Which factors are associated with fear of falling in community-dwelling older people?
2013/10/08 by Arun Kumar, Hannah Carpenter, Richard Morris +2 · 25 citations
Health Professions · Medicine · Engineering · #Balance, Gait, and Falls Prevention #Stroke Rehabilitation and Recovery #Prosthetics and Rehabilitation Robotics
paper · doi:10.1093/ageing/aft154
Abstract
BACKGROUND: fear of falling (FOF) is common in older people and associated with serious physical and psychosocial consequences. Identifying those at risk of FOF can help target interventions to both prevent falls and reduce FOF. OBJECTIVE: to identify factors associated with FOF. STUDY DESIGN: cross-sectional study in 1,088 community-dwelling older people aged ≥65 years. METHODS: data were collected on socio-demographic characteristics, self-perceived health, exercise, risk factors for falls, FOF (Short FES-I), and functional measures. Logistic regression models of increasing complexity identified factors associated with FOF. RESULTS: high FOF (Short FES-I ≥11) was reported by 19%. A simpler model (socio-demographic + falls risk factors) correctly classified as many observations (82%) as a more complex model (socio-demographic + falls risk factors + functional measures) with similar sensitivity and specificity values in both models. There were significantly raised odds of FOF in the simpler model with the following factors: unable to rise from a chair of knee height (OR: 7.39), lower household income (OR: 4.58), using a walking aid (OR: 4.32), difficulty in using public transport (OR: 4.02), poorer physical health (OR: 2.85), black/minority ethnic group (OR: 2.42), self-reported balance problems (OR: 2.17), lower educational level (OR: 2.01) and a higher BMI (OR: 1.06). CONCLUSIONS: a range of factors identify those with FOF. A simpler model performs as well as a more complex model containing functional assessments and could be used in primary care to identify those at risk of FOF, who could benefit from falls prevention interventions.
Citations
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- Does the timed up and go test predict future falls among British community-dwelling older people? Prospective cohort study nested within a randomised controlled trial. [europepmc]
- Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study. [europepmc]
- Frailty predicts short-term incidence of future falls among British community-dwelling older people: a prospective cohort study nested within a randomised controlled trial. [europepmc]
- Fear of Falling in Older Mexican Americans: A Longitudinal Study of Incidence and Predictive Factors. [europepmc]
- The role of postural instability/gait difficulty and fear of falling in predicting falls in non-demented older adults. [europepmc]
- Promoting independence, health and well-being for older people: a feasibility study of computer-aided health and social risk appraisal system in primary care. [europepmc]
- Comparisons of Interventions for Preventing Falls in Older Adults: A Systematic Review and Meta-analysis. [europepmc]
- Period prevalence, risk factors and consequent injuries of falling among the Saudi elderly living in Riyadh, Saudi Arabia: a cross-sectional study. [europepmc]
- Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both? [europepmc]
- Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History. [europepmc]
- Is Fear of Falling the Missing Link to Explain Racial Disparities in Fall Risk? Data from the National Health and Aging Trends Study. [europepmc]
- A Regression Tree for Identifying Risk Factors for Fear of Falling: The International Mobility in Aging Study (IMIAS). [europepmc]
- Meta-analysis and GRADE profiles of exercise interventions for falls prevention in long-term care facilities. [europepmc]
- Risk of falls and fear of falling in older adults residing in public housing in Ontario, Canada: findings from a multisite observational study. [europepmc]
- Care Transition Decisions After a Fall-related Emergency Department Visit: A Qualitative Study of Patients' and Caregivers' Experiences. [europepmc]
- Fear of falling and cognitive impairment in elderly with different social support levels: findings from a community survey in Central Vietnam. [europepmc]
- Epidemiology of fall and its socioeconomic risk factors in community-dwelling Korean elderly. [europepmc]
- Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus. [europepmc]
- Fear of falling and associated factors among older people living in Bahir Dar City, Amhara, Ethiopia- a cross-sectional study. [europepmc]
- Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review. [europepmc]
- Factors influencing fear of falling in community-dwelling older adults in Singapore: a cross-sectional study. [europepmc]
- Association Between Vitamin D Supplementation and Fall Prevention. [europepmc]
- Frailty Is a Risk Factor for Falls in the Older Adults: A Systematic Review and Meta-Analysis. [europepmc]
- Optimizing a Technology-Based Body and Mind Intervention to Prevent Falls and Reduce Health Disparities in Low-Income Populations: Protocol for a Clustered Randomized Controlled Trial. [europepmc]
- The global prevalence of and risk factors for fear of falling among older adults: a systematic review and meta-analysis. [europepmc]
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