Prospective Study of Restriction of Acitivty in Old People After Falls

Vellas, Bruno; Cayla, Françoise; Bocquet, Hélène; Pemille, F. de; Albarède, J. L.

doi:10.1093/ageing/16.3.189

Cited by 183 publications

(103 citation statements)

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“…Besides physical activity many other factors affect the risk of falls, and the relationship between physical activity and falls is not a simple cause and effect relationship. It has been shown that fear of falling in elderly leads to less physical activity (29,30) and nonparticipation in recreational physical activities (31). To approximate a uni-directional relationship between physical activity and falls, subjects who suffered a lower extremity fracture during the last year were excluded from the analysis.…”

Section: Discussionmentioning

confidence: 99%

Daily physical activity and the use of a walking aid in relation to falls in elderly people in a residential care setting

Graafmans¹,

Lips

Wijlhuizen³

et al. 2003

Zeitschrift f�r Gerontologie und Geriatrie

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Zusammenhang zwischen Stürzen, täglichen körperlichen Aktivitäten und dem Gebrauch von Gehhilfen bei älteren Menschen in Altenheimen und Betreutem Wohnenn Summary Physical activity is usually considered as an important component of a healthy lifestyle, including a preventive effect on the risk of falls in the elderly. The relationship between physical activity and falls is complex: physical activity is a prerequisite to maintain neuromuscular functioning, necessary to keep balance and to react to a fall, but a higher level of physical activity also implies a greater exposure to environmental threats, possibly leading to a fall. Related to this greater exposure to threats, the use of a walking aid may protect against falls in those who have impaired mobility. In this cross-sectional study we investigated the relationship between daily physical activity and falls and the use of a walking aid in elderly subjects. Participants were 131 men and 563 women, aged 70 years and over (mean age and standard deviation: 82 ± 6 years), living in homes for the elderly (n = 335) and apartment houses for elderly (n = 359). Data on baseline characteristics and falls in the previous year were obtained using a questionnaire. The level of daily physical activity in the previous year was obtained by means of a questionnaire regarding household and leisure activities. Subjects with a lower extremity fracture in the previous year were excluded from the analyses. Data were analysed using multiple logistic regression, adjusted for age, gender, and residence. In the past year, 40% of the participants fell at least one time, and 19% of the participants fell two times or more. Since falls and recurrent falls were nonlinearly related to the level of daily physical activity, the physical activity score was grouped into quartiles: the highest quartile corresponding to the highest activity level. Odds ratios (and 95% confidence intervals) for falls and recurrent falls for subjects in the highest quartile contrasted with those in the lowest quartile were 0.5 (0.3-0.9) and 0.3 (0.2-0.6), respectively. The risk of falls and recurrent falls was not lower for those with intermediate levels of daily physical activity. The use of a walking aid protected against falls in those with intermediate high activity levels (third quartile). It was suggested that the exposure to environmental hazards, due to some degree of physical activity may have been responsible for the nonlinear relationship between daily physical activity and falling. We conclude that a high activity level and the use of a walking aid may protect against falls.

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Section: Discussionmentioning

confidence: 99%

Daily physical activity and the use of a walking aid in relation to falls in elderly people in a residential care setting

Graafmans¹,

Lips

Wijlhuizen³

et al. 2003

Zeitschrift f�r Gerontologie und Geriatrie

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“…Fear of falling (FOF) is common in older people Vellas et al 4 indicated that fear of falling may lead to a loss of confidence and reduced activity, resulting in a loss of independence. Furthermore, fear of falling may lead to a decreased mobility 5,6 functional decline [5][6][7] falls 8 and institutionalization 6 and consequently to a decrease in quality of life.…”

Section: Introductionmentioning

confidence: 99%

Relationship between Fear of Falling and Quality of Life in Older Women Fallers Fear of Falling and Quality of Life in Older

Scheicher¹

2017

MOJGG

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Fear of falling common in older people and can be associated with poor quality of life.Objectives: To evaluate the relation between fear of falling and the quality of life and if there is difference in the quality of live according with the level of fear of elder women with a history of falls.Methods: The quality of life (SF36) and fear of falling (FES-I) were assessed in 22 older women fallers. The correlation between fear of falling and quality of life was made using Pearson and Sperman coefficient and the comparison by t test and by the Mann-Whitney test, with p≤0.05. Results:The data showed that of 8 domains of SF36, there was a significant correlation in four with the fear of falling. Was possible observed too that fallers elder with low concern had better scores in the SF36 than elders with high concern.Conclusion: fear of falling maintains a relationship with the quality of life and that the greater the fear, worse the quality of life at the women elderly fallers.Keywords: aging, accidental falls, quality of life, fear of falling MOJ Gerontology & Geriatrics Research ArticleOpen Access Relationship between fear of falling and quality of life in older women fallers fear of falling and quality of life in older 129Copyright: ©2017 Prata et al.Citation: Prata MG, Scheicher ME. Relationship between fear of falling and quality of life in older women fallers fear of falling and quality of life in older.

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“…Falls have the highest percentage of injury-related deaths and fall related injuries have the highest cost after vehicle injuries [4], [5]. The mortality rate of fall increases dramatically with age and 70% of accidental deaths in persons above 75 are caused by falling [6].…”

Section: Introductionmentioning

confidence: 99%