Relationship between falls and physical performance measures among community-dwelling elderly women in Japan

Morita, Masaharu; Takamura, Noboru; Kusano, Yosuke; Abe, Yasuyo; Moji, Kazuhiko; Takemoto, Tai‐ichiro; Aoyagi, Kiyoshi

doi:10.1007/bf03324599

Cited by 59 publications

(37 citation statements)

References 28 publications

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“…The study sample consisted of 2710 community-dwelling elderly subjects, comprising 1594 women aged 75.1 years (-7.2; range 65-97 years) with a mean SPPB score of 7.79 -3.22 (range, 1-12) and 1116 men aged 75.8 years (-7.6; range, 65-97) with a mean SPPB score of 9.03 (-3.12; range, [1][2][3][4][5][6][7][8][9][10][11][12]. The proportion of these individuals reporting at least one fall over the previous year was 32.5% among women and 22.2% among men (chi-squared test, p < 0.001).…”

Section: Resultsmentioning

confidence: 99%

“…Participants' characteristics according to the SPPB score categories (poor performers scoring 0-6, moderate performers scoring 7-9, and good performers scoring [10][11][12] are shown in Tables 1a and 1b, for women and men, respectively. In both genders, participants in the lowest SPPB score category were significantly older than those in the group with the highest scores ( p for trend < 0.001).…”

Section: Resultsmentioning

confidence: 99%

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Association Between Short Physical Performance Battery and Falls in Older People: The Progetto Veneto Anziani Study

Veronese

Bolzetta

Toffanello

et al. 2014

Rejuvenation Research

143

104

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It is known that weakness in the lower limbs is associated with recurrent falls in old people. Among the tests routinely used to assess lower extremity strength, the Short Physical Performance Battery (SPPB) is one of those used most often, but its relationship with recurrent falls is poorly investigated. We aimed to determine if SPPB scores are related to recurrent falling in a sample of 2710 older-aged people, and to ascertain which test in the SPPB is most strongly associated with a higher rate of falls. In this cross-sectional study, we demonstrated that participants scoring 0-6 in the SPPB were more likely to be recurrent fallers than those scoring 10-12 (odds ratio [OR] = 3.46, 95% confidence interval [CI] 2.04-5.88 in women; OR = 3.82, 95% CI 1.77-8.52, in men). SPPB scores of 7-9 were only associated with women being more likely to be recurrent fallers (OR = 2.03, 95% CI 1.28-3.22). When the SPPB items were analyzed separately, even a lower score in gait speed for women was significantly associated with the presence of recurrent falls (OR = 2.11; 95% CI 1.04-4.30), whereas in men only a significant increase in the time taken to complete the five timed chair stands test was associated with a higher rate of falls (OR = 2.75; 95% CI 1.21-6.23). In conclusion, our study demonstrated that SPPB scores £ 6 are associated with a higher fall rate in old people of both genders; in females, even an SPPB score between 7 and 9 identifies subjects at a higher likelihood of being recurrent fallers. Among the single items of the SPPB, the most strongly associated with falls were gait speed in women and the five timed chair stands test in men.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Association Between Short Physical Performance Battery and Falls in Older People: The Progetto Veneto Anziani Study

Veronese

Bolzetta

Toffanello

et al. 2014

Rejuvenation Research

143

104

View full text Add to dashboard Cite

show abstract

“…Currently, there are some FRT studies suggesting that FRT is useful as a predictor of the risk of falling and a decline in function of elderly people [18][19][20][21][22][23][24] , but others contest this 2,[25][26][27][28][29][30][31] . These inconsistent results may be partially derived from the inter-individual variation of the starting position.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the One-Arm and Two-Arm Functional Reach Test in Young Adults

et al. 2009

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“…Fall-related factors for the elderly are generally classified into intrinsic and extrinsic fall factors 8) . Intrinsic fall factors include physical factors, such as walking speed 9,10) , leg muscle strength 12,13) , and balance 14) , psychological factors, such as fear of falling 15,16) , and cognitive factors, such as attention deficit 17) . However, stroke patients have additional risk factors, such as visuospatial impairment, distorted body image and disease-specific problems.…”

Section: Introductionmentioning

confidence: 99%

Relationship between Self-Perceived Postural Limits and Falls among Hospitalized Stroke Patients

2009

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Abstract. [Purpose] To investigate the relationship between errors in perceiving postural limits and falls in hospitalized hemiplegic patients.[Subjects] Sixty hemiplegic inpatients were included in this study.[Methods] Error in perceiving postural limits was defined as the difference between the estimated maximum reach and actual reach distances, and its relationship to falls during three months of hospitalization was investigated. The other measurements included Functional Ambulation Category, Brunnstrom's recovery stage, sensory disturbance, fear of falling, and the Japanese version of the Montgomery-Åsberg Depression Rating Scale (MADRS-J).[Results] For the multiple fall group, the error in estimated distance (EED) was significantly greater than that for the zero/single fall group (p<0.01). Logistic regression analysis showed that EED and MADRS-J scores were correlated with multiple falls. According to the receiver operating characteristic curve for EED, the cut-off value for the multiple fall group was 6.3 cm (sensitivity: 80%, specificity: 77.8%). Using this value, the likelihood ratio and risk ratio for multiple falls was 3.6 and 6.9 (95% confidence interval: 2.2-21.8), respectively. [Conclusion] These results suggest that assessing error in perceiving postural limits by EED of hemiplegic patients is one method for identifying individuals at high risk of fall.

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Relationship between falls and physical performance measures among community-dwelling elderly women in Japan

Abstract: Our findings indicate that poor lower extremity function, especially walking ability, is an important risk factor for falls in elderly Japanese community-dwelling women.

Cited by 59 publications

References 28 publications

Association Between Short Physical Performance Battery and Falls in Older People: The Progetto Veneto Anziani Study

Association Between Short Physical Performance Battery and Falls in Older People: The Progetto Veneto Anziani Study

Comparison of the One-Arm and Two-Arm Functional Reach Test in Young Adults

Relationship between Self-Perceived Postural Limits and Falls among Hospitalized Stroke Patients

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