電子期刊
台灣家庭醫學雜誌
陳映守1 黃森亭1 蔡駿騰2† 楊 燦3*
方法：我們採用橫斷性研究針對2018-2021年屏東某地區醫院門診病患進行周全性量表評估。收集量表中個人基本資料、疾病史、藥物使用、肌少症評估與跌倒風險評估等資料進行分析，來瞭解高齡族群跌倒之影響因素。
結果：跌倒風險程度在女性、獨居者、老年疾病累積分數較高者、查爾森共病症指數平均分數較高者、用藥數量較多者、工具性日常生活活動分數較低者、認知功能分數較低者與肌少症平均分數較高者，其跌倒風險比例顯著較高。
結論：在校正其他影響跌倒風險因子後，用藥數量較多者與肌少症平均分數較高者，可做為跌倒風險程度之預測因子。
關鍵詞： 高齡族群、跌倒風險、肌少症
1屏東榮總醫院胸腔內科
2三軍總醫院醫學研究部
3美和科技大學跨專業長期照護碩士學位學程
受理日期：114年6月10日 修改日期：114年8月4日 同意刊登：114年8月25日
*通訊作者：楊燦 通訊地址：91202屏東縣內埔鄉美和村屏光路23號 E-mail：x00002115@meiho.edu.tw
†共同通訊作者
Association between Sarcopenia andFall Risk among Community-dwelling Older Adults:A Cross-sectional Study
Ying-Shou Chen1, Sent-Ting Huang1, Chun-Teng Tsai2† and Tsan Yang3*
Purposes: Falls among older adults pose a major public health concern, contributing to increasedhealthcare costs and mortality. This study aimed to examine the association between sarcopenia andfall risk in community-dwelling older adults and to identify potential predictors of falls to facilitateearly screening and prevention of fall-related injuries.
Methods: This cross-sectional study was based on data from comprehensive geriatric assessmentsadministered to outpatients at a regional hospital in Pingtung between 2018 and 2021. The collecteddata included demographic characteristics, medical history, medication use, sarcopenia assessments,and fall risk evaluations. These variables were analyzed to identify factors associated with fall riskamong older adults.
Results: A higher risk of falls was significantly associated with being female, living alone, highercumulative geriatric illness scores, higher Charlson Comorbidity Index scores, polypharmacy, lowerinstrumental activities of daily living scores, lower cognitive function scores, and higher sarcopeniascores.
Conclusion: After adjusting for confounding variables, polypharmacy and higher sarcopenia scoreswere identified as significant predictors of increased fall risk among older adults.
(Taiwan J Fam Med 2025; 35: 257-269) DOI: 10.53106/168232812025123504005
Key words: elderly, fall risk, sarcopenia
1 Division of Chest Medicine, Pingtung Veterans General Hospital, Pingtung, Taiwan
2Department of Medical Research, Tri-Service General Hospital, Taipei, Taiwan
3Master Program in Transdisciplinary Long-Term Care, Meiho University, Pingtung, Taiwan
Received: June 10, 2025; Revised: August 4, 2025; Accepted: August 25, 2025.
*Corresponding author
†Co-Corresponding author