MULTIDIMENSIONAL ASPECTS RELATED TO THE RISK OF FALLING IN ELDERLY PEOPLE IN THE COMMUNITY: a cross-sectional study carried out in Brazilian primary health care
Accidental Falls, Aged, Nutrition Disorders, Cognitive Aging, Frail Elderly, Functional Status, Primary Health Care.
Falls are a significant public health issue, particularly among the elderly population, affecting approximately 30% of this group and leading to physical disabilities, reduced autonomy, and decreased Quality of Life (QoL). This study aimed to evaluate the association between fall risk and multidimensional health aspects in older adults receiving care in Primary Health Care (PHC) in Brazil, focusing on factors such as nutritional status, cognition, frailty, functionality, and QoL. A cross-sectional, observational study with a quantitative approach was conducted, involving 257 older adults (≥60 years) registered in PHC services in the municipality of Santa Cruz, Rio Grande do Norte, Brazil. Data were collected through face-to-face interviews using validated instruments such as the Fall Risk Score (FRS) to assess fall risk, Mini Nutritional Assessment (MNA), Mini-Mental State Examination (MMSE), Edmonton Frail Scale (EFS), Barthel Index, and the Lawton & Brody Scale. Statistical analysis included Pearson's Chi-Square Test, the Mann- Whitney Test, and Spearman's Correlation Coefficient. The results indicated that 39.7% of participants presented some level of fall risk, which was more prevalent among older adults with nutritional deficits, frailty, and reduced cognition. Factors such as preserved cognition, absence of frailty, and functional independence were identified as protective against falls. Additionally, older adults at higher fall risk exhibited poorer QoL, particularly in physical and functional domains. The study concluded that multidimensional aspects, such as nutrition, cognition, and functionality, play a central role in fall risk among the sample population. These findings underscore the need for more specific protocols in PHC, including interventions targeting these aspects, such as nutritional support, functional strengthening, and cognitive stimulation. Future studies should explore causal relationships through longitudinal approaches to enhance the applicability of the results.