Fear of falling in older adults living at home: associated factors

Vitorino, Luciano Magalhães; Teixeira, Carla Araújo Bastos; Boas, Eliandra Laís Vilas; Pereira, Rúbia Lopes; Santos, Naiana Oliveira dos; Rozendo, Célia Alves

doi:10.1590/s1980-220x2016223703215

Cited by 49 publications

(78 citation statements)

References 22 publications

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“…A secondary analysis of cross‐sectional survey in Brazil (Vitorino et al, ) and in Portugal (Marques‐Vieira et al, ) was undertaken. Brazilian data were collected three years earlier in a separate primary study also about FOF among older people.…”

Section: Methodsmentioning

confidence: 99%

“…Brazilian data were collected three years earlier in a separate primary study also about FOF among older people. Primary investigators in both countries collected the very same FOF data, with this permitting country‐specific comparison of the FOF and its associated factors (Vitorino et al, ; Marques‐Vieira et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…The Brazilian study data were collected between June and August 2012 in 2 of 12 consenting Family Health Strategies (FHS) located in Itajubá City in southeastern Brazil (Vitorino et al, ). In 2010, approximately 90,658 persons lived in Itajubá, 10,879 (12.6%) of which were over 60 years of age.…”

Section: Methodsmentioning

confidence: 99%

“…The anonymity of the participants and the confidential nature of their responses were discussed. The Brazilian study was approved by the National Health Council/Ministry of Health (Vitorino et al, ), and the Portugal study was approved by the National Health Council (Marques‐Vieira et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Given the multifaceted and adverse effects of FOF for the older adults, researchers and health professionals have become rightly interested in investigating the factors associated with FOF (Greenberg, Sullivan–Marx, Sommers, Chittams, & Cacchione, ; Mehdizadeh et al, ; Moreira et al, ; Vitorino et al, ). Such knowledge is necessary for targeted and cost‐effective interventions for reducing FOF and falling itself.…”

Section: Introductionmentioning

confidence: 99%

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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: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

et al. 2017

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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.

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Prevalencia del miedo a caer y factores asociados en personas mayores que viven en la comunidad

Alcolea-Ruiz

Esteban-Paredes

et al. 2021

Atención Primaria

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Objetivo El objetivo general del estudio es conocer la prevalencia de la preocupación a caer en personas mayores, independientes para la deambulación, que viven en la comunidad, según la versión reducida del FES-I y los factores asociados que influyen en esta preocupación. Diseño Estudio descriptivo transversal. Emplazamiento Centro de Salud El Greco (Getafe), Gerencia Asistencial de Atención Primaria de Madrid. Participantes Ciento ochenta y nueve pacientes ≥ 70 años independientes o con dependencia funcional leve-moderada (índice de Barthel ≥ 60) e independientes para la deambulación (camina 45 min sin ayuda o con bastón). El estudio se ofreció a 328 personas: 217 aceptaron y rechazaron 111. Mediciones principales La variable dependiente, miedo a caerse (MC), fue evaluada mediante el cuestionario Short FES-I , considerando como punto de corte para el cribado positivo del MC una puntuación ≥ 11. Como variables independientes se consideraron: índice de Barthel, escala Downton, prueba de fragilidad Short Physical Performance Battery (SPPB), caídas en el último año, lesiones asociadas a las caídas, tiempo desde la última caída, déficit sensorial, uso de dispositivos de la marcha, comorbilidad y tratamiento farmacológico. Resultados La prevalencia del MC fue del 42,9% (IC 95%: 35,5-50,2). Los factores asociados al MC en el análisis multivariante final fueron: sexo femenino, vivir solo, alto riesgo de caídas, presencia de fragilidad, uso de hipotensores y lesiones asociadas a caídas previas. Conclusiones La prevalencia del miedo a caer en personas mayores es elevada. Los profesionales de atención primaria deben sistematizar el cribado de este problema de salud, priorizando especialmente en las personas que presentan los siguientes factores de riesgo: ser mujer, vivir solo, tener una puntuación baja en el SPPB (como indicador de fragilidad) o presentar un elevado riesgo de caídas.

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Fear of falling in older adults living at home: associated factors

Cited by 49 publications

References 22 publications

Fear of falling among Brazilian and Portuguese older adults

Fear of falling among Brazilian and Portuguese older adults

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

Prevalencia del miedo a caer y factores asociados en personas mayores que viven en la comunidad

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