Is the self-perception of the built neighborhood associated with fear of falling in community-dwelling older adults?

Canever, Jaquelini Betta; Danielewicz, Ana Lúcia; Leopoldino, Amanda Aparecida Oliveira; Avelar, Núbia Carelli Pereira de

doi:10.1016/j.archger.2021.104395

Cited by 18 publications

(9 citation statements)

References 35 publications

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“…The occurrence of falls in older adults negatively influences their quality of life, leading to disabilities in activities of daily living [3], predisposes them to develop anxiety and depression [4], reduces body balance [5], and contributes to developing fear of falling [6]. Fear of falling can be defined as an exacerbated concern about falling during daily activities [7], which shows high prevalence among community-dwelling older adults, being observed in 41.7% of Spanish older adults [8], 75.6% of Korean older adults [9], and 48.4% of Brazilian older adults [10].…”

Section: Introductionmentioning

confidence: 99%

“…Fear of falling is related to adverse health events such as increased depressive symptoms [11], reduction in physical activity [5], functional decline [12], and increased risk of falls [13]. Several conditions can predispose a person to fear of falling, among which are female sex [14,15], a negative health self-perception [16,17], environmental factors such as residing near garbage accumulation and/or open sewers and high crime rates [10], the presence of cognitive decline [4,7], and multimorbidity [8,15].…”

Section: Introductionmentioning

confidence: 99%

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Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

et al. 2022

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Background Multimorbidity is defined as the co-occurrence of multiple chronic or acute diseases and medical conditions in the same individual and can be grouped into different patterns based on the type of disease. These patterns are associated with poorer quality of life and premature death. It is believed that these patterns entail functional limitations, which may contribute to the fear of falling; however, this association remains unknown. Identifying this possible association is fundamental for developing individual and collective care approaches aimed at preventing the different patterns of chronic diseases in older adults in order to decrease the fear of falling. The objective of this study was to investigate the association between multimorbidity patterns and fear of falling in older adults. Methods This was a cross-sectional study including 308 older adults. The exposure variables were the presence of three multimorbidity patterns (cardiopulmonary, musculoskeletal, and vascular-metabolic) and pattern association assessed by self-report of two or more similar coexisting chronic diseases. The outcome was fear of falling assessed by the Brazilian version of Falls Efficacy Scale-International (cut-off point ≥ 23 points). Multivariable logistic regression was used to analyze the association between variables. Results Older adults with cardiopulmonary, musculoskeletal, vascular-metabolic patterns and pattern association had 3.49 (95%CI 1.13; 10.78), 2.03 (95%CI 1.13; 3.64), 2.14 (95%CI 1.20; 3.82), and 4.84 (95%CI 2.19; 10.68), respectively, greater chances of presenting fear of falling when compared to older adults without the patterns. Conclusions The presence of multimorbidity patterns is associated with higher chances of reporting fear of falling. It is emphasized that the introduction of public health programs aimed at preventing multimorbidity patterns is essential to reduce possible adverse health outcomes, including fear of falling and its negative consequences for older adult health.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

et al. 2022

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“…Five cross-sectional studies reported an association of fear of falling with neighborhood aspects such as living in a neighborhood with many broken sidewalks, drainage ditches, presence of strangers, 35 ) worse perceived accessibility and neighborhood conditions, 40 ) living near places with garbage accumulation and/or places with open sewers, 41 ) living in places with high crime rates, and low social support. 42 , 43 ) In contrast, Lee et al 44 ) reported a lower likelihood of fear of falling in older adults who perceived that their neighborhoods had well-lit streets, well-maintained streets, and low traffic speed (OR=0.324; 95% CI, 0.162–0.646).…”

Section: Relationships Between Fear Of Falling and The Environmentmentioning

confidence: 99%

“… 42 ) Likewise, a study reported that older adults living in places with high crime rates were more likely to report fear of falling (OR=2.62; 95% CI, 1.50–4.56). 41) Finally, qualitative studies indicated that a fear of falling involved difficulty spending time with friends and family due to constant worry about falling and an inability to engage in joint activities due to loss of self-confidence. 46 )…”

Section: Relationships Between Fear Of Falling and The Environmentmentioning

confidence: 99%

Fear of Falling and Environmental Factors: A Scoping Review

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2022

Ann Geriatr Med Res

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Fear of falling is a geriatric condition that must be understood from both a clinical perspective and from the environment in which older adults live. This review aimed to describe the scientific evidence reported in the last 5 years regarding the fear of falling in older adults and its relationship with environmental factors. The relationships between fear of falling and environmental factors are mainly evidenced in the built environment. Older adults with a fear of falling are described as perceiving the built environment as dangerous when they do not meet the requirements of safety, accessibility, and comfort; they also report the importance of living in communities with controlled crime levels and available social support for older adults to improve their insecurity and feelings of vulnerability.

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“…Tratou-se de um estudo transversal, realizado com idosos 23 comunitários. 24 Este estudo recebeu aprovação pelo Comitê de Ética em Pesquisa da Universidade Federal de Santa Catarina (CAAE nº 87776318.3.0000.0121).…”

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A Escala de Depressão Geriátrica pode ser utilizada para rastrear quedas em idosos comunitários?

et al. 2021

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Sintomas depressivos estão associados a ocorrência de quedas em idosos, portanto, torna-se importante definir pontos de corte diferenciados entre os sexos na Escala de Depressão Geriátrica Abreviada (GDS-15) que discriminem maior propensão a quedas, para identificar e implementar estratégias de reabilitação preventivas precoces. Objetivo: Determinar a acurácia da GDS-15, com valores diferenciados entre os sexos, para rastrear quedas em idosos comunitários e verificar a associação entre sintomas depressivos e quedas utilizando-se os pontos de corte propostos. Método: Estudo transversal, com amostra probabilística, incluindo 308 idosos comunitários. Considerou-se o histórico de quedas nos últimos 12 meses, classificado de forma dicotômica (sim ou não) como variável dependente e a avaliação dos sintomas depressivos através da GDS-15 como variável independente. Utilizou-se a Receiver Operating Characteristic Curve para analisar a sensibilidade e especificidade da GDS-15, e a Regressão Logística Multivariável para verificar a associação entre sintomas depressivos e quedas. Resultados: Os pontos de corte que melhor discriminaram quedas na GDS foram ≥4 pontos para mulheres [AUC:0,61 (IC95%: 0,54;0,69)] e ≥3 pontos para homens [AUC:0,65 (IC95%: 0,57;0,74)]. Em ambos os sexos, os idosos com sintomas depressivos apresentaram maiores chances de sofrer quedas em comparação aos que não tiveram os sintomas, sendo 3,05 (IC95%: 1,16;8,05) vezes maior nos homens e 2,28 (IC95%: 1,21;4,31) vezes maior nas mulheres, mesmo após o ajuste para faixa etária, multimorbidade e nível de atividade física. Conclusão: A GDS-15 pode ser utilizada para o rastreio de quedas em idosos, sendo indicado utilizar valores discriminativos diferenciados entre os sexos.

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Is the self-perception of the built neighborhood associated with fear of falling in community-dwelling older adults?

Cited by 18 publications

References 35 publications

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

Are multimorbidity patterns associated with fear of falling in community-dwelling older adults?

Fear of Falling and Environmental Factors: A Scoping Review

A Escala de Depressão Geriátrica pode ser utilizada para rastrear quedas em idosos comunitários?

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