Factors Associated with Fear of Falling and Associated Activity Restriction in Community-Dwelling Older Adults: A Systematic Review

Denkinger, Michael; Lukas, Albert; Nikolaus, Thorsten; Hauer, Klaus

doi:10.1016/j.jagp.2014.03.002

Cited by 242 publications

(261 citation statements)

References 49 publications

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“…Accordingly, further research on the possible impact of physical environmental factors on FOF in people with PD by using more detailed data on housing and close exterior surroundings is motivated, but due to the methodological complexity of such issues specific studies are required. As to personal factors, our non-significant results on gender corroborates previous PD studies [10,12], which is in contrast to FOF studies targeting the general older population [26]. Taken together, it seems like PD imposes specific challenges that impact on FOF.…”

Section: Discussionsupporting

confidence: 87%

“…In the present study, none of the environmental factors studied significantly explained concerns about falling in people with PD. Although no prior PD study addressing FOF included mobility devices as an independent variable, mobility devices have been shown to be persistently associated with higher FOF in the general older population [26]. It needs to be acknowledged that there could be other environmental factors of importance for concerns about falling in people with PD, such as physical environmental barriers, which are not addressed in the present study.…”

Section: Discussionmentioning

confidence: 86%

“…The total score ranges from 16 to 64 (higher = worse) [2]. In the present study, FES-I total scores were categorized into three groups: low (16-19 points), moderate (20)(21)(22)(23)(24)(25)(26)(27), and high concerns about falling (28-64), according to previous work by Delbaere et al [29].…”

Section: Descriptive Datamentioning

confidence: 92%

“…In the general older population, studies have shown conflicting results regarding the influence of environmental factors [23][24][25][26][27]. That is, informal/social support has been shown to be associated with increased as well as decreased activity avoidance due to FOF [23,24], living in a rural area has been identified as a risk factor for FOF [25], and a review article underlined that the use of walking devices has been persistently associated with higher FOF [26]. However, another article showed that none out of several environmental factors studied were significantly related to FOF [27].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Concerns About Falling in Parkinson’s Disease: Associations with Disabilities and Personal and Environmental Factors

Jonasson

Ullén

Iwarsson

et al. 2015

JPD

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Abstract.Background: Fear of falling can be conceptualized in different ways, e.g., as concerns about falling or low fall-related selfefficacy. It is common in people with Parkinson's disease (PD), and there is growing knowledge about its contributing factors. However, previous multivariate studies have mainly focused on fear of falling in relation to PD-related disabilities, and less is known about the associations between fear of falling and personal and environmental factors. Objective: To identify explanatory factors of concerns about falling in people with PD by focusing on personal and environmental factors as well as PD-related disabilities. Methods: Data were collected from 241 persons with PD (39% women, median age 70 years, PD duration 8 years). Concerns about falling (assessed with the Falls Efficacy Scale-International, FES-I; categorized into low, moderate, or high concerns) were used as the dependent variable in a multivariate ordinal regression analysis. Personal factors, environmental factors and PD-related disabilities constituted independent variables. Results: Low, moderate and high concerns about falling were reported by 29%, 24% and 47% of the participants, respectively. Walking difficulties, orthostatism, motor symptoms, age, and fatigue (presented in order of importance) were significant (p < 0.05) explanatory factors of concerns about falling. Conclusions: Several factors significantly explained concerns about falling in people with PD. Walking difficulties was by far the strongest explanatory factor. This suggests that minimizing walking difficulties should be a primary target when aiming at reducing concerns about falling in people with PD.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 86%

Section: Descriptive Datamentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Concerns About Falling in Parkinson’s Disease: Associations with Disabilities and Personal and Environmental Factors

Jonasson

Ullén

Iwarsson

et al. 2015

JPD

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“…14,15 Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and likelihood ratios ( Fear of falling was selected as the primary outcome for this study because of its association with psychological and physical issues such as falls, loss of confidence, restriction of activities and social withdrawal, which may lead to dependence and disability. 16,17 Other variables were considered as outcomes, such as falls and walking speed; however, due to the small number of subjects with positive results or missing data, no further analyses were conducted. In all analyses, statistical significance was set at P < 0.05.…”

Section: Statistical Analysesmentioning

confidence: 99%

Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study

Sampaio

Castaño

et al. 2017

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: Sarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults. DESIGN AND SETTING: Cross-sectional study; in the community. METHODS: Participants underwent morphological and functional evaluations; and were asked about previous falls and fear of falling. Different adjustments to ASM and handgrip strength were used. Slow walking speed was defined as < 0.8 m/s or 1.0 m/s. Gender and age groups were compared using t tests, analysis of variance (ANOVA), chi-square test or Fisher's exact test. Receiver operating characteristic curves were used to identify cutoffs for ASM and handgrip strength in relation to fear of falling. RESULTS: 578 older adults participated in this study. Function levels decreased with increasing age, and body composition differed between the sexes. In relation to fear of falling, the cutoffs for ASM adjusted for body mass index (BMI) were < 0.85 for men and < 0.53 for women; the cutoffs for absolute handgrip strength and relative handgrip strength (adjusted for BMI) were 30.0 kgf and 21.7 kgf, and 1.07 and 0.66, for men and women, respectively. CONCLUSION:The values presented can be used as references in clinical practice and research. We recommend use of ASM adjusted for BMI and choosing between absolute and relative handgrip strength for men and women, according to study needs.

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Cognitive behavioural interventions for reducing fear of falling in older people living in the community

Lenouvel

Novak²,

Wirth³

et al. 2021

Cochrane Database of Systematic Reviews

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Factors Associated with Fear of Falling and Associated Activity Restriction in Community-Dwelling Older Adults: A Systematic Review

Cited by 242 publications

References 49 publications

Concerns About Falling in Parkinson’s Disease: Associations with Disabilities and Personal and Environmental Factors

Concerns About Falling in Parkinson’s Disease: Associations with Disabilities and Personal and Environmental Factors

Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study

Cognitive behavioural interventions for reducing fear of falling in older people living in the community

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