Fear of falling avoidance behavior affects the inter-relationship between vision impairment and diminished mobility in community-dwelling older adults

Lee, Szu‐Ping; Hsu, Ya-Wen; Andrew, L. Alexander; Davis, Talia; Johnson, Christian

doi:10.1080/09593985.2020.1780656

Cited by 14 publications

(14 citation statements)

References 45 publications

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“…Decline in vision may also contribute to the development of fear of falling, which are related to increased fall risk in older adults ( 32 ). However, we found relatively less significant correlation between baseline single VL with incidence of falls over 7 year of follow-up in our participants ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, older people with DSL may develop a greater fear of falling behavior, reduced mobility, restricted activity and a decline in social interactions, which could further lead to sarcopenia, depression, poorer cognitive status, and reduced attentional resources. All these factors could contribute to the increased incidence of falls ( 17 , 18 , 32 , 36 , 46 , 48 ).…”

Section: Discussionmentioning

confidence: 99%

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Association Between Sensory Loss and Falls Among Middle-Aged and Older Chinese Population: Cross-Sectional and Longitudinal Analyses

Zhou

Luo

et al. 2022

Front. Med.

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Introduction: Previous studies have suggested that sensory loss is linked to falls. However, most of these studies were cross-sectional designed, focused on single sensory loss, and were conducted in developed countries with mixed results. The current study aims to investigate the longitudinal relationship between hearing loss (HL), vision loss (VL) and dual sensory loss (DSL) with falls among middle-aged and older Chinese population over 7 years.Methods: The data was obtained from the China Health and Retirement Longitudinal Survey (CHARLS). In total, 7,623 Chinese older adults aged over 45 were included at baseline 2011 in this study. Self-reported falls and HL/VL/DSL were accepted. Other confounding variables included age, sex, BMI, educational level, marital status, various physical disorders and lifestyles. The impact of baseline sensory status on baseline prevalence of falls and incident falls over 7 years were assessed using logistic regression analyses. A logistic mixed model was used to assess the association between time-varying sensory loss with incident falls over 7 years after adjusted with multi-confounding factors.Results: Single and dual sensory loss groups had significantly higher prevalence of falls compared to no sensory loss (NSL) group (DSL: 22.4%, HL: 17.4%, VL: 15.7%, NSL: 12.3%). Baseline HL (OR: 1.503, 95% CI: 1.240–1.820), VL (OR: 1.330, 95% CI: 1.075–1.646) and DSL (OR: 2.061, 95% CI: 1.768–2.404) were significantly associated with prevalence of falls. For longitudinal observation over 7 years, baseline HL/DSL and persistence of all types of sensory loss were associated with incidence of falls. Time-varying HL (OR: 1.203, 95% CI: 1.070–1.354) and DSL (OR: 1.479, 95% CI: 1.343–1.629) were associated with incident falls after adjusted with multi-confounders, while VL was not.Conclusion: HL and DSL are significantly associated with both onset and increased incidence of falls over 7 year's observation in middle-aged and elderly Chinese population. Persistence or amelioration of sensory loss status could exert divergent influences on incidence of falls, which should be considered in the development of falls-prevention public health policies for aging population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association Between Sensory Loss and Falls Among Middle-Aged and Older Chinese Population: Cross-Sectional and Longitudinal Analyses

Zhou

Luo

et al. 2022

Front. Med.

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“…Another key theme reported in our focus groups, and which mirrors findings from other studies [ 53 ], was fear of falling. This important psychological burden has been linked with reduced mobility and physical activity levels and increased fall events [ 54 , 55 ] in glaucoma patients and suggests that screening for, and developing interventions to minimize fear of falling, may result in important functional improvements for glaucoma patients.…”

Section: Discussionmentioning

confidence: 99%

The development of a glaucoma-specific health-related quality of life item bank supporting a novel computerized adaptive testing system in Asia

Fenwick

Lim

Baskaran

et al. 2022

J Patient Rep Outcomes

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Background A glaucoma-specific health-related quality of life (HRQoL) item bank (IB) and computerized adaptive testing (CAT) system relevant to Asian populations is not currently available. We aimed to develop content for an IB focusing on HRQoL domains important to Asian people with glaucoma; and to compare the content coverage of our new instrument with established glaucoma-specific instruments. Methods In this qualitative study of glaucoma patients recruited from the Singapore National Eye Centre (November 2018-November 2019), items/domains were generated from: (1) glaucoma-specific questionnaires; (2) published articles; (3) focus groups/semi-structured interviews with glaucoma patients (n = 27); and (4) feedback from glaucoma experts. Data were analyzed using the constant comparative method. Items were systematically refined to a concise set, and pre-tested using cognitive interviews with 27 additional glaucoma patients. Results Of the 54 patients (mean ± standard deviation [SD] age 66.9 ± 9.8; 53.7% male), 67 (62.0%), 30 (27.8%), and 11 (10.2%) eyes had primary open angle glaucoma, angle closure glaucoma, and no glaucoma respectively. Eighteen (33.3%), 11 (20.4%), 8 (14.8%), 12 (22.2%), and 5 (9.3%) patients had no, mild, moderate, severe, or advanced/end-stage glaucoma (better eye), respectively. Initially, 311 items within nine HRQoL domains were identified: Visual Symptoms, Ocular Comfort Symptoms, Activity Limitation, Driving, Lighting, Mobility, Psychosocial, Glaucoma management, and Work; however, Driving and Visual Symptoms were subsequently removed during the refinement process. During cognitive interviews, 12, 23 and 10 items were added, dropped and modified, respectively. Conclusion Following a rigorous process, we developed a 221-item, 7-domain Asian glaucoma-specific IB. Once operationalised using CAT, this new instrument will enable precise, rapid, and comprehensive assessment of the HRQoL impact of glaucoma and associated treatment efficacy.

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“…To participate in the TUG, participants required a clear walkway, a chair, rope that measured 10 feet, and tape. Participants were provided rope and tape to allow for accurate measurements and were instructed to use a chair that allowed the participant to put their feet flat on the floor with knees in a 90° angle (Lee et al, 2022). The 10‐foot rope was placed in front of the chair and extended in a straight line, tethered by the tape.…”

Section: Methodsmentioning

confidence: 99%

The effect of a telehealth exercise intervention on balance in adults with Down syndrome

Guerrero

Umagat

Barton

et al. 2022

Research Intellect Disabil

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Background: People with Down syndrome often present with balance deficits, which compromise safety during daily activity. While evidence shows that exercise can improve balance in the Down syndrome population, it is unclear if a telehealth method will elicit similar benefits. We aimed to examine the effects of a virtual exercise program on balance in adults with Down syndrome.Methods: Eighteen low-active participants with Down syndrome completed a 12-week telehealth exercise program based on the Mann Method. Balance testing took place before and after the intervention, which included: TUG, MCTSIB, FICSIT-4, and FRT. This study was registered as a clinical trial on ClinicalTrials.gov, identifier: NCT04647851.Results: Significant improvement was seen in the TUG (p = .043), FICSIT-4 (p = .019) and FRT (p = .019). All participants achieved maximum scores on the MCTSIB in preand post-testing.Conclusions: Balance in low-active adults with Down syndrome significantly improved following the telehealth exercise program, which we attribute to the tailored exercises that address visual/vestibular deficits and hip muscle weakness.

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Fear of falling avoidance behavior affects the inter-relationship between vision impairment and diminished mobility in community-dwelling older adults

Cited by 14 publications

References 45 publications

Association Between Sensory Loss and Falls Among Middle-Aged and Older Chinese Population: Cross-Sectional and Longitudinal Analyses

Association Between Sensory Loss and Falls Among Middle-Aged and Older Chinese Population: Cross-Sectional and Longitudinal Analyses

The development of a glaucoma-specific health-related quality of life item bank supporting a novel computerized adaptive testing system in Asia

The effect of a telehealth exercise intervention on balance in adults with Down syndrome

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