Fear of falling in robust community‐dwelling older people: results of a cross‐sectional study

Liu, Justina Yat Wa

doi:10.1111/jocn.12613

Cited by 85 publications

(105 citation statements)

References 45 publications

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“…Our other hypothesized associations with PA (access to public transport; crowdedness (inverse); high traffic volume (inverse); street lighting, a sub-item of pedestrian infrastructure) in the visually impaired were equally important to other participants (Table 3). The combination of associations between fear of falling and visual impairment in Hong Kong elders [14] may result in a preference not to venture further from home than is essential. So, high access to services may encourage non-walking PA in nearby facilities.…”

Section: Discussionmentioning

confidence: 99%

“…While comparisons in other countries are lacking, individuals in the USA with visual impairment, musculoskeletal disease, hearing impairment or incontinence have been found to engage in fewer steps per day and/or lower levels of PA than their peers without that condition [10–13]. All four of these conditions have also been associated with higher levels of fear of falling [14–16]. Neighbourhood environment characteristics associated with lower level of confidence in being active outdoors in older adults with fear of falling include walking on slippery or uneven surfaces or in a crowded place [14].…”

Section: Introductionmentioning

confidence: 99%

“…All four of these conditions have also been associated with higher levels of fear of falling [14–16]. Neighbourhood environment characteristics associated with lower level of confidence in being active outdoors in older adults with fear of falling include walking on slippery or uneven surfaces or in a crowded place [14]. In comparison to those without visual impairment, visually impaired adults have mobility limitations [17], and are less likely to travel from home [18], both of which can restrict participation in PA [19, 20].…”

Section: Introductionmentioning

confidence: 99%

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Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: the ALECS cross-sectional study

Barnett

Cerin

Zhang

et al. 2016

Int J Behav Nutr Phys Act

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BackgroundNeighbourhood characteristics may influence physical activity (PA), which has positive effects on the health of older adults. Older adults with chronic conditions are less active and possibly more affected by environmental factors than their peers. Understanding neighbourhood characteristics associated with PA specific to older adults with chronic conditions is currently lacking. This cross-sectional study aimed to assess the associations between the neighbourhood environment and various forms of PA in older adults with and without visual impairment, hearing impairment, musculoskeletal disease and/or genitourinary disease.MethodsNeighbourhood environment and PA data were collected in Hong Kong older adults (N = 909) from 124 preselected neighbourhoods stratified for walkability and socioeconomic status. Generalized linear models and zero-inflated negative binomial models with robust standard errors were used to examine associations of perceived neighbourhood environment characteristics, and the moderating effects of having specific chronic conditions, with PA outcomes.ResultsThirteen perceived neighbourhood characteristics were associated with older adults’ PA in the expected direction irrespective of their health condition. Nine neighbourhood characteristics had associations with PA that were dependent on hearing impairment, vision impairment, musculoskeletal disease or genitourinary disease. In general, they were stronger in participants with than without a specific chronic condition.ConclusionsMaximizing the potential for PA in older adults who have lower levels of physical functionality due to chronic conditions may require neighbourhood characteristics specific to these groups.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: the ALECS cross-sectional study

Barnett

Cerin

Zhang

et al. 2016

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

show abstract

“…Wide, flat, non-slippery sidewalks without obstacles reduce the risk of falling (Bernhoft and Carstensen, 2008;Liu, 2015). Leaves and snow should be removed promptly from sidewalks and crosswalks.…”

Section: Ergonomic Design Of Road Environments and Carsmentioning

confidence: 99%

Review of safety and mobility issues among older pedestrians

Tournier

Dommès²,

Cavallo³

2016

Accident Analysis & Prevention

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a b s t r a c tAlthough old people make up an extremely vulnerable road-user group, older pedestrians' difficulties have been studied less extensively than those of older drivers, and more knowledge of this issue is still required. The present paper reviews current knowledge of older-adult problems with the main components of pedestrian activity, i.e., walking and obstacle negotiation, wayfinding, and road crossing. Compared to younger ones, old pedestrians exhibit declining walking skills, with a walking speed decrease, less stable balance, less efficient wayfinding strategies, and a greater number of unsafe road crossing behaviors. These difficulties are linked to age-related changes in sensorial, cognitive, physical, and self-perception abilities. It is now known that visual impairment, physical frailty, and attention deficits have a major negative impact on older pedestrians' safety and mobility, whereas the roles of self-evaluation and self-regulation are still poorly understood. All these elements must be taken into consideration, not only in developing effective safety interventions targeting older pedestrians, but also in designing roads and cars. Recent initiatives are presented here and some recommendations are proposed.

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“…En consecuencia, el temor a caídas se ha correlacionado con una mayor restricción en la participación de actividades diarias en la persona mayor (r = -0,529, p < 0,001) [23][24][25] .…”

Section: Caídas Y Depresiónunclassified

Comprendiendo el impacto de los síntomas depresivos en la funcionalidad de las personas mayores

Aravena

2017

Rev. chil. neuro-psiquiatr.

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Fear of falling in robust community‐dwelling older people: results of a cross‐sectional study

Abstract: The findings can assist in developing multidimensional strategies for reducing fear of falling in robust community-dwelling older people.

Cited by 85 publications

References 45 publications

Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: the ALECS cross-sectional study

Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: the ALECS cross-sectional study

Review of safety and mobility issues among older pedestrians

Comprendiendo el impacto de los síntomas depresivos en la funcionalidad de las personas mayores

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