跌倒是老年人骨折的常见原因。本研究旨在调查伊朗南部年龄≥60岁人群自发跌倒的相关因素。来自布什尔老年人健康（BEH）计划的前瞻性队列第一阶段第二阶段的2,426个样本的基线数据是纳入分析。使用标准化调查问卷通过自我报告来测量招募前一年的自发跌倒史。使用标准化问卷测量人口统计学特征以及骨关节炎、类风湿关节炎、腰痛、阿尔茨海默病、癫痫、抑郁症和癌症病史。在标准条件下进行串联步态（从脚跟到脚趾）检查以及实验室测试。分析中使用多元逻辑回归模型，并使用 Hosmer 和 Lemeshow 方法进行向后拟合。参与者的平均（标准差）年龄为 69.34（6.4）岁，其中 51.9% 的参与者为女性。共有 260 名（10.7%，95% CI（9.5-12.0）%）参与者报告在招募前一年自发跌倒。调整潜在混杂因素后，癫痫 (OR = 4.31)、癌症 (OR = 2.73)、抑郁症 (OR = 1.81)、腰痛 (OR = 1.79) 和骨关节炎 (OR = 1.49) 会增加老年人跌倒的风险，而串联步态检查中站立 ≥ 10秒的能力（OR = 0.49）、男性（OR = 0.60）、从事体力活动（OR = 0.69）和高血清甘油三酯水平（OR = 0.72）降低跌倒的风险。基础疾病的存在与其他危险因素相结合，与老年人跌倒风险的增加显着相关。鉴于该人群跌倒的发生率相对较高，因此特别注意识别和解决这些风险因素至关重要。© 2024。作者。

Falls are a common cause of fractures in older adults. This study aimed to investigate the factors associated with spontaneous falls among people aged ≥ 60 years in southern Iran.The baseline data of 2,426 samples from the second stage of the first phase of a prospective cohort, the Bushehr Elderly Health (BEH) program, were included in the analysis. A history of spontaneous falls in the year before recruitment was measured by self-report using a standardized questionnaire. Demographic characteristics, as well as a history of osteoarthritis, rheumatoid arthritis, low back pain, Alzheimer's disease, epilepsy, depression, and cancer, were measured using standardized questionnaires. A tandem gait (heel-to-toe) exam, as well as laboratory tests, were performed under standard conditions. A multiple logistic regression model was used in the analysis and fitted backwardly using the Hosmer and Lemeshow approach.The mean (standard deviation) age of the participants was 69.34 (6.4) years, and 51.9% of the participants were women. A total of 260 (10.7%, 95% CI (9.5-12.0)%) participants reported a spontaneous fall in the year before recruitment. Adjusted for potential confounders, epilepsy (OR = 4.31), cancer (OR = 2.73), depression (OR = 1.81), low back pain (OR = 1.79), and osteoarthritis (OR = 1.49) increased the risk of falls in older adults, while the ability to stand ≥ 10 s in the tandem gait exam (OR = 0.49), being male (OR = 0.60), engaging in physical activity (OR = 0.69), and having high serum triglyceride levels (OR = 0.72) reduced the risk of falls.The presence of underlying diseases, combined with other risk factors, is significantly associated with an increased risk of falls among older adults. Given the relatively high prevalence of falls in this population, it is crucial to pay special attention to identifying and addressing these risk factors.© 2024. The Author(s).