Falls and fear of falling in a sample of centenarians: the role of multimorbidity, pain and anxiety

Teixeira, Laetitia; Araújo, Lia; Duarte, Natália; Ribeiro, Óscar

doi:10.1111/psyg.12423

Cited by 15 publications

(9 citation statements)

References 29 publications

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“…Exercise training is effective on factors that are associated with the fear of falling and the risk of falls. 50 In our trial, in line with the literature, the differences that were detected after the exercise training were found to be significant in all groups. We believe that physiological changes in postural control and balance after the exercise training increased the self-confidence of individuals, which reflected in our results.…”

Section: Fear Of Fallingsupporting

confidence: 91%

The Effect of Different Exercise Training Types on Functionality in Older Fallers

Kocaman

Kırdı

Aksoy

et al. 2021

Topics in Geriatric Rehabilitation

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Background: Fall is one of the most common geriatric syndromes in the elderly population. It is important to determine the most effective exercise training in elderly individuals who are at risk of falling. Aim: To investigate the effects of different exercise trainings on functionality in older fallers. Method: A total of 30 older adults, 16 females and 14 males, were enrolled in this randomized controlled trial. The older adults were divided into 3 groups: vestibular exercise (VE), posturography balance exercise (PBE), and square step exercise (SSE) groups. All groups received VE training. Sensory Organization Test (SOT), Adaptation Test (ADT), Fall Efficacy Scale (FES), Montreal Cognitive Assessment (MoCA), Vestibular Disorders Activities of Daily Life Scale (VADL), and the World Health Organization Quality of Life Scale-Older Adults Module (WHOQOL-Old) were administered before and at the end of the 24 training sessions. Results: The MoCA and the composite balance score of the SOT were improved in the PBE and SSE groups and the FES in all groups. According to multiple comparison analyses, toes up in the VE and PBE groups, toes down of the ADT in the PBE group, VADL in the PBE and SSE groups, the WHOQOL-Old in all groups significantly improved (P < .010). Conclusion: VE training alone is not sufficient for older fallers. A combination of PBE and SSE training, which was applied 3 times a week for 8 weeks, was more effective in improving functionality in older fallers.

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Section: Fear Of Fallingsupporting

confidence: 91%

The Effect of Different Exercise Training Types on Functionality in Older Fallers

Kocaman

Kırdı

Aksoy

et al. 2021

Topics in Geriatric Rehabilitation

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“…In general, research on falls prevalence includes only falls occurring in the last year. If the period is greater, the results may be different in terms of the history of falls and the fear of falling, according to the confirmation of a study carried out with elderly men in Portugal 31 . The authors considered the report of falls in the last five years, as well as the fear of falling.…”

Section: Discussionmentioning

confidence: 96%

Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013

Drummond

Pimentel

Pagotto

et al. 2020

Rev. bras. epidemiol.

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ABSTRACT: Objective: The aim of this study was to verify the association between types of dependence for basic and instrumental activities of daily living and the occurrence of falls in the elderly. Methods: A cross-sectional, population-based study using data from 23,815 elderly people drawn from the National Health Survey (NHS) in 2013. The NHS, conducted by the Brazilian Institute of Geography and Statistics (IBGE) and the Ministry of Health, presents data collected in 81,767 households in more than 1,600 municipalities. The association between the independent variable (ADL disabilities) and the dependent variable (history of falls) was performed through multiple and crude analyses, regression. Results: There was a greater association between using the toilet and transfers (ABVD) and falls, and between shopping and taking care of finances (IADL) and falls. In addition, the association between Basic Activities of Daily Living and falls was greater for up to four activities, and the Instrumental Activities of Daily Living for up to three activities. Conclusion: Thus, the results obtained in the NHS reinforce the planning of preventive strategies considering the functional dependence.

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“…Multimorbidity may increase the risk of falls via factors such as pain [ 10 , 11 ], polypharmacy [ 12 , 13 ], disability [ 14 , 15 , 16 ], and sleep problems [ 17 , 18 ]. In the past few years, several studies have investigated the potential association between multimorbidity and falls, and these studies reported a positive multimorbidity–fall relationship [ 19 , 20 , 21 , 22 , 23 , 24 ]. For example, a population-based prospective cohort study of 10,594 middle-aged women from Finland showed that the number of chronic disorders was positively associated with the risk of falls [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Prospective Association between Multimorbidity and Falls and Its Mediators: Findings from the Irish Longitudinal Study on Ageing

Jacob

Smıth

Kostev

et al. 2022

JCM

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This study including older adults from Ireland aimed to analyze the prospective association between multimorbidity and falls and to identify the mediators in this relationship. The present study used data from two consecutive waves of the Irish Longitudinal Study on Ageing (TILDA) survey. Multimorbidity was assessed at Wave 1 (2009–2011) and was defined as the presence of at least two chronic conditions. Falls occurring at Wave 2 (2012–2013) were self-reported. Mediating variables considered were polypharmacy, cognitive impairment, sleep problems, pain, low handgrip strength, difficulty in activities of daily living (ADL), obesity, and underweight. Multivariable binary logistic regression and mediation analysis using the Karlson Holm Breen method were conducted. This study included 6900 adults aged ≥50 years (51.6% women; mean [SD] age 63.1 [8.9] years). Compared to no chronic conditions at baseline, there was a positive and significant association between multimorbidity and falls at follow-up, with ORs ranging from 1.32 (95% CI = 1.06–1.64) for 2 conditions to 1.92 (95% CI = 1.54–2.38) for ≥4 conditions. Pain (23.5%), polypharmacy (13.3%), and difficulty in ADL (10.7%) explained the largest proportion of the multimorbidity-fall relationship. Multimorbidity increased risk for incident falls in older adults from Ireland. Interventions should be implemented to reduce fall risk in people with multimorbidity, especially targeting the identified mediators.

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Falls and fear of falling in a sample of centenarians: the role of multimorbidity, pain and anxiety

Cited by 15 publications

References 29 publications

The Effect of Different Exercise Training Types on Functionality in Older Fallers

The Effect of Different Exercise Training Types on Functionality in Older Fallers

Disability on performing daily living activities in the elderly and history of falls: an analysis of the National Health Survey, 2013

Prospective Association between Multimorbidity and Falls and Its Mediators: Findings from the Irish Longitudinal Study on Ageing

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