Risk Factors for Fear of Falling: A Cross‐Sectional Population‐Based Study

Rossat, Arnaud; Beauchet, Olivier; Nitenberg, C.; Annweiler, Cédric; Fantino, Bruno

doi:10.1111/j.1532-5415.2009.02299.x

Cited by 10 publications

(5 citation statements)

References 2 publications

(5 reference statements)

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“…chronic morbidity, old age, female sex, impaired vision and fall frequency, which were significantly associated with FoF in that study, were not correlated in our study. Similar factors, such as history of falls, older age, female sex and impaired gait, were reported in other studies as factors associated with a high level of FoF in community-dwelling older persons without a recent hip fracture (40)(41)(42). because the number of partici- pants, the range of ages and the number of men included in our study were relatively small compared with the other studies, less significant relations could be demonstrated.…”

Section: Regression Analysis and Modelcontrasting

confidence: 48%

Fear of falling after hip fracture in vulnerable older persons rehabilitating in a skilled nursing facility

Visschedijk¹,

Caljouw²,

Balen³

et al. 2014

J Rehabil Med

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Objective: To identify factors that explain differences in patients with high and low levels of fear of falling after a hip fracture. Design: Cross-sectional study in 10 skilled nursing facilities in the Netherlands. Patients: A total of 100 patients aged ≥ 65 years admitted to a skilled nursing facility after a hip fracture. Methods: Participants were divided into 2 groups; low and high level of fear of falling, based on median Falls Efficacy Score -International. Data relating to factors that might explain fear of falling were collected, including demographic variables, aspects of functioning, psychological factors, and comorbidities. For every factor a univariate logistic regression was conducted. For the multivariate regression model a backward procedure was used in which variables with p < 0.05 were included. Results: Walking ability and activities of daily living before fracture, number of complications, activities of daily living after fracture, anxiety and self-efficacy were significantly associated univariately with fear of falling. Multivariate analysis showed that walking ability before fracture (odds ratio (OR) 0.34, 95% confidence interval (CI) 0.14-0.83), activities of daily living after fracture (OR 0.89, 95% CI 0.80-0.99), and anxiety (OR 1.22, 95% CI 1.05-1.42) were independently associated with fear of falling. Conclusion: Impaired walking ability before fracture, impaired activities of daily living after fracture, and increased anxiety help distinguish between older persons with high and low levels of fear of falling after hip fracture. Because the last 2 factors are modifiable, this information enables the development of specific interventions for older persons with a high level of fear of falling.

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Section: Regression Analysis and Modelcontrasting

confidence: 48%

Fear of falling after hip fracture in vulnerable older persons rehabilitating in a skilled nursing facility

Visschedijk¹,

Caljouw²,

Balen³

et al. 2014

J Rehabil Med

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“…Many cross-sectional studies have focused on the risk factors of FOF [ 9 ]. Previous studies have shown that old age, female sex, a history of previous falls, decreased cognitive function, impaired physical performance, depressive disorders, and chronic illness were associated with FOF [ 1 , 5 , 10 - 13 ].…”

Section: Introductionmentioning

confidence: 99%

Fear of Falling and Mortality among Older Adults in Korea: Analysis of the Korean Longitudinal Study of Aging

Lee

et al. 2020

Korean J Fam Med

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Background The fear of falling (FOF) has been reported in a high percentage of elderly people. An excessive FOF is a major concern among the elderly because it can lead to permanent disability. However, the impact of FOF on mortality has been insufficiently studied. The aim of this study was to investigate the impact of FOF on mortality among the elderly in Korea. Methods This was a prospective study carried out using the database of the Korean Longitudinal Study of Aging, a nationwide study of community-dwelling adults in Korea. Study participants included 3,421 adults, aged 65 years or older, without either severe cognitive impairment (Korean version of Mini-Mental Status Examination ≥10), or previous history of cancer. We used Cox proportional hazards models to investigate the association between FOF and all-cause mortality. Results This study included 1,474 men and 1,947 women. Cox regression showed that participants with FOF had an increased risk of mortality (mild: hazard ratio [HR], 1.25; 95% confidence interval [CI], 1.01−1.54; moderate: HR, 1.59; 95% CI, 1.23−2.05) after adjusting for confounding variables. In a subgroup analysis, FOF was still a significant risk factor of mortality for patients with no previous history of falling after adjusting for other risk factors, as in the full model, except for history of falling (HR, 1.65; 95% CI, 1.27−2.13). Conclusion We found that FOF was a significant risk factor for mortality in the elderly in Korea. Further studies on the effects and mechanism of FOF on mortality are needed.

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“…6 Furthermore, FOF is known to be a common condition in community-dwelling older adults with a prevalence ranging from 20% to 85%, depending on the measurement of FOF and study population, and thus more attention should be paid to it. [6][7][8][9][10] The majority of previous studies have aimed to evaluate the factors associated with FOF. These studies have found that older age, female sex, 4,6,8 history of previous falls, 6,8,10 depressive disorders, 8,[10][11][12] poor subjective health 4,6 and associated health problems are significant correlates of FOF in older adults.…”

Section: Introductionmentioning

confidence: 99%

Fear of falling and mortality among community‐dwelling older adults in the Shih‐Pai study in Taiwan: A longitudinal follow‐up study

Chang

Chen

Chou³

2017

Geriatrics Gerontology Int

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Risk Factors for Fear of Falling: A Cross‐Sectional Population‐Based Study

Cited by 10 publications

References 2 publications

Fear of falling after hip fracture in vulnerable older persons rehabilitating in a skilled nursing facility

Fear of falling after hip fracture in vulnerable older persons rehabilitating in a skilled nursing facility

Fear of Falling and Mortality among Older Adults in Korea: Analysis of the Korean Longitudinal Study of Aging

Fear of falling and mortality among community‐dwelling older adults in the Shih‐Pai study in Taiwan: A longitudinal follow‐up study

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