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    Footwear and Falls in the Home Among Older Individuals in the MOBILIZE Boston Study

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    Authors
    Kelsey, Jennifer L.
    Procter-Gray, Elizabeth
    Nguyen, Uyen-Sa D. T.
    Li, Wenjun
    Kiel, Douglas P.
    Hannan, Marian T.
    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2010-09-01
    Keywords
    Accidental Falls
    Shoes
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Geriatrics
    Preventive Medicine
    
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3250347/pdf/nihms335799.pdf
    Abstract
    BACKGROUND: Whether certain types of footwear, such as slippers, socks without shoes, and going barefoot, increase the risk for falls among the elderly is uncertain. Our purpose was to examine the relationship between footwear and falls within the home in MOBILIZE Boston, a prospective cohort study of falls etiology among non-institutionalized women and men, mainly aged 70 years and older, from the Boston MA, USA area. METHODS: The 765 participants were from households randomly selected from town lists. They were followed for a median of 27.5 months. At baseline, participants were administered a questionnaire that included questions on footwear usually worn, and were given a comprehensive examination that included measurement of many risk factors for falls. During follow-up participants were asked to record each day whether they had fallen; those reporting falls were asked about their footwear when they fell. RESULTS: At the time of in-home falls, 51.9% of people were barefoot, wearing socks without shoes, or wearing slippers; 10.1% of people reported that their usual footwear was one of these types. Among those who fell in their own home, the adjusted odds ratio for a serious injury among those who were shoeless or wearing slippers compared to those who were wearing other shoes at the time of the fall was 2.27 (95% confidence interval 1.21-4.24). CONCLUSIONS: It may be advisable for older individuals to wear shoes in their home whenever possible to minimize the risk of falling. Further research is needed to identify optimal footwear for falls prevention.
    Source
    Footwear Sci. 2010 Sep;2(3):123-129. Link to article on publisher's site
    DOI
    10.1080/19424280.2010.491074
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44823
    PubMed ID
    22224169
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1080/19424280.2010.491074
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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