Table 4. Adjusted Odds Ratios for every unit increase or Category Change in the Predictors of Falls Trajectory: Results from Multinomial Logistic Regressions at Baseline (n = 765a), The MOBILIZE Boston Study.
Predictor | Falls Trajectory Groupb | ||||||||
Cluster Falls1 (n = 353, 46.1%) | Increasing Falls2 (n = 44, 5.8%) | Chronic Recurring Falls3 (n = 138, 18.1%) | |||||||
ORc | 95CI | P Valued | ORc | 95CI | P Valued | ORc | 95CI | P Valued | |
Age, y | 0.99 | 0.96, 1.04 | 0.94 | 1.01 | 0.88, 1.05 | 0.80 | 1.04 | 0.97, 1.12 | 0.21 |
Sex | |||||||||
Male | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | |||
Women | 1.31 | 0.88, 1.96 | 0.19 | 2.97 | 0.42, 2.87 | 0.10 | 1.85 | 0.92, 3.74 | 0.09 |
Race | |||||||||
Nonwhite | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | |||
White Race | 1.16 | 0.94, 1.43 | 0.17 | 1.07 | 0.67, 1.69 | 0.21 | 1.64 | 0.98, 2.67 | 0.06 |
Years of Education | 1.02 | 0.99, 1.04 | 0.29 | 0.98 | 0.91, 1.05 | 0.49 | 1.04 | 0.99, 1.09 | 0.11 |
Body mass index, kg/me | 1.05 | 0.80, 1.37 | 0.73 | 1.04 | 0.56, 1.95 | 0.97 | 1.02 | 0.62, 1.68 | 0.94 |
Fell in past year | 3.52 | 2.16, 6.34 | <0.001 | 1.69 | 0.53, 5.38 | 0.16 | 3.82 | 2.34, 6.23 | <0.001 |
Comorbidities ≥2 | 2.06 | 0.95, 3.14 | 0.08 | 2.52 | 0.89,7.20 | 0.40 | 2.24 | 1.34, 5.32 | 0.015 |
Hypertension | 0.70 | 0.55, 0.91 | 0.16 | 1.25 | 0.62, 2.53 | 0.80 | 0.85 | 0.40, 1.75 | 0.11 |
Stroke | 0.83 | 0.46, 1.48 | 0.35 | - | - | - | 2.08 | 0.67, 6.45 | 0.20 |
Diabetes mellitus | 0.69 | 0.40, 1.18 | 0.18 | 4.30 | 1.40, 13.3 | <0.001 | 0.20 | 0.03, 1.27 | 0.08 |
Hyperlipidemia | 1.19 | 0.84, 1.68 | 0.13 | 2.60 | 0.84, 8.06 | 0.32 | 2.05 | 0.98, 4.30 | 0.06 |
Congestive heart failure | 1.24 | 0.56, 2.72 | 0.93 | - | - | - | 0.76 | 0.15, 3.91 | 0.75 |
Cognitive statusf | |||||||||
MMSE≥24 | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | |||
MMSE<24 | 0.83 | 0.44, 1.58 | 0.57 | 2.82 | 1.34, 5.82 | 0.039 | 0.44 | 0.11, 1.66 | 0.21 |
CES-D Revised scoreg | 1.03 | 1.01, 1.05 | 0.006 | 1.04 | 1.00, 1.07 | 0.013 | 1.07 | 1.03, 1.10 | <0.001 |
Physical activity scoreh | |||||||||
≥66 | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent | |||
<66 | 1.02 | 0.66, 1.37 | 0.92 | 1.23 | 0.70, 2.17 | 0.57 | 1.82 | 0.86, 3.87 | 0.12 |
Impaired balance, score <4 out 7i | 1.29 | 0.84, 1.97 | 0.24 | 0.74 | 0.27, 2.00 | 0.26 | 1.94 | 0.91, 4.15 | 0.09 |
Fast gait speed, >0.78 m/sj | 1.69 | 1.50, 2.56 | 0.012 | 0.84 | 0.21, 2.08 | 0.47 | 1.61 | 0.66, 3.85 | 0.29 |
Slow chair stands, >16.37 sk | 1.18 | 0.65, 2.18 | 0.58 | 1.12 | 0.25, 5.26 | 0.75 | 1.04 | 0.52, 2.08 | 0.75 |
Abbreviations: 1, Model 1; 2, Model2; 3, Model3; OR, Odds Ratio; 95%CI, 95% Confidence Interval;
Forty four of the 809 older adults were missing data and therefore excluded from the analysis;
Estimated from Group-Based Trajectory Modeling (GBTM) [18].
No Falls group was the reference category.
Two-sided P value.
Body mass index is calculated as weight in kilograms divided by height in meters squared;
CES-D, Center for Epidemiological Studies Depression Scale [16];
Low physical activity, <66.01 PASE Score (using the Physical Activity Scale for the Elderly) [15];
Balance score was based on 4 progressively difficult stands: feet side by side, semi-tandem, tandem, and 1-leg stand [17];
Fast gait speed (m/s) is the highest 25% based on time of fastest of 2 usual-paced 4-meter walks [17];