Impact of fear of falling and fall history on disability incidence among older adults: <scp>P</scp>rospective cohort study

Makino, Keitaro; Makizako, Hyuma; Doi, Takehiko; Tsutsumimoto, Kota; Hotta, Ryo; Nakakubo, Sho; Suzuki, Takao; Shimada, Hiroyuki

doi:10.1002/gps.4837

Cited by 48 publications

(38 citation statements)

References 28 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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“…Fear of fall was assessed by close-ended a question phrased as: "Are you afraid or concerned about falling while performing activities of daily living (ADL)? " [20]. Visual impairment (in any eye); significant loss of vision on which Snellen's chart reading is less than 6/12 to no light perception, Mild visual impairment; presenting with a visual acuity of less than 6/12(20/40) greater than or equal to 6/18(20/60).…”

Section: The Operational Definitionmentioning

confidence: 99%

Self-reported fall and associated factors among adult people with visual impairment in Gondar, Ethiopia: a cross-sectional study

et al. 2020

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Background: Fall is a major public health problem and potentially disabling issue. A vast burden of visually impaired live in low-middle income countries particularly in Sub-Saharan Africa. Limited ability to detect environmental hazards puts visually impaired at a greater risk of falls and unintentional injuries. Falls among visually impaired is associated with considerable disability, health care cost, loss of independence, and socioeconomic consequences. Ethiopia lacked estimates of fall among any vulnerable population, particularly among visually impaired people. Therefore, this study aimed to estimate the prevalence of falls and factors associated among adult people with medically diagnosed visual impairment in Ethiopia. Methods: An institutional-based cross-sectional study was conducted among visually impaired adults who attended the ophthalmology clinic at the University of Gondar comprehensive specialized hospital during the study period. Data were collected by interview method using structured questionnaires, patient medical record reviews, and physical measurements. Bivariate and multivariable binary logistic regression model analysis was used to identify factors associated with falls. Adjusted odds ratio with corresponding 95% confidence intervals were computed to show the strength of association. Results: A total of 328 adults medically diagnosed with visual impairment participated in the study (97.3% response rate). The age of the participants ranged from 25 to 89 years with a mean age of (56.46 ± 14.2 years). The overall cumulative prevalence of self-reported falls among adults with visual impairment was 26.8% with 95%CI (22.7, 32.4%). The major associated factors of fall identified by multivariate analysis were; visual impairment in both eye (

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“…As a recent systematic review by Schoene et al [15] confirmed, not only falls but also fall-related risk factors like fear of falling (FoF) influence HrQoL negatively. In the past, FoF was considered as consequence of falls, but nowadays FoF is considered as an independent predictor of disability or HrQoL, independent of a prior fall experience [15,16]. The prevalence of FoF in the population aged 65 years and above varies widely, with the majority of studies reporting a prevalence between 20 and 85% depending on sample characteristics and the measurement used to assess FoF [15,17].…”

Section: Introductionmentioning

confidence: 99%

Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people: a cross-sectional study

et al. 2020

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Background Previous research has shown that not only falls, but also fear of falling (FoF) influences health-related quality of life (HrQoL) negatively. The EQ-5D (consisting of an index and a visual analogue scale [EQ-VAS]) is a frequently used instrument to determine HrQoL in clinical studies and economic evaluations, but no previous study compared the association between FoF and the EQ-5D index with the association between FoF and the EQ-VAS. Moreover, factors that influence the association between FoF and HrQoL are rarely examined. Thus, this study aimed to examine the association between FoF and HrQoL and to examine factors that mediate the association. Methods FoF (Short Falls Efficacy Scale International) and HrQoL (EQ-5D descriptive system, EQ-5D index, and EQ-VAS) were assessed in a sample of community-dwelling older persons (≥70 years) participating in the baseline assessment of a randomized controlled trial (N = 309). Linear and logistic regression analyses were performed, adjusting for sociodemographic variables, frequency of falls, number of chronic conditions, functional mobility (Timed up-and-go test), and subjective functional capacity (LLFDI function and disability scales). Multiple regression models were used to test the mediating effects. Results Moderate or high FoF was prevalent in 66% of the sample. After adjusting for covariates, FoF was negatively associated with the EQ-5D index, but not with the descriptive system or the EQ-VAS. Subjective functional capacity partly mediated the association between FoF and the EQ-5D index and completely mediated the association between FoF and the EQ-VAS. Conclusion FoF was negatively associated with the EQ-5D index. As subjective functional capacity mediated the association between FoF and HrQoL, future interventions should account for subjective functional capacity in their design.

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Impact of fear of falling and fall history on disability incidence among older adults: Prospective cohort study

Abstract: Fear of falling could be a simple and useful predictor of disability incidence in community-dwelling older adults. Identifying and decreasing fall risk factors may prevent fall-related injuries, but excessive FOF may be associated with increased risk of disability incidence.

Cited by 48 publications

References 28 publications

Fear of falling among Brazilian and Portuguese older adults

Fear of falling among Brazilian and Portuguese older adults

Self-reported fall and associated factors among adult people with visual impairment in Gondar, Ethiopia: a cross-sectional study

Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people: a cross-sectional study

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