{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:43:17Z","timestamp":1786977797043,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:00Z","timestamp":1501632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Irish Government"},{"name":"Atlantic Philanthropies and Irish Life plc."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depression independently increases the risk of falls in older people, but the mechanism for this relationship, as well as the specific falls type involved, remains unclear.<\/jats:p>\n                    <jats:p>Accidental falls (AFs) are due to slips or trips, while the cause of unexplained falls (UFs) is not immediately apparent and can include unrecognised syncope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This longitudinal study examines the relationship between baseline depression and subsequent falls, both accidental and unexplained, at 2\u2010year follow\u2010up in a cohort of community dwelling adults aged \u226550\u00a0years.<\/jats:p>\n                    <jats:p>Baseline depression was defined as a score \u226516 on The Centre for Epidemiological Studies Depression Scale. At follow\u2010up, participants were assessed regarding falls since last interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One\u2010third (228\/647) of the depressed group had fallen at follow\u2010up, compared with 22% (1388\/6243) of the nondepressed group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001).\n                    <\/jats:p>\n                    <jats:p>\n                      Multiple logistic regression models demonstrated that depression was associated with an odds ratio of 1.58 (1.31\u20101.89)\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001; 1.24 (1.00\u20101.52),\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.046; and 1.89 (1.45\u20102.46),\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001 for total falls, AFs and UFs, respectively, after controlling for relevant covariates.\n                    <\/jats:p>\n                    <jats:p>Participants with depression who fell were more likely to have prior falls, functional impairment and slower gait when compared with depressed participants who did not fall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The risk of falls associated with depression in older adults is more marked for UFs, with the association for AFs approaching borderline significance only.<\/jats:p>\n                    <jats:p>This finding is important because UFs require focused clinical assessment with attention to potential causes such as cardiac arrhythmia or orthostatic hypotension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.4770","type":"journal-article","created":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T05:39:18Z","timestamp":1501652358000},"source":"Crossref","is-referenced-by-count":48,"title":["Does baseline depression increase the risk of unexplained and accidental falls in a cohort of community\u2010dwelling older people? 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