Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018
Fall is a health problem for older persons. This study investigates the potential factors of concern: the nutritional status of older persons and non-communicable disease association with incidence of falls. This study used data from NHMS 2018, and conducted a cross-sectional design by applying two...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Pusat Perubatan Universiti Kebangsaan Malaysia
2021
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| Online Access: | http://journalarticle.ukm.my/18405/ http://journalarticle.ukm.my/18405/1/332-Article%20Text-1988-1-10-20210823.pdf |
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| author | Jayvikramjit Singh, Mohamad Fuad Mohamad Anuar, Azli Baharudin, Suhaila Abdul Ghaffar, Cheong, Siew Man Lalita Palineveloo, Syafinaz Mohd Sallehuddin, Nur Shahida Abd Aziz, Norsyamlina Che Abdul Rahim, Munawara Pardi, Nur Hamizah Nasaruddin, Ahmad Ali Zainuddin, |
| author_facet | Jayvikramjit Singh, Mohamad Fuad Mohamad Anuar, Azli Baharudin, Suhaila Abdul Ghaffar, Cheong, Siew Man Lalita Palineveloo, Syafinaz Mohd Sallehuddin, Nur Shahida Abd Aziz, Norsyamlina Che Abdul Rahim, Munawara Pardi, Nur Hamizah Nasaruddin, Ahmad Ali Zainuddin, |
| author_sort | Jayvikramjit Singh, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Fall is a health problem for older persons. This study investigates the potential factors of concern: the nutritional status of older persons and non-communicable disease association with incidence of falls.
This study used data from NHMS 2018, and conducted a cross-sectional design by applying two-stage stratified cluster sampling. Descriptive statistics such as the percentage of each variable were done. Factors associated with falls were determined at both univariate and multivariable levels using simple logistic regression and multiple logistic regression. The data were presented as standard values for each analysis and adjusted odds ratios with 95% CI with p values (<0.05).
A total of 3,867 from 3,977 elderly (mean age 68.2+ 6.85) were recruited with the response rate of 97.2%. Factors associated with fall were 70 years old and above (AOR= 1.34, 95% CI: 1.09, 1.64), obesity (AOR=1.55, 95% CI: 1.21, 1.98), undernutrition (AOR=1.59, 95% CI: 1.30, 1.94), persons with 2 NCDs (AOR=1.49, 95% CI: 1.15, 1.92) and persons with 3 NCDs (AOR=1.63, 95% CI: 1.23, 2.16).
Advanced age, malnutrition, obesity, and having two or more NCDs are associated with falls in the NHMS 2018 study. In conclusion, falls are prevalent among older persons. There is an urgent need for public health strategies and programmes to decrease the incidence of modifiable risk factors and early identification of those at risk. Implementation of fall preventive programs which includes multifactorial interventions at hospitals and homes can also significantly reduce incidence of falls among older persons. |
| first_indexed | 2025-11-15T00:36:05Z |
| format | Article |
| id | oai:generic.eprints.org:18405 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:36:05Z |
| publishDate | 2021 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:184052022-04-14T04:34:58Z http://journalarticle.ukm.my/18405/ Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018 Jayvikramjit Singh, Mohamad Fuad Mohamad Anuar, Azli Baharudin, Suhaila Abdul Ghaffar, Cheong, Siew Man Lalita Palineveloo, Syafinaz Mohd Sallehuddin, Nur Shahida Abd Aziz, Norsyamlina Che Abdul Rahim, Munawara Pardi, Nur Hamizah Nasaruddin, Ahmad Ali Zainuddin, Fall is a health problem for older persons. This study investigates the potential factors of concern: the nutritional status of older persons and non-communicable disease association with incidence of falls. This study used data from NHMS 2018, and conducted a cross-sectional design by applying two-stage stratified cluster sampling. Descriptive statistics such as the percentage of each variable were done. Factors associated with falls were determined at both univariate and multivariable levels using simple logistic regression and multiple logistic regression. The data were presented as standard values for each analysis and adjusted odds ratios with 95% CI with p values (<0.05). A total of 3,867 from 3,977 elderly (mean age 68.2+ 6.85) were recruited with the response rate of 97.2%. Factors associated with fall were 70 years old and above (AOR= 1.34, 95% CI: 1.09, 1.64), obesity (AOR=1.55, 95% CI: 1.21, 1.98), undernutrition (AOR=1.59, 95% CI: 1.30, 1.94), persons with 2 NCDs (AOR=1.49, 95% CI: 1.15, 1.92) and persons with 3 NCDs (AOR=1.63, 95% CI: 1.23, 2.16). Advanced age, malnutrition, obesity, and having two or more NCDs are associated with falls in the NHMS 2018 study. In conclusion, falls are prevalent among older persons. There is an urgent need for public health strategies and programmes to decrease the incidence of modifiable risk factors and early identification of those at risk. Implementation of fall preventive programs which includes multifactorial interventions at hospitals and homes can also significantly reduce incidence of falls among older persons. Pusat Perubatan Universiti Kebangsaan Malaysia 2021 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/18405/1/332-Article%20Text-1988-1-10-20210823.pdf Jayvikramjit Singh, and Mohamad Fuad Mohamad Anuar, and Azli Baharudin, and Suhaila Abdul Ghaffar, and Cheong, Siew Man and Lalita Palineveloo, and Syafinaz Mohd Sallehuddin, and Nur Shahida Abd Aziz, and Norsyamlina Che Abdul Rahim, and Munawara Pardi, and Nur Hamizah Nasaruddin, and Ahmad Ali Zainuddin, (2021) Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018. International Journal of Public Health Research, 11 (2). pp. 1448-1454. ISSN 2232-0245 https://spaj.ukm.my/ijphr/index.php/ijphr/issue/view/29 |
| spellingShingle | Jayvikramjit Singh, Mohamad Fuad Mohamad Anuar, Azli Baharudin, Suhaila Abdul Ghaffar, Cheong, Siew Man Lalita Palineveloo, Syafinaz Mohd Sallehuddin, Nur Shahida Abd Aziz, Norsyamlina Che Abdul Rahim, Munawara Pardi, Nur Hamizah Nasaruddin, Ahmad Ali Zainuddin, Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018 |
| title | Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018 |
| title_full | Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018 |
| title_fullStr | Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018 |
| title_full_unstemmed | Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018 |
| title_short | Nutritional and non-communicable disease (NCD) status association with fall among older persons in Malaysia : findings from National Health and Morbidity Survey (NHMS) Malaysia 2018 |
| title_sort | nutritional and non-communicable disease (ncd) status association with fall among older persons in malaysia : findings from national health and morbidity survey (nhms) malaysia 2018 |
| url | http://journalarticle.ukm.my/18405/ http://journalarticle.ukm.my/18405/ http://journalarticle.ukm.my/18405/1/332-Article%20Text-1988-1-10-20210823.pdf |