Dynamic transitions in falls and physical activity among older adults in Malaysia: a longitudinal multi-state analysis.

ABSTRACT:

Objective

In this study, we examined the longitudinal trajectories of falls and physical activity statuses among older adults and identified factors associated with state transitions.

Methods

A total of 1,327 community-dwelling adults aged ≥ 60 years (mean age = 68.72 ± 6.02 years; 673 females, 50.7%) who participated in the second, third, and fourth waves of data collection and had complete falls and physical activity data were analysed using a multi-state Markov model.

Results

Among participants with one fall, 63% remained fall-free in subsequent assessments. Those with ≥ 2 falls had a 25% probability of returning to no-fall state and a 21% probability of transitioning to a 1-fall state. Physical activity levels remained relatively stable over time, with comparable

SUBMITTER: Ooi TC 

PROVIDER: S-EPMC12581538 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature