Fear of falling and self-perception of health in older participants and non-participants of physical activity programs

Silva, Carolina Kruleske da; Trelha, Celita Salmaso; Silva, Rubens Alexandre da

doi:10.1590/s1980-65742013000400014

Cited by 9 publications

(11 citation statements)

References 15 publications

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“…It can synthesize a complex interaction of factors involved in the health of the elderly 20,21 . A similar result was found in the study by Silva et al 22 , which showed that among elderly participants in regular physical activity, those who rate their own health as poor tend to have higher scores on the FES-I-BR ASIL, and consequently, a greater concern about falling than those who have a better perception of their health 4,9,17,18 .…”

Section: Discussionsupporting

confidence: 87%

“…Literature reports that older adults with functional decline tend to present low self-efficacy in carrying out daily activities, since they have lower physical and functional performance, and often report fear of falling during their execution. It also reports that elderly persons who restrict their activities due to fear of falling are more prone to sedentary living and social isolation, resulting in a loss of functional capacity and consequently, a fear of falling, creating and perpetuating a vicious cycle of adverse effects 3,6,22,30,31 .…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of fear of falling, in a sample of elderly adults in the community

Cruz

Duque

Leite

2017

Rev. bras. geriatr. gerontol.

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Objectives: To investigate the prevalence of fear of falling among a sample of elderly persons in the community, and to analyze its correlation with age, self-perceived health, difficulty walking, use of an assistive device for walking, history of falls, and functional capacity. Method: A cross-sectional study of 314 non-institutionalized elderly individuals, living in the city of Juiz de Fora in the state of Minas Gerais) in 2015, was carried out. A household survey was conducted and fear of falling was assessed using the Falls Efficacy Scale -International -Brazil (FES-I-BR ASIL). The Spearman correlation was used to verify the correlation of the independent variables with the fear of falling. The significance level for the study was 5%. Results: The prevalence of fear of falling among the elderly was 95.2% (95% CI= 92.3; 97.3). Fear of falling was significantly correlated with all the variables analyzed: age (r= 0.199), self-perceived health (r=0.299), difficulty walking (r= -0.480), use of an assistive device for walking (r=0.337), history of falls (r= -0.177), and functional capacity (r = -0.476). Conclusions: A high prevalence of fear of falling was observed, with a significant correlation between the outcome and the variables studied. These findings point to the need for rehabilitation, prevention, and health promotion strategies that enable healthy aging.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Prevalence of fear of falling, in a sample of elderly adults in the community

Cruz

Duque

Leite

2017

Rev. bras. geriatr. gerontol.

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“…Many researchers have so far been consistently associating the history of falls with the occurrence of the fear of falling 8,9,37,41 . Even though in this study the fear of falling was present in more than a half of the respondents with a positive history of falls, the analysis of the results showed that the history of falls was important issue for the development of the fear of falling only in two or more falls and these results were in accordance with the results appearing in most studies where history of falls was noted as an independent risk factor for the development of the fear of falling 42 .…”

Section: Discussionmentioning

confidence: 99%

Risk factors for fear of falling in the elderly in Serbia

Ivanović¹,

Trgovčević²

2018

VOJNOSANIT PREGL

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Background/Aim. After a fall, the elderly can develop a fear of falling which can be more frequent and more serious problem than the fall itself because it represents the main factor limiting an older person in his/her everyday functioning. The aim of this study was to identify and examine, in a more detailed way, risk factors for developing fear of falling triggered by the history of their falls over the previous year in the elderly in Serbia who live in houses or apartments. Methods. The cross-sectional study was conducted on 400 people, mean age 75.04 years (min. 65, max. 94), randomly selected from the register of patients in the Primary Health Center of Niš (164 men and 236 women), in the period January-June 2014. Socio-demographic questionnaire-Elderly Fall Screening Test (EFST), Multi-Factor Questionnaire Falls (MFQ) and Falls Efficacy Scale International (FESI) were used in this study. Results. After applying the multivariate binary logistic regression, it was found that significant predictors for developing fear of falling were as follows: female gender (OR = 2.599; p = 0.009), age 75-79 years (OR = 4.637; p = 0.009) and over 80 years (OR = 3.830; p = 0.001), increase in household members (OR = 1.206; p = 0.033), people who estimate their health as average (OR = 0.268; p < 0.001) and good (OR = 0.059; p < 0.001), number of falls higher than 2 (OR = 2.761; p = 0.003), presence of injuries during the fall (OR = 2.483; p = 0.028), periodical and repeating situations of "near-fall" (OR = 3.830; p = 0.001), limited activity (OR = 2.124; p = 0.007) problems with sight (OR = 3.006; p < 0.001), cognitive problems (OR = 2.296; p = 0.005) and problems with balance (OR = 3.809; p < 0.001). Conclusion. The results of this study can be used for planning promotional programs for falls and a fear of falling prevention, as well as prevention of their consequences.

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“…This one in particular, is recognised as a powerful determinant of SPH in older adults [33]. Older adults with FoF also demonstrated poor SPH [34]. SPH will be assessed by self-report through the question "In general, do you perceived your health as excellent, very good, good, sufficient or poor?…”

Section: Self-perceived Healthmentioning

confidence: 99%

Multifactorial Screening Tool for Determining Fall Risk in Community-Dwelling Adults Aged 50 Years or Over (FallSensing): Protocol for a Prospective Study (Preprint)

Martins¹,

Moreira²,

Silva³

et al. 2018

Preprint

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Background: Falls are a major health problem among older adults. About a third of community-dwelling adults aged 65 years or over fall each year. The risk of falling can be increased by polypharmacy, vision impairment, high blood pressure, environmental home hazards, fear of falling and changes in function of musculoskeletal and sensory systems, associated with aging. Moreover, individuals who experienced previous falls are at higher risk. Nevertheless falls can be prevented by screening to detect risk factors. Objective: To understand if FallSensing screening tool is able to determine the fall risk of community-dwelling adults aged 50 years or over. Methods: FallSensing screening tool is a technological solution for fall risk screening, including a software, a pressure platform and two inertial sensors. The screening software includes questions about sociodemographic and health and lifestyle behaviors, a detailed explanation about procedures to accomplish six functional tests (Grip Strength, Timed Up and Go, 30 seconds Sit-to-Stand, Step test, 4 Stage Balance test "modified" and 10 meters Walking Speed) and three questionnaires concerning environmental risk, activities and participation profile related to mobility and self-efficacy for exercise. The questions registers information about demographic and anthropometric data (age, sex, height and weight), Fear of Falling, history of fall (previous 12 months), health conditions, medication, sedentary lifestyle, upper extremities assistance to stand from a chair, living settings, alcohol habits, self-perceived health and unintentional or involuntary weight lost. We will recruit community-dwelling adults aged 50 years or over, independent to be standing and walking with or without walking aids in different regions of continental Portugal. In order to be a representative sample of Portuguese population, a minimum of 385 participants is needed. Results: The development of the FallSensing screening tool started in October 2015, and the screening of participants started in June 2016 and continues by the time of submission. A set of seniors' university, parish councils, physical therapy clinics and other community facilities have consented to participate in the study. Conclusions: In order to develop a multifactorial screening tool for fall risk in community-dwelling adults, it is essential to identify key risk factors for falls and select the best method to evaluate them. FallSensing screening tool, gathers a multifactorial assessment, designed and studied through the best evidence, which seek to identify factors that influence the fall risk. Understanding these factors, will allow that preventive strategies could be implemented and decrease falls rates.

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Fear of falling and self-perception of health in older participants and non-participants of physical activity programs

Cited by 9 publications

References 15 publications

Prevalence of fear of falling, in a sample of elderly adults in the community

Prevalence of fear of falling, in a sample of elderly adults in the community

Risk factors for fear of falling in the elderly in Serbia

Multifactorial Screening Tool for Determining Fall Risk in Community-Dwelling Adults Aged 50 Years or Over (FallSensing): Protocol for a Prospective Study (Preprint)

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