Falls and fear of falling in a sample of centenarians: the role of multimorbidity, pain and anxiety

Teixeira, Laetitia; Araújo, Lia; Duarte, Natália; Ribeiro, Óscar

doi:10.1111/psyg.12423

Cited by 11 publications

(8 citation statements)

References 29 publications

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“…Exercise training is effective on factors that are associated with the fear of falling and the risk of falls. 50 In our trial, in line with the literature, the differences that were detected after the exercise training were found to be significant in all groups. We believe that physiological changes in postural control and balance after the exercise training increased the self-confidence of individuals, which reflected in our results.…”

Section: Fear Of Fallingsupporting

confidence: 91%

The Effect of Different Exercise Training Types on Functionality in Older Fallers

Kocaman

Kırdı

Aksoy

et al. 2021

Topics in Geriatric Rehabilitation

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Background: Fall is one of the most common geriatric syndromes in the elderly population. It is important to determine the most effective exercise training in elderly individuals who are at risk of falling. Aim: To investigate the effects of different exercise trainings on functionality in older fallers. Method: A total of 30 older adults, 16 females and 14 males, were enrolled in this randomized controlled trial. The older adults were divided into 3 groups: vestibular exercise (VE), posturography balance exercise (PBE), and square step exercise (SSE) groups. All groups received VE training. Sensory Organization Test (SOT), Adaptation Test (ADT), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Vestibular Disorders Activities of Daily Life Scale (VADL), and the World Health Organization Quality of Life Scale-Older Adults Module (WHOQOL-Old) were administered before and at the end of the 24 training sessions. Results: The MoCA and the composite balance score of the SOT were improved in the PBE and SSE groups and the FES in all groups. According to multiple comparison analyses, toes up in the VE and PBE groups, toes down of the ADT in the PBE group, VADL in the PBE and SSE groups, the WHOQOL-Old in all groups significantly improved (P < .010). Conclusion: VE training alone is not sufficient for older fallers. A combination of PBE and SSE training, which was applied 3 times a week for 8 weeks, was more effective in improving functionality in older fallers.

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Section: Fear Of Fallingsupporting

confidence: 91%

The Effect of Different Exercise Training Types on Functionality in Older Fallers

Kocaman

Kırdı

Aksoy

et al. 2021

Topics in Geriatric Rehabilitation

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“…A population-based cohort study in Sweden demonstrated that individuals defined as “well-functioning with multimorbidity,” had higher risk of falling over a longer follow-up period (5 and 10 years), compared with those in the reference group (5-year hazard ratio [HR] = 1.74 [95% CI, 1.02, 2.66], 10-year HR = 1.44 [95%CI, 1.02–2.04]) ( 28 ). A positive association was also observed in a sample of centenarians in which a 38.4% higher OR for a history of falls was associated with the number of health conditions (OR = 1.384 [95% CI 1.087, 1.763]) ( 29 ). However, the effect of multimorbidity on single and repeated falls was inconsistent.…”

Section: Discussionmentioning

confidence: 82%

Association between multimorbidity and falls and fear of falling among older adults in eastern China: a cross-sectional study

You

Guo

et al. 2023

Front. Public Health

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BackgroundGrowing evidence has reported an association between multimorbidity and falls and fear of falling (FOF) in older adults, however, the results regarding this association from China are limited. Our study aimed to investigate the association between multimorbidity and falls and FOF in older adults in eastern China.MethodsWe conducted a cross-sectional study in Zhejiang Province, Eastern China, which recruited a provincial representative sample of adults aged ≥ 60 years. A structured questionnaire including demographic characteristics, chronic diseases, history of falls in the past 12 months, and FOF, was administered by all participants. The exposure variable was multimorbidity, which was defined as the presence of two or more chronic diseases and medical conditions in the same individual. The outcomes included a history of falls and FOF. Multivariate logistic regression was used to evaluate the association between multimorbidity and falls and FOF in older adults.ResultsIn total of 7,774 participants were included in the analysis, among whom 3,898 (50.1%) were female, with a mean ± standard deviation age is 72.9 ± 8.4 years. Multimorbidity was associated with the increased risk of falling in older adults [adjusted odds ratio (OR), 1.99; 95% confidence interval (CI):1.55–2.36]. The ORs for having experienced single fall and repeated falls were 1.85 (95% CI: 1.42–2.42) and 3.45 (95% CI: 1.47–6.97), respectively, with multimorbidity compared with those without chronic diseases. The older adults with multimorbidity were more likely to report FOF compared with those without chronic diseases (adjusted OR, 1.49; 95%CI:1.30–1.70). Moreover, the association between multimorbidity and FOF remained significant in the older adults with a history of fall (OR, 1.57; 95%CI:1.04–2.38).ConclusionThe association between multimorbidity and falls and FOF is significant in the Chinese population and the effects of multimorbidity on falls and FOF do not vary according to the frequency and history of falls in older adults.

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“…In general, research on falls prevalence includes only falls occurring in the last year. If the period is greater, the results may be different in terms of the history of falls and the fear of falling, according to the confirmation of a study carried out with elderly men in Portugal 31 . The authors considered the report of falls in the last five years, as well as the fear of falling.…”

Section: Discussionmentioning

confidence: 96%

Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013

Drummond

Pimentel

Pagotto

et al. 2020

Rev. bras. epidemiol.

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ABSTRACT: Objective: The aim of this study was to verify the association between types of dependence for basic and instrumental activities of daily living and the occurrence of falls in the elderly. Methods: A cross-sectional, population-based study using data from 23,815 elderly people drawn from the National Health Survey (NHS) in 2013. The NHS, conducted by the Brazilian Institute of Geography and Statistics (IBGE) and the Ministry of Health, presents data collected in 81,767 households in more than 1,600 municipalities. The association between the independent variable (ADL disabilities) and the dependent variable (history of falls) was performed through multiple and crude analyses, regression. Results: There was a greater association between using the toilet and transfers (ABVD) and falls, and between shopping and taking care of finances (IADL) and falls. In addition, the association between Basic Activities of Daily Living and falls was greater for up to four activities, and the Instrumental Activities of Daily Living for up to three activities. Conclusion: Thus, the results obtained in the NHS reinforce the planning of preventive strategies considering the functional dependence.

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Falls and fear of falling in a sample of centenarians: the role of multimorbidity, pain and anxiety

Cited by 11 publications

References 29 publications

The Effect of Different Exercise Training Types on Functionality in Older Fallers

The Effect of Different Exercise Training Types on Functionality in Older Fallers

Association between multimorbidity and falls and fear of falling among older adults in eastern China: a cross-sectional study

Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013

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