Depression increases risk of falls in elderly

Depression increases risk of falls in elderly
Depressive symptoms, antidepressant use, poorer balance and poorer cognitive functioning are all associated with increased risk of falls in the elderly. Credit: Thinkstock

Falls are common in elderly people but the risk increases markedly when they have depressive symptoms, research from Neuroscience Research Australia shows.

Depressive symptoms, antidepressant use, poorer balance and poorer cognitive functioning are all associated with increased of in the elderly. The researchers investigated the interactions between and the significance of these .

"Risk of falls increased by 55 per cent in participants with any two risk factors and by 144 per cent in participants with three to four risk factors," says study co-author Dr Kim Delbaere, from NeuRA.

"The more risk factors a participant had, the more likely they were to experience a fall," says Dr Delbaere, also a conjoint senior lecturer at UNSW.

Depression and use of antidepressants increased the risk of falls independently of reduced cognitive and physical functioning.

"Depressive symptoms are a potentially modifiable risk factor for falls and should therefore be addressed in fall prevention programs, especially in high risk populations,"

The researchers suggest that therapies to reduce the likelihood of falls among older people experiencing depression should focus on a combination of physical exercise, including resistance and balance training, and psychosocial therapies such as mindfulness.

"Given that antidepressant medication may increase fall risk, treatment of using non-pharmacological approaches should be considered as part of all , especially in populations at high risk of falls," Dr Delbaere says. "These could include stress reduction and relaxation techniques, and other cognitive behavioural and mindfulness techniques."

The study relied on data from 488 people aged 70 to 90 living in the community in eastern Sydney who are taking part in the Sydney Memory & Ageing Study being conducted by UNSW's CHeBA. The participants underwent comprehensive psychological, cognitive and physiological assessment, and were monitored for falls over the course of a year. 


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More information: "Depressive symptoms increase fall risk in older people, independent of antidepressant use, and reduced executive and physical functioning." Tasha Kvelde, et al. Archives of Gerontology and Geriatrics April 28, 2014 DOI: dx.doi.org/10.1016/j.archger.2014.09.003
Citation: Depression increases risk of falls in elderly (2014, October 7) retrieved 15 September 2019 from https://medicalxpress.com/news/2014-10-depression-falls-elderly.html
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Oct 07, 2014
Transcranial direct current stimulation (tDCS) uses a tiny amount of direct current from a portable stimulator powered by a 9 volt battery via sponge electrodes over targeted areas of the brain to provide relief from depression. tDCS is non-invasive, painless, easy to do and without side effects. tDCS has no interaction with medications and is effective for the 40% of depressed patients who do not respond to antidepressants. tDCS also improves cognitive function and enhances memory. tDCS is available in Atlanta, Boston and New York. Training and supervision for home-use is available in Atlanta.

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