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Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults.

Abstract To determine the prevalence of fear of falling and associated factors among Japanese community-dwelling older adults.Cross-sectional study between 2011 and 2013.Community in which residents voluntarily attended a health examination.We recruited 844 older adults (male, n = 350; female, n = 494) aged 60 to 92 years from among those who presented at the health examination.We assessed fear of falling, falls in the previous year, pain, comorbidity, and cataracts. Five times chair stand time was applied as an indicator of physical performance.The prevalence of fear of falling was 26.9% and 43.3% among the men and women, respectively. Men and women who feared falling were older (P < .01), had longer 5 times chair stand time (P < .01), and more falls in the previous year (P < .05), pain (P < .01), and comorbidity (P < .05). Multivariate logistic regression analysis identified advanced age (odds ratios [OR], 1.57; 95% confidence interval [CI], 1.03-2.39), falls in the previous year (OR, 2.44; 95%CI, 1.29-4.64), and pain (OR, 1.82; 95%CI, 1.03-3.22) in men, and advanced age (OR, 1.59; 95%CI, 1.13-2.24), longer 5 times chair stand times (OR, 1.28; 95%CI, 1.04-1.59), falls in the previous year (OR, 2.59; 95%CI, 1.54-4.34), and pain (OR, 1.65; 95%CI, 1.06-2.55) in women as being independently associated with fear of falling.The prevalence of fear of falling was similar to previous reports. Advanced age, falls in previous year, and pain were associated with fear of falling in men. A longer 5 times chair stand time was also associated with fear of falling among older adult women. Maintenance of physical function and pain management might be important for older adults with fear of falling.
PMID
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Authors

Mayor MeshTerms

Accidental Falls

Keywords
Journal Title medicine
Publication Year Start




PMID- 29369207
OWN - NLM
STAT- MEDLINE
DCOM- 20180202
LR  - 20180208
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 4
DP  - 2018 Jan
TI  - Prevalence of fear of falling and associated factors among Japanese
      community-dwelling older adults.
PG  - e9721
LID - 10.1097/MD.0000000000009721 [doi]
AB  - To determine the prevalence of fear of falling and associated factors among
      Japanese community-dwelling older adults.Cross-sectional study between 2011 and
      2013.Community in which residents voluntarily attended a health examination.We
      recruited 844 older adults (male, n = 350; female, n = 494) aged 60 to 92 years
      from among those who presented at the health examination.We assessed fear of
      falling, falls in the previous year, pain, comorbidity, and cataracts. Five times
      chair stand time was applied as an indicator of physical performance.The
      prevalence of fear of falling was 26.9% and 43.3% among the men and women,
      respectively. Men and women who feared falling were older (P &lt; .01), had longer 5
      times chair stand time (P &lt; .01), and more falls in the previous year (P &lt; .05), 
      pain (P &lt; .01), and comorbidity (P &lt; .05). Multivariate logistic regression
      analysis identified advanced age (odds ratios [OR], 1.57; 95% confidence interval
      [CI], 1.03-2.39), falls in the previous year (OR, 2.44; 95%CI, 1.29-4.64), and
      pain (OR, 1.82; 95%CI, 1.03-3.22) in men, and advanced age (OR, 1.59; 95%CI,
      1.13-2.24), longer 5 times chair stand times (OR, 1.28; 95%CI, 1.04-1.59), falls 
      in the previous year (OR, 2.59; 95%CI, 1.54-4.34), and pain (OR, 1.65; 95%CI,
      1.06-2.55) in women as being independently associated with fear of falling.The
      prevalence of fear of falling was similar to previous reports. Advanced age,
      falls in previous year, and pain were associated with fear of falling in men. A
      longer 5 times chair stand time was also associated with fear of falling among
      older adult women. Maintenance of physical function and pain management might be 
      important for older adults with fear of falling.
FAU - Tomita, Yoshihito
AU  - Tomita Y
AD  - Department of Public Health.
AD  - Department of Rehabilitation, Nishi-Isahaya Hospital, Isahaya.
FAU - Arima, Kazuhiko
AU  - Arima K
AD  - Department of Public Health.
FAU - Tsujimoto, Ritsu
AU  - Tsujimoto R
AD  - Department of Orthopedic Surgery.
FAU - Kawashiri, Shin-Ya
AU  - Kawashiri SY
AD  - Department of Community Medicine.
FAU - Nishimura, Takayuki
AU  - Nishimura T
AD  - Department of Public Health.
FAU - Mizukami, Satoshi
AU  - Mizukami S
AD  - Department of Public Health.
AD  - Department of Rehabilitation, Nishi-Isahaya Hospital, Isahaya.
FAU - Okabe, Takuhiro
AU  - Okabe T
AD  - Department of Public Health.
AD  - Department of Rehabilitation, Nishi-Isahaya Hospital, Isahaya.
FAU - Tanaka, Natsumi
AU  - Tanaka N
AD  - Department of Public Health.
FAU - Honda, Yuzo
AU  - Honda Y
AD  - Department of Public Health.
FAU - Izutsu, Kazumi
AU  - Izutsu K
AD  - Department of Public Health.
FAU - Yamamoto, Naoko
AU  - Yamamoto N
AD  - Department of Health Science, Faculty of Medicine Kagoshima University,
      Kagoshima.
FAU - Ohmachi, Izumi
AU  - Ohmachi I
AD  - Department of Health Science, Nagasaki University Graduate School of Biomedical
      Sciences, Nagasaki, Japan.
FAU - Kanagae, Mitsuo
AU  - Kanagae M
AD  - Department of Public Health.
AD  - Department of Rehabilitation, Nishi-Isahaya Hospital, Isahaya.
FAU - Abe, Yasuyo
AU  - Abe Y
AD  - Department of Public Health.
FAU - Aoyagi, Kiyoshi
AU  - Aoyagi K
AD  - Department of Public Health.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - *Accidental Falls
MH  - Aged
MH  - Aged, 80 and over
MH  - Cataract/epidemiology/*psychology
MH  - Cross-Sectional Studies
MH  - Fear/*psychology
MH  - Female
MH  - Humans
MH  - Independent Living/*psychology
MH  - Japan/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Prevalence
PMC - PMC5794391
EDAT- 2018/01/26 06:00
MHDA- 2018/02/03 06:00
CRDT- 2018/01/26 06:00
PHST- 2018/01/26 06:00 [entrez]
PHST- 2018/01/26 06:00 [pubmed]
PHST- 2018/02/03 06:00 [medline]
AID - 10.1097/MD.0000000000009721 [doi]
AID - 00005792-201801260-00040 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jan;97(4):e9721. doi: 10.1097/MD.0000000000009721.