Prevalence and Associates of Fear of Falling among Community-Dwelling Older Adults

Objectives We aimed to study the prevalence of fear of falling (FOF), and its association with physical performance, functionality, frailty, sarcopenia, and a variety of geriatric syndromes including cognitive impairment, depression, quality of life and hearing. Design Retrospective, cross-sectional...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2021-04, Vol.25 (4), p.433-439
Main Authors: Bahat Öztürk, Gülistan, Kiliç, C., Bozkurt, M. E., Karan, M. A.
Format: Article
Language:English
Subjects:
Accidental Falls - prevention & control
Activities of daily living
Aged
Aged, 80 and over
Aging
Anxiety
Cross-Sectional Studies
Falls
Fear & phobias
Fear - psychology
Female
Females
Geriatrics
Geriatrics/Gerontology
Humans
Independent Living
Injury prevention
Male
Medicine
Medicine & Public Health
Middle Aged
Mobility
Neurosciences
Nutrition
Older people
Outpatient care facilities
Prevalence
Primary Care Medicine
Quality of Life Research
Retrospective Studies
Sarcopenia
Womens health
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Summary:Objectives We aimed to study the prevalence of fear of falling (FOF), and its association with physical performance, functionality, frailty, sarcopenia, and a variety of geriatric syndromes including cognitive impairment, depression, quality of life and hearing. Design Retrospective, cross-sectional study. Setting Community-dwelling older adults applied to the geriatric outpatient clinic of a university hospital. Participants A total of 1021community-dwelling older adults >= 60 years of age applying to the geriatric outpatient clinic of a university hospital. Measurements We screened for falls and FOF by single close-ended questions. We performed screening and assessment of probable sarcopenia by SARC-F test and handgrip strength evaluation according to EWGSOP2. We used timed up and go test (TUG), usual gait speed (UGS) for physical performance, and Katz- activities of daily living (ADL) and Lawton-Brody instrumental activities of daily living (IADL) for functional evaluation. We screened anxiety with the Generalized Anxiety Disorder-7 scale. Results The prevalence of FOF was 44.6% and falls, 37.7%. Prevalence of FOF in sarcopenia screening positive participants was 30.1%; in probable sarcopenic (35/20 kg) participants, 43.9%; in those with undernutrition, 45.7%; in fallers, 51.1%; in females, 80.4%; and in prefrail/frail was 74.7% Multivariate regression analyses revealed that female sex (OR=4.1, 95%CI= 2.0–8.4, p
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-020-1535-9