Falls, Fear of Falling, and Activity Restriction Among Thai Older Adults

Phongphanngam, Sutthida; Nawai, Ampicha; Lach, Helen W.

doi:10.1093/geroni/igy023.2453

Cited by 4 publications

(2 citation statements)

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“…The present study findings showed that fear of falling is a prevalent concern among older adults individuals living in Hebron district and common among them by 49.0%. The prevalence of fear of falling in our sample was generally lower than that reported in previous studies including; Egypt (64.6%) [ 41 ], Japan (60.0%) [ 42 ], and Thailand (95.6%) [ 43 ]. These variations in fear of falling prevalence maybe explicated as the current study included sample from urban and rural regions.…”

Section: Discussioncontrasting

confidence: 81%

Predictors of fear of falling among community-dwelling older adults: Cross-sectional study from Palestine

et al. 2022

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Introduction Fear of falling has serious implications for health and is an important threat to autonomy. The purpose of this cross-sectional study was to investigate risk factors for fear of falling among Palestinian older adults in Hebron district. Methods A cross-sectional study was conducted among Palestinians > 60 years living in Hebron, West Bank. The Falls Efficacy Scale-International was used to predict falls among Palestinian older adults. Moreover, socio-demographic data, medical history, lifestyle habits, body composition, nutritional status, cognitive status (using the Montreal cognitive assessment tool), and functional status (using activities of daily living and instrumental activities of daily living scale), the presence of depressive symptoms (using geriatric depression scale), and physical fitness performance (using senior fitness test) were collected through an interview-based questionnaire. Data were analyzed using univariate and multivariate approach. Results A total of 200 participants were included in the study; 137 (68.5%) females and 63 (31.5%) males. Mean age was 70.5 ± 5.7 years, ranged from 65 to 98 years old. Fear of falling was significantly higher among older adults with advanced aged, living in villages or camps, low educational level, and being married (p < 0.05). Functional status (ADL and IADL), physical fitness status (timed up and go), and depression symptoms were significantly related to fear of falling (p < 0.05). Conclusion High concern of falling is significantly associated with advanced age, low education level, being married, and living in villages or camps. ADLs were among the factors that had a significant relationship with increased fear of falling. Predictors of fear of falling among Palestinian older adults were IADL scores, body fat percentage, rapid gait speed, timed up and go test. Future studies could investigate further correlates of fear of falling among older adults.

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Section: Discussioncontrasting

confidence: 81%

Predictors of fear of falling among community-dwelling older adults: Cross-sectional study from Palestine

et al. 2022

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“…According to in-depth interviews with elderly people with fall experiences, the fear of falling among urban dwellers was lower than among rural dwellers, contributing to more fall incidents in urban areas, as the elderly are less careful. Fear of falling can reduce the risk of falls among elderly people, since this makes them prepare themselves by walking carefully, getting up slowly and using assistance equipment (Phongphanngam & Nawai, 2020). Older adults with a fear of falling had 0.28 times fewer fall incidences compared to those who were not fearful.…”

Section: Risk Comparison Between Rural and Urban Areasmentioning

confidence: 99%

Reducing the risk of falls in homes for older adults in Thailand

2023

KJSS

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Falls can have a significant impact on the lives of elderly people in Thailand. This research focuses on the intrinsic and environmental factors related to these falls. The study surveyed elderly people living in rural areas (Chiang Mai and Khon Kaen) and urban areas (Rangsit, Bangkok and Songkhla). Although the intrinsic fall risk result shows no significant difference between elderly people in the rural and urban areas, those in the rural areas had slightly higher fall risk factors, including advanced age, defective walking ability and fall experiences. The findings regarding environmental conditions show that older adults in rural areas had a higher risk of falls than those in urban areas. The research methods included community selection, participants and housing selection, design and cost estimation and home modification. The study surveyed 203 elderly participants, and half of their houses were selected for renovation. Home modification was performed in 100 dwellings, including 99 bathrooms, 71 main entrances and corridors, 43 bedrooms, 29 stairways, and 22 kitchens. A comparison of the before and after renovation fall risk scores suggests that the overall environmental risk decreased by 52 percent. Bathroom modifications resulted in the greatest decrease in fall risk (81%), followed by modifications of illumination (58%), bedrooms (47%), and main entrances and corridors (42%). The bathroom was a key point of risk reduction because it was the most hazardous area, and its modification resulted in the most notable risk reduction.

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Judgment Capacity, Fear of Falling, and the Risk of Falls in Community-Dwelling Older Adults: The Progetto Veneto Anziani Longitudinal Study

Trevisan

Zanforlini

Maggi

et al. 2020

Rejuvenation Research

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Background. Little is known of the factors that transform fear of falling (FOF) from a normal adaptive to a maladaptive response that could alter its impact on fall risk. Focusing on judgment capacity, we investigated whether it is associated with FOF and FOF-related activity restriction (AR), and whether it modifies the influence of FOF on fall risk.Methods. Data came from 2625 community-dwelling older adults enrolled in the Progetto Veneto Anziani. Baseline FOF and AR were assessed through personal interviews, and judgment capacity − high, moderate or poor − through situa onal tests. At follow-up after 4.4 years, self-reported falls during the previous year prior were recorded. The associations between judgment and FOF/AR, and between FOF and the risk of at least one fall or recurrent falls (≥2 falls), stratified by judgment capacity, were evaluated using multinomial logistic regressions.Results. Compared with high-judgment participants, lower judgment participants were 20% more likely to report FOF; moderate judgment participants were 55% more likely and poor judgment participants twice as likely to report AR. After adjusting for potential confounders, including physical activity and physical performance, FOF increased the reporting of at least one fall only in the poor judgment group. The association between FOF and recurrent falls was stronger in individuals with poor (OR=3.33, 95% CI:1.95-5.68) than with moderate (OR=2.71, 95% CI:2.14-3.42) or high (OR=1.64, 95% CI:1.48-1.83) judgment. Conclusions.Poor judgment capacity increases the probability of FOF and AR in older adults, and may exacerbate the effect of FOF in increasing fall risk.

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Falls, Fear of Falling, and Activity Restriction Among Thai Older Adults

Cited by 4 publications

References 0 publications

Predictors of fear of falling among community-dwelling older adults: Cross-sectional study from Palestine

Predictors of fear of falling among community-dwelling older adults: Cross-sectional study from Palestine

Reducing the risk of falls in homes for older adults in Thailand

Judgment Capacity, Fear of Falling, and the Risk of Falls in Community-Dwelling Older Adults: The Progetto Veneto Anziani Longitudinal Study

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