, and awareness strategies can be further explored within this paper. Throughout clinical practice I was intrigued by the number of patients that have fallen and the strategies that health care organizations take to prevent falls. However, I was concerned by the lack of awareness in the community related to falls in the elderly. The topic of falls in the elderly is multifactor in the sense that there are many intersectional factors that can result in falls. The significant impact of falls in the elderly and the consequences that falls have
Although older adults fall more frequently than younger people, falls are not considered as a normal part of aging. Falls and fall related injuries among older adults are major Public Health concern and represent significant reasons of mortality and morbidity in older populations. Koski et al., (1998) defines “fall” as a sudden, unintended loss of balance leaving the individual in contact with the floor or another surface such as a step or chair. Each year, approximately 1 in 3 persons aged 65 years or older fall and more than 1.6 million older U.S. adults go to emergency departments for fall-related injuries (Hyuma et al., 2013). Injuries related to fall are associated with significant disability, reduced independence and mobility, and increased risk of injury deaths. According to National Center for Injury Prevention and Control (2008), the major primary
Falling risks are increased in seniors with dementia, musculoskeletal disorders, neurologic conditions, vision and hearing loss, and those on multiple medications. Given this list, is it any wonder that more than 50
It is a fact that senior citizens are aging, and living longer, but, are they living a prolific, relevant life? According to the Center for Disease Control and Prevention (n.d, para. 1), one out of every three older people falls each year and the direct medical costs for fall injuries are $34 billion annually. It is evident as one search through several governmental websites, that there is not enough of information for the different types of balance screenings for fall-prevention. As Americans, our priority is to preserve health and provide a meaningful life
In the absence of evidence to support a population-based approach to prevention and the imperative to deliver cost-effective and efficient services, health care providers need risk assessment tools that reliably identify at-risk populations and guide intervention by highlighting remediable risk factors for falls and fall-related injuries. Such tools typically consist of a rating or scoring system designed to reflect the cumulative effect of known risk factors for the purpose of identifying those at greatest risk for sustaining a fall or fall-related injury [*]. Historically, fall risk tools have focused on institutional settings with little attention to tools tested in community settings. Of the reviews that do include community dwelling seniors, tools are typically limited to the assessment of balance with little consideration of other risk factors [*].
Summary: Falls and related injuries are a major concern among elderly people. In Finland, more than 1000 elderly people die due to a fall-related injury every year, which is four times more than the people died in traffic accidents. Fall prevention is necessary for older people since falls are main risk factors for fractures and other correctable injuries. Falls clinics use guidelines of multifactoral fall prevention interventions to assess and implement elderly people of fall prevention. The study was conducted at the Chaos Clinic located in the city of Tampere,
Vitamin intake is a commonly overlooked necessity in basic nutritional health. What most people do not know is that certain vitamin deficiencies can cause many health risks and problems. Many people believe that are getting all the vitamins they need from their diet, however most of the time they are not. One of the most common vitamin deficiencies is the low intake of Vitamin D. There are some vitamins that are produced by the body such as vitamin K; however some of the most important vitamins are not produced by the body. Vitamin D is one of the vitamins that our body needs to function correctly that is not naturally produced by the body. Vitamin D can be consumed through
Falls are a common cause of death for people over the age of 65. Following accidents, fall related mortality rate has relatively stayed constant over the last four decades. The dementia disorder continues to add an increase in fall-risk. Despite their knowledge
A study published in Archives of Internal Medicine found that 75 percent or more of American teens and adults are deficient in Vitamin D. That is why we have so many serious illnesses, like cancer, diabetes and heart disease (Huff, 2010).