Physical and functional factors in activities of daily living that predict falls in community‐dwelling older women

Aoyama, Maki; Suzuki, Yusuke; Onishi, Joji; Kuzuya, Masafumi

doi:10.1111/j.1447-0594.2010.00685.x

Cited by 54 publications

(56 citation statements)

References 47 publications

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“…In a crosssectional study, Fukutomi et al [9] showed that at-risk groups in all KCL categories exhibited lower ADLs, lower subjective quality of life scores, and higher scores on a geriatric depression scale. The results of our multivariate analyses are consistent with previous studies reporting that age [19], lower back pain [25], falls [17], previous fractures [26], and cerebral stroke [27], are all factors associated with poorer scores in the KCL lifestyle category.…”

Section: Discussionsupporting

confidence: 82%

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Validation of Each Category of Kihon Checklist for Assessing Physical Functioning, Nutrition and Cognitive Status in a Community-Dwelling Older Japanese Cohort

Hirose¹,

Nagata²,

Ogushi³

et al. 2017

Epidemiology

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Background: Kihon Checklist is a self-reported comprehensive health checklist used as a screening tool to identify frailty. The Kihon Checklist is a 25-item questionnaire including seven categories: daily life, physical ability, nutrition, oral condition, the extent to which one is housebound, cognitive status, and depression risk. We aimed to clarify the consistency in assessments of three important categories: physical strength, nutritional status, and cognitive function of Kihon Checklist using assessments of actual physical, nutritional, and cognitive statuses.

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Section: Discussionsupporting

confidence: 82%

“…HGS was also associated with the KCL physical strength category. Muscle strength of handgrip was associated with the TUG, functional balance measured by the Berg Balance Scale score, and walking speed [17][18][19]. The above results may have been obtained for these reasons.…”

Section: Discussionmentioning

confidence: 88%

Validation of Each Category of Kihon Checklist for Assessing Physical Functioning, Nutrition and Cognitive Status in a Community-Dwelling Older Japanese Cohort

Hirose¹,

Nagata²,

Ogushi³

et al. 2017

Epidemiology

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“…Elderly persons commonly fall (Kojima et al 2011;Aoyama et al 2011), in part because they can only lift their toes a maximum of 1 cm from the floor when they walk (Chiba et al 2005). Because Japanese floor mats can vary by 5 mm in height, the elderly can easily trip and fall at a junction between two mats.…”

Section: How To Prevent the Need For Nursing Carementioning

confidence: 99%

New Lessons of Nurturing Life for Geriatric Patients

Butler

Fujii²,

Sasaki³

2012

Tohoku J. Exp. Med.

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Our new lessons of nurturing life to make happiness and well-being of geriatric patients suggest comprise several important steps. First, geriatric patient care should not be delegated to specialists who focus on individual organ system. Instead, we should respond to the patient's condition based on comprehensive assessment to identify the single pathogenesis. Second, we should appreciate that the behavioral and psychological symptoms of dementia (BPSD) often reflect the behavioral and psychological symptoms of the caregiver (BPSC), and in particular the caregiver's attitude. Third, pleasant stimulations to the limbic system should receive more emphasis than attempting brain training in atrophied portions of the neocortex. Fourth, we should aim not for "successful aging," but for "balanced aging." Fifth, we should rely less on drug-based therapy and utilize more non-pharmacologic approaches to appropriate therapy. Geriatric patients should be cared for based on our new lessons of nurturing life rather than the heavily medicalized treatment modalities that are in wide use today.

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“…It is not clear, however, what amount or intensity of physical activity/exercise is needed to reduce the occurrence of falls and related injuries or how physical activity interacts with other risk factors for falls. The successful completion of daily tasks (without falling) is dependent on intrinsic factors such as age, health, physical fitness and fear of falling, and also on extrinsic factors such as the demands of each task and environmental hazards [4,20,21]. Thus the main purpose of this study was to analyse the role of physical activity in falls and related injuries in community-dwelling adults aged over 50 years, adjusting for these intrinsic and extrinsic risk factors.…”

Section: Introductionmentioning

confidence: 99%

Role of physical activity in the occurrence of falls and fall-related injuries in community-dwelling adults over 50 years old

Pereira

Baptista

Infante

2013

Disability and Rehabilitation

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Purpose: This study examined the effect of the type, level and amount of physical activity in falls and fall-related injuries. Method: Participants were 506 community-dwelling adults aged 450 years (390 women: 67.7 AE 6.8 years and 116 men: 69.6 AE 6.6 years). Falls, fall-related injuries (slight and severe), and physical activity (type, level and energy expenditure) were evaluated by questionnaires. Confounders included co-morbidities, fear of falling, environmental hazards and physical fitness. Results: After adjustment for confounders, logistic analysis revealed that the likelihood of falling decreased by 2% for each 100 metabolic expenditure (MET-min/week) of total physical activity and increased by 5% for each 100 MET-min/week of vigorous-intensity physical activity; total physical activity 41125 MET-min/week and vigorous physical activity 5500 MET-min/week were identified as cut-off values discriminating non-fallers from fallers. Compared to the low physical activity level, increased physical activity levels diminished the likelihood of the occurrence of severe fall-related injuries by 76% (moderate) and 58% (high; p50.05) in fallers. Conclusions: Being active, especially sufficiently active, reduces fall-related injuries by decreasing falls and by safeguarding against severe injuries when falls occur. At least 1125 MET-min/week of total physical activity including 4500 MET-min/week of vigorous intensity seems to prevent falls and, therefore, fall-related injuries. ä Implications for RehabilitationBeing sufficiently active reduces fall-related injuries by reducing falls and by safeguarding against severe injury when falls occur For each additional amount of total physical activity there is a corresponding direct (due to the effect of isolated physical actvivity) and indirect (due to the subject gaining in fitness) decrease in the risk of falling and thus injury. Vigorous physical activity leads to an increase in total physical activity; however, it also leads to an increase in the risk of falling and injury Total physical activity of at least 1125 MET-min/week with equal or lower than 500 MET-min/ week (i.e. less than $1 h/week, according IPAQ criteria) of vigorous intensity significantly reduces falls and therefore injury

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Physical and functional factors in activities of daily living that predict falls in community‐dwelling older women

Cited by 54 publications

References 47 publications

Validation of Each Category of Kihon Checklist for Assessing Physical Functioning, Nutrition and Cognitive Status in a Community-Dwelling Older Japanese Cohort

Validation of Each Category of Kihon Checklist for Assessing Physical Functioning, Nutrition and Cognitive Status in a Community-Dwelling Older Japanese Cohort

New Lessons of Nurturing Life for Geriatric Patients

Role of physical activity in the occurrence of falls and fall-related injuries in community-dwelling adults over 50 years old

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