Depressive Symptomatology as a Risk Factor for Falls in Older People: Systematic Review and Meta-Analysis

Objectives To conduct a systematic literature review and meta‐analysis to evaluate studies that have addressed depressive symptoms as a risk factor for falls in older people. Design Systematic review with meta‐analysis. Setting Community and residential care. Participants Individuals aged 60 and old...

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Bibliographic Details
Published in:Journal of the American Geriatrics Society (JAGS) 2013-05, Vol.61 (5), p.694-706
Main Authors: Kvelde, Tasha, McVeigh, Catherine, Toson, Barbara, Greenaway, Mark, Lord, Stephen R., Delbaere, Kim, Close, Jacqueline C.T.
Format: Article
Language:English
Subjects:
accidental falls
Accidental Falls - prevention & control
Accidental Falls - statistics & numerical data
Adult and adolescent clinical studies
Aged
Aged, 80 and over
Biological and medical sciences
Depression
Depression - diagnosis
Depression - epidemiology
Depression - etiology
Falls
General aspects
Geriatric Assessment
Global Health
Humans
Incidence
Medical sciences
Mental depression
Middle Aged
Miscellaneous
Mood disorders
Older people
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Assessment - methods
Risk factors
Systematic review
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Summary:Objectives To conduct a systematic literature review and meta‐analysis to evaluate studies that have addressed depressive symptoms as a risk factor for falls in older people. Design Systematic review with meta‐analysis. Setting Community and residential care. Participants Individuals aged 60 and older. Measurements Depressive symptoms, incidence of falls. Results Twenty‐five prospective studies with a total of 21,455 participants met inclusion criteria for the systematic review. Twenty studies met criteria for the meta‐analyses. Recruitment of participants was conducted randomly or by approaching groups with identified healthcare needs. Eleven measures were used to assess depressive symptoms, and length of follow‐up for falls ranged from 90 days to 8 years. Reporting of antidepressant use was variable across studies. The pooled effect of 14 studies reporting odds ratios (ORs) indicated that a higher level of depressive symptoms at baseline resulted in a greater likelihood of falling during follow‐up (OR = 1.46, 95% confidence interval (CI) = 1.27–1.67, P 
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.12209