Factors associated with fear of falling in community-dwelling older adults with and without diabetes mellitus: Findings from the Frailty in Brazilian Older People Study (FIBRA-BR)

Moreira, Bruno de Souza; Sampaio, Rosana Ferreira; Diz, Juliano Bergamaschine Mata; Bastone, Alessandra de Carvalho; Ferriolli, Eduardo; Néri, Anita Liberalesso; Lourenço, Roberto Alves; Dias, Rosângela Corrêa; Kirkwood, Renata Noce

doi:10.1016/j.exger.2017.01.004

Cited by 34 publications

(36 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The association between female gender and FoF was close to the statistical significance. The findings of the present study were consistent with previous studies conducted on older populations in general [17,25]. In contrast, a Thai study with 386 community-dwelling older adults (71.11 ± 7.73 years, 64.5% female) showed that more than 50% of adults were illiterate and had a relatively lower education level [25].…”

Section: Discussionsupporting

confidence: 91%

“…In this study, physical frailty was assessed with Fried's phenotype criteria. Other studies reported that older women were more likely to have FoF, because they fell more often than men, and this experience could increase their FoF [17,24]. In the study by Moreira et al [17], female gender was the only factor that remained independently associated with FoF in the final models of binary logistic regression.…”

Section: Discussionmentioning

confidence: 87%

“…Other studies reported that older women were more likely to have FoF, because they fell more often than men, and this experience could increase their FoF [17,24]. In the study by Moreira et al [17], female gender was the only factor that remained independently associated with FoF in the final models of binary logistic regression. Female gender was the second risk factor with a higher strength of association with FoF in both non-diabetic and diabetic older adults (OR = 1.69; 95% CI: 1.36-2.11 and OR = 1.93; 95% CI: 1.36-2.75).…”

Section: Discussionmentioning

confidence: 87%

“…In a study by Moreira et al [17] on 855 older adults (73.0 ± 5.9 years; 67.1% female), physical frailty assessed with Fried et al's scale was the risk factor with the greatest strength of associations with FoF in both non-diabetic and diabetic older adults (OR = 1.79; 95% CI: 1.18-2.71 and OR = 2.31; 95% CI: 1.14-4.67). In a representative cohort study of 3,257 Chinese people aged more than 55 years (70.1 ± 9.0 years, 51.1% female) [22], a frailty index constructed using 33 health deficits, but excluding falls and fractures, was also associated with an increased risk of recurrent falls (OR = 1.54; 95% CI: 1.34-1.76), suggesting that physical frailty played an important role in the progression of FoF [17]. Therefore, the findings of this study indicated that physical frailty was the most determinant factor for FoF among community-dwelling older adults.…”

Section: Discussionmentioning

confidence: 96%

“…The most frequent scale for testing FoF is the Falls Efficacy Scale-International (FES-I) [12], which was developed and validated in older adults across cultures and in persons with and without cognitive impairment [13][14][15]. However, only a few studies have focused on physical frailty and the associated factors among older adults with/without cognitive impairment [8,16] or FES-I characteristics in samples of people with specific chronic conditions [17].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Fear of falling and physical performance among older Czech adults

Kurková¹,

Kisvetrová²,

Horváthová³

et al. 2020

fmpcr

View full text Add to dashboard Cite

A -Study Design, B -Data Collection, C -Statistical Analysis, D -Data Interpretation, E -Manuscript Preparation, F -Literature search, G -Funds CollectionBackground. The fear of falling (FoF) refers to a lack of self-confidence that normal activities can be performed without falling. FoF represents an important psychological factor at an older age.Objectives. This study aimed to analyse the factors associated with FoF in a sample of community-dwelling older Czech adults. Material and methods. A cross-sectional study was performed in 2017-2018. The Falls Efficacy Scale-International and the Short Physical Performance Battery were completed by 349 older adults with (n = 140) and without (n = 209) dementia. Fisher's exact test, analysis of variance and logistic regression models were used for statistical analyses. Results. Cognitive impairment, age and physical frailty were significantly associated with higher FoF. In three models of linear regression, associations between FoF and physical frailty were found. The first model demonstrated that physically frail older adults had a higher adjusted risk of FoF compared to less physically frail individuals [odds ratio (OR) = 11.91; 95% confidence interval (CI): 7.17-19.78]. In the second model, high FoF was discovered in physically frail adults age ≥ 80 (OR = 11.41; 95% CI: 6.50-20.04) and women (OR = 1.97; 95% CI: 1.08-3.59). In the final adjusted model, physically frail older adults had a higher FoF compared to less physically frail adults (OR = 10.02; 95% CI: 4.24-23.70), and higher education lowered the FoF score (OR = 0.57; 95% CI: 0.34-0.96; p = 0.034).Conclusions. The multivariate analysis demonstrated that being physically frail was the main risk factor for high FoF, followed by the female gender. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/). Kurková P, Kisvetrová H, Horváthová M, Tomanová J, Bretšnajdrová M, Herzig R. Fear of falling and physical performance among older Czech adults. Fam Med Prim Care Rev 2020; 22(1): 32-35, doi: https://doi.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Fear of falling and physical performance among older Czech adults

Kurková¹,

Kisvetrová²,

Horváthová³

et al. 2020

fmpcr

View full text Add to dashboard Cite

show abstract

The prevalence of comorbid depression in patients with type 2 diabetes: an updated systematic review and meta-analysis on huge number of observational studies

et al. 2019

View full text Add to dashboard Cite

Both psychological factors and physical performance are associated with fall-related concerns

et al. 2017

View full text Add to dashboard Cite

BackgroundFall-related concern strongly correlates to activity avoidance in older people. In this complex phenomenon, different terminology and instruments are often used interchangeably. Three main concepts make up fall-related concerns: fear of falling, consequence concern, and falls self-efficacy. It is suggested that fall-related concerns are mediated by psychological and physical factors.AimsOur aims were to describe the prevalence of fall-related concerns and find explanatory factors for its most studied concept—falls self-efficacy—in an older population.MethodsWe executed a cross-sectional study on a random sample of 153 community-dwelling older people (70 years or older). We used validated and reliable instruments as well as structured interviews to gather data on the three concepts of fall-related concerns and possible mediating factors. We then calculated descriptive statistics on prevalence and regression models for the total group, and men and women, separately.Results70% of the total sample (80% of women and 53% of men) reported at least one of the three concepts of fall-related concern. For the total sample, fear of falling, morale, and physical performance were associated factors with falls self-efficacy. For women, the number of prescription medications was added. For men, physical performance and concerns for injury were associated.ConclusionFall-related concern is prevalent in large proportions with higher prevalence for women than for men. Important factors are fear of falling, morale, and physical performance. Gender differences in the emergence and variance of fall-related concern and the relation between physical performance and fall-related concern should be targeted in future research endeavors.

show abstract

Factors associated with fear of falling in community-dwelling older adults with and without diabetes mellitus: Findings from the Frailty in Brazilian Older People Study (FIBRA-BR)

Cited by 34 publications

References 42 publications

Fear of falling and physical performance among older Czech adults

Fear of falling and physical performance among older Czech adults

The prevalence of comorbid depression in patients with type 2 diabetes: an updated systematic review and meta-analysis on huge number of observational studies

Both psychological factors and physical performance are associated with fall-related concerns

Contact Info

Product

Resources

About