Interaction between cognitive status, fear of falling, and balance in elderly persons

Tavares, Graziela Morgana Silva; Pacheco, Bárbara Palma; Gottlieb, Maria Gabriela Valle; Müller, Daniela Virote Kassick; Santos, Gilmar Moraes

doi:10.6061/clinics/2020/e1612

Cited by 16 publications

(15 citation statements)

References 24 publications

(24 reference statements)

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“…In addition, an augmentation of fear of falling is associated with an increase in risk of fall, while low levels of fear of falling appear to have protective effects on risk of fall, regardless of the presence of balance disorders [ 41 ]. Our results are in line with the literature and suggest that amelioration of balance after the physical activity program is associated to the reduction of fear of falling [ 15 , 42 ]. According to the correlation matrix, this suggests that under our conditions, the reduction of falls risk (i.e., improvement of balance in the functional reach test and one-leg balance test) is directly associated to the decrease in fear of falling.…”

Section: Discussionsupporting

confidence: 92%

“…Under these conditions, several investigations are needed to find out the long-term effects of an eight-session multicomponent physical exercise program on balance and fear of fall among the elderly. Moreover, the use of the FES-I questionnaire to evaluate fear of falling would have been interesting as it use among the elderly and includes environmental factors [ 42 ]. Nevertheless, interaction between fear of falling and balance needs a close attention.…”

Section: Discussionmentioning

confidence: 99%

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Can an Eight-Session Multicomponent Physical Exercise Program Reduce Fall Risk and Fear of Falling among the Elderly?

Philippe

Goncalves

Martinez

et al. 2022

IJERPH

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In older populations, falls are responsible for decrease autonomy and increased pain and injuries. With aging, fall risk is multifactorial and associated with sarcopenia, impaired balance, falls themselves and psychological factors such as fear of falling. The objectives of the present study were: (a) to test the effects of a short multicomponent physical exercise program on fall risk and fear of falling; and (b) to analyze the relationship between fall risk and fear of falling. The participants were thirty-five older persons who were engaged in an eight-session physical exercise program. Balance (i.e., One-leg Balance Test, and Functional Reach Test), lower-limb endurance (i.e., Wall-sit Test) and fear of falling were measured before and after the multicomponent physical exercise program. Results indicated an increase in balance and a diminution of fear of falling after the end of the physical exercise program (p < 0.05). The program has an effect on lower limb endurance (p > 0.05). Gains in balance were correlated to the diminution of fear of falling (p < 0.05). An 8-week multicomponent physical exercise program based on balance is efficient to reduce fall risk and fear of falling among the elderly.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Can an Eight-Session Multicomponent Physical Exercise Program Reduce Fall Risk and Fear of Falling among the Elderly?

Philippe

Goncalves

Martinez

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…A previous study indicated that older adults with cognitive impairments have greater FOF [ 30 ], and the prevalence of FOF in those with MCI was significantly higher than that in cognitively healthy older adults. Interestingly, we found different results in the two MCI groups.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Fear of Falling in Individuals with Different Types of Mild Cognitive Impairment

et al. 2022

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Mild cognitive impairment (MCI) is considered an intermediate state between normal aging and early dementia. Fear of falling (FOF) could be considered a risk indicator for falls and quality of life in individuals with MCI. Our objective was to explore factors associated with FOF in those with MCI due to Alzheimer’s disease (AD-MCI) and mild cognitive impairment in Parkinson’s disease (PD-MCI). Seventy-one participants were separated into two groups, AD-MCI (n = 37) and PD-MCI (n = 34), based on the disease diagnosis. FOF was assessed using the Activities-specific Balance Confidence scale. The neuropsychological assessment and gait assessment were also measured. FOF was significantly correlated with global cognitive function, attention and working memory, executive function, Tinetti assessment scale scores, gait speed, and stride length in the AD-MCI group. Moreover, attention and working memory were the most important factors contributing to FOF. In the PD-MCI group, FOF was significantly correlated with gait speed, and time up and go subtask performance. Furthermore, turn-to-walk was the most important factor contributing to FOF. We noted that FOF in different types of MCI was determined by different factors. Therapies that aim to lower FOF in AD-MCI and PD-MCI populations may address attention and working memory and turn-to-walk, respectively.

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“…Complementarily, it was sought in another study to assess cognitive function and its relationships with balance, history of falls and fear of falling, among 250 elderly people. 13 Elderly people with cognitive decline were found to have greater fear of falling than elderly people without cognitive decline (P = 0.008). 13 These results corroborate the importance of evaluating the presence of new falls in this population.…”

Section: Introductionmentioning

confidence: 95%

Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study

et al. 2022

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BACKGROUND: Falls among older people have a negative impact on health and therefore constitute a public health problem. Cognitive decline can also accompany the aging process, and both conditions lead to significant increases in morbidity and mortality in this population. OBJECTIVE: To analyze the cognitive performance of older people, classified as non-fallers, sporadic fallers and recurrent fallers, and investigate the relationship between falls and cognition. DESIGN AND SETTING: Cross-sectional study conducted in the interior of the state of São Paulo, Brazil. METHODS: Evaluations on 230 older people were conducted. They were divided into three groups: non-fallers, sporadic fallers (one fall) and recurrent fallers (two or more falls). The Mini-Mental State Examination, Consortium to Establish a Registry for Alzheimer's Disease (CERAD), Brief Cognitive Screening Battery (BCSB), Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) similarities subtest and digit span test were applied. RESULTS: In multinomial logistic regression, being a recurrent faller was significantly associated with lower scores in the CERAD word list

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Interaction between cognitive status, fear of falling, and balance in elderly persons

Cited by 16 publications

References 24 publications

Can an Eight-Session Multicomponent Physical Exercise Program Reduce Fall Risk and Fear of Falling among the Elderly?

Can an Eight-Session Multicomponent Physical Exercise Program Reduce Fall Risk and Fear of Falling among the Elderly?

Factors Associated with Fear of Falling in Individuals with Different Types of Mild Cognitive Impairment

Association between falls and cognitive performance among community-dwelling older people: a cross-sectional study

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