The role of alcohol in unintentinal falls among young and middle-aged adults: a systematic review of epidemiological studies

Show simple item record Kool, Bridget en Ameratunga, Shanthi en Jackson, Rodney en 2012-04-17T21:24:45Z en 2009 en
dc.identifier.citation Injury Prevention 15(5):341-347 2009 en
dc.identifier.issn 1353-8047 en
dc.identifier.uri en
dc.description.abstract OBJECTIVE: To appraise the published epidemiological evidence quantifying the risk of falls associated with acute and usual alcohol consumption among young and middle-aged adults. DESIGN: Systematic review. METHODS: Data sources: searches of electronic databases (eg, Medline, EMBASE, CINAHL, PsycINFO, Scopus), websites of relevant organisations, major injury journals, reference lists of relevant articles, and contact with experts in the field. Inclusion criteria: epidemiological studies with an English language abstract investigating alcohol use as a risk factor (exposure) for unintentional falls or related injuries among individuals aged 25–60 years. Studies were critically appraised using the GATE LITE tool. Meta-analysis was not attempted because of the heterogeneity of the eligible studies. RESULTS: Four case–control, three cohort and one case–crossover study fulfilled the inclusion criteria. The studies showed an increased risk of unintentional falls among young and middle-aged adults with increasing exposure to alcohol use. However, the magnitude of this risk varied considerably across studies with most estimates being relatively imprecise. Modest evidence of a dose–response relationship with acute alcohol use was observed. The association between usual alcohol use and fall risk was inconclusive, and evidence of a gender difference was inconsistent. CONCLUSIONS: Alcohol use appears to be an important risk factor for falls among young and middle-aged adults. Controlled studies with sufficient power that adjust effect estimates for potential confounders (eg, fatigue, recreational drug use) are required to determine the population-based burden of fall-related injuries attributable to alcohol. This can help inform and prioritise falls prevention strategies for this age group. en
dc.publisher BMJ Publishing Group en
dc.relation.ispartofseries Injury Prevention en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title The role of alcohol in unintentinal falls among young and middle-aged adults: a systematic review of epidemiological studies en
dc.type Journal Article en
dc.identifier.doi 10.1136/ip.2008.021303 en
pubs.issue 5 en
pubs.begin-page 341 en
pubs.volume 15 en
dc.rights.holder Copyright: BMJ Publishing Group en
dc.identifier.pmid 19805604 en
pubs.end-page 347 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 88346 en Medical and Health Sciences en Population Health en Epidemiology & Biostatistics en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 19805604 en

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