TY - JOUR
T1 - Use of ACE-inhibitors and falls in patients with Parkinson's disease
AU - Laudisio, Alice
AU - Lo Monaco, Maria Rita
AU - Silveri, Maria Caterina
AU - Bentivoglio, Anna Rita
AU - Vetrano, Davide Liborio
AU - Pisciotta, Maria Stella
AU - Brandi, Vincenzo
AU - Bernabei, Roberto
AU - Zuccala', Giuseppe
PY - 2017
Y1 - 2017
N2 - Falls represent a major concern in patients with Parkinson's disease (PD); however, currently acknowledged treatments for PD are not effective in reducing the risk of falling. The aim was to assess the association of use of ACE-inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) with falls among patients with PD. We analysed data of 194 elderly with PD attending a geriatric Day Hospital. Self-reported history of falls that occurred over the last year, as well as use of drugs, including ACEIs and angiotensin II receptor blockers (ARBs) were recorded. The association of the occurrence of any falls with use of ACEIs, and ARBs was assessed by logistic regression analysis. The association between the number of falls and use of ACEIs, and ARBs was assessed according to Poisson regression. In logistic regression, after adjusting for potential confounders, use of ACEIs was associated with a reduced probability of falling over the last year (OR = 0.15, 95% CI = 0.03–0.81; P = 0.028). This association did not vary with blood pressure levels (P for the interaction term = 0.528). Also, using Poisson regression, use of ACEIs predicted a reduced number of falls among participants who fell (PR = 0.31; 95% CI = 0.10–0.94; P = 0.039). No association was found between use of ARBs and falls. Our results indicate that use of ACEIs might be independently associated with reduced probability, and a reduced number of falls among patients with PD. Dedicated studies are needed to define the single agents and dosages that might most effectively reduce the risk of falling in clinical practice.
AB - Falls represent a major concern in patients with Parkinson's disease (PD); however, currently acknowledged treatments for PD are not effective in reducing the risk of falling. The aim was to assess the association of use of ACE-inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) with falls among patients with PD. We analysed data of 194 elderly with PD attending a geriatric Day Hospital. Self-reported history of falls that occurred over the last year, as well as use of drugs, including ACEIs and angiotensin II receptor blockers (ARBs) were recorded. The association of the occurrence of any falls with use of ACEIs, and ARBs was assessed by logistic regression analysis. The association between the number of falls and use of ACEIs, and ARBs was assessed according to Poisson regression. In logistic regression, after adjusting for potential confounders, use of ACEIs was associated with a reduced probability of falling over the last year (OR = 0.15, 95% CI = 0.03–0.81; P = 0.028). This association did not vary with blood pressure levels (P for the interaction term = 0.528). Also, using Poisson regression, use of ACEIs predicted a reduced number of falls among participants who fell (PR = 0.31; 95% CI = 0.10–0.94; P = 0.039). No association was found between use of ARBs and falls. Our results indicate that use of ACEIs might be independently associated with reduced probability, and a reduced number of falls among patients with PD. Dedicated studies are needed to define the single agents and dosages that might most effectively reduce the risk of falling in clinical practice.
KW - ACE-inhibitors
KW - Angiotensin II receptor blockers
KW - Biophysics
KW - Elderly
KW - Falls
KW - Orthopedics and Sports Medicine
KW - Parkinson's disease
KW - Rehabilitation
KW - ACE-inhibitors
KW - Angiotensin II receptor blockers
KW - Biophysics
KW - Elderly
KW - Falls
KW - Orthopedics and Sports Medicine
KW - Parkinson's disease
KW - Rehabilitation
UR - https://publicatt.unicatt.it/handle/10807/103602
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85014022727&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85014022727&origin=inward
U2 - 10.1016/j.gaitpost.2017.02.007
DO - 10.1016/j.gaitpost.2017.02.007
M3 - Article
SN - 0966-6362
VL - 54
SP - 39
EP - 44
JO - GAIT & POSTURE
JF - GAIT & POSTURE
IS - n/a
ER -