Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History

Lee, Seon-Hye; Oh, Eunmi; Hong, Gwi‐Ryung Son

doi:10.3390/ijerph15050982

Cited by 69 publications

(77 citation statements)

References 39 publications

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“…To our knowledge, this is the first study to compare the prevalence and factors of FOF among community‐dwelling older adults from Latin America and Europe. Consistent with previous findings (Lavedan et al, ; Lee, Oh, & Hong, ; Makino et al, ), the average score for FOF was extremely high in three‐quarters of the studied sample. However, high FOF was much more prevalent among Portuguese participants.…”

Section: Discussionsupporting

confidence: 92%

Fear of falling among Brazilian and Portuguese older adults

Vitorino

Marques-Vieira

Low

et al. 2019

Int J Older People Nursing

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Background Falling is the leading cause of physical disability, mortality and social exclusion in older adults. In Brazil and Portugal, falls cause thousands of hospitalisations every year. Fear of falling (FOF) causes loss of confidence in accomplishing daily tasks, restriction in social activities and increased dependence. Aim To compare the prevalence of FOF between Brazilian and Portuguese community‐dwelling older adults and the factors associated with FOF. Methods A secondary analysis of cross‐sectional survey data collected from older adults residing in Brazil (n = 170; M age=70.44 years) and Portugal (n = 170; M age=73.56 years). Results The prevalence of FOF was significantly higher (p = 0.015) among Portuguese (n = 133, 54.1%) versus Brazilian (n = 113, 45.9%) older adults. FOF among Brazilian older adults was associated with being 76 + years of age and female. Among Portuguese older adults, factors associated with FOF were intake of daily medications, having fallen within the past year, and visual difficulties. Conclusions Fear of falling is linked with modifiable and non‐modifiable factors. Timely assessments of FOF and factors associated with FOF are essential. Implications for practice Primary care nurses should assess and address FOF in older people with interdisciplinary practitioners.

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Section: Discussionsupporting

confidence: 92%

Fear of falling among Brazilian and Portuguese older adults

Vitorino

Marques-Vieira

Low

et al. 2019

Int J Older People Nursing

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“…In other words, the cause and effect relationship between falls and arthritis could be unknown, which was an inherent limitation of this design. Third, to simplify our hypothesis, we did not take into account environmental variables (such as residential area, housing type, and so on), which were considered in other FOF studies [43,44].…”

Section: Discussionmentioning

confidence: 99%

Physical and Psychological Factors Affecting Falls in Older Patients with Arthritis

Byun

Kim

2020

IJERPH

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As the population ages, falls are becoming one of the leading causes of morbidity and mortality. Joint disease (either osteoarthritis or rheumatoid arthritis) is a well-known predictor of falls, and these medical conditions increase in accordance with the aging population. This study aimed to describe individual, physical, and psychological characteristics between older adults with and without a fall history. Further, we aimed to identify statistically significant physical or psychological factors associated with falls by controlling individual variables. We analyzed data from the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults. Adults aged 65 years or over with doctor-diagnosed joint disease were eligible. A total of 2707 women and 784 men (n = 3491) were enrolled. Of these, 1174 patients suffered a fall within a year (average number of falls = 2.4). We adopted individual variable-adjusted models and found that limited activities of daily living (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.04-1.87), fear of falling (OR 7.18,, and depression (OR 1.28, 95% CI 1.09-1.50) significantly increased fall risks on logistic regression analysis. Our findings suggest that physical and psychological factors, especially the fear of falling, need to be addressed to prevent falls in elderly patients with arthritis.

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“…Moreover, Vietnamese elderly are exposed to less social interactions due to the limited social activities held by the local authority as compared to other developed countries [6]. Elderly with lower levels of social support are more likely to be physically inactive [38], depressed [36,39,40], which are reported to be closely related to FoF [18,41]. In addition, we found that the mean MMSE score of the participants with low-moderate perceived social support levels was 25.5, which was significantly lower than that of those with a high perceived level of social support (26.6) (Appendix table 2).…”

Section: Cognitive Impairment and Fof Among Different Perceived Sociamentioning

confidence: 99%

Fear of falling and cognitive impairment in elderly with different social support levels: Findings from a community survey in Central Vietnam

Nakamura

Seino

et al. 2020

Preprint

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Background: Fear of falling (FoF) in the elderly is one of the major public health concerns in this era of aging of the population. As there is limited evidence on how cognitive function may differ by social support level in relation to FoF among the elderly, this cross-sectional study aims to investigate the prevalence of FoF and the associations between cognitive impairment and FoF by the social support level, after adjustments for potential confounders. Methods: Data from the “Health needs assessment of elderly in Thua Thien Hue Province, Vietnam in 2018” survey of 725 elderly aged 60 years or older were used for analysis. FoF was assessed using the Fall Efficacy Scale - International. High FoF was defined as a score above 28. The Multidimensional Scale of Perceived Social Support was used to measure the perception of support. Logistic regression analysis was performed to investigate the association between cognitive function and FoF by social support levels (p <0.05). Results: The prevalence of high FoF among the elderly was 40.8%. Female gender, advanced age, a marital status of single or formerly married, living alone, history of injury, history of falls, chronic diseases (arthritis and/or hypertension), limitations of the IADL and BADL, visual difficulty and walking difficulty, low social support, and cognitive impairment were all significantly associated with a high FoF. After adjustments for the age, gender, marital status, history of falls and health-related factors, cognitive impairment remained significantly associated with a high FoF among the elderly with a low to moderate social support level (OR = 2.97, 95% CI 1.49-5.89), but not in those with a high social support level. Conclusions: A high FoF was associated with impairment of cognitive function among the elderly who perceived themselves as having low or moderate support levels, even after adjustments for socio demographic and physical functional factors. However, this association was not observed among the elderly who perceived themselves as having high social support levels. Fall prevention programs for the elderly with various levels of social support should be carefully devised, keeping in mind the cognitive function levels of the target recipients.

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Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History

Cited by 69 publications

References 39 publications

Fear of falling among Brazilian and Portuguese older adults

Fear of falling among Brazilian and Portuguese older adults

Physical and Psychological Factors Affecting Falls in Older Patients with Arthritis

Fear of falling and cognitive impairment in elderly with different social support levels: Findings from a community survey in Central Vietnam

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