The relationship between risk factors for falling and the quality of life in older adults

Ozcan, Ahmet; Donat, Hulya; Gelecek, Nihal; Özdırenç, Mehtap; Karadibak, Didem

doi:10.1186/1471-2458-5-90

Cited by 130 publications

(109 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The WPP found in the older adults aged 75 years or more may be explained by the progressive degeneration of the physical components throughout life, together with the high number of chronic-degenerative diseases that advanced age tends to manifest. These chronic diseases, especially the musculoskeletal ones, lead to a stiffening of the joints and contribute to poor gait and balance performance 5,[20][21][22] , which can explain the relationship between physical performance and the number of diseases found in the present study.…”

Section: Discussionmentioning

confidence: 55%

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Gomes¹,

Cintra²,

Diogo³

et al. 2009

Rev. bras. fisioter.

View full text Add to dashboard Cite

Objectives: The aim of this study was to determine the relationship between sociodemographic, clinical, physical and functional data according to physical performance and number of falls among older fallers. Methods: Cross-sectional study carried out among 72 older adults (76.3 ±8.3 years) with a history of falls in the past year, 65.3% of which were women. The participants received care at the geriatric outpatient clinic of a university hospital in Campinas, SP. They were divided into the following groups: worst physical performance (WPP) and best physical performance (BPP), one-time fallers (1F) and frequent fallers (2F). Sociodemographic, clinical, physical and functional characteristics were considered as independent variables. Comparison analysis between the groups was conducted. Results: The WPP group was older and had a higher number of illnesses and less independence in most motor dimension tasks compared to the BPP group. The 2F group had a higher number of illnesses, less handgrip strength and less independence in the bowel management task in the motor dimension of the Functional Independence Measure (FIM) compared to the 1F group. Conclusions:Among older adults fallers, poor physical performance is associated with more advanced age, more illnesses and less functional independence. Moreover, recurrent falls are associated with more illnesses, less muscle strength and less functional independence in the bowel management task.Key words: activities of daily living; muscle strength; musculoskeletal equilibrium; gait; exercise; aging. ResumoObjetivos: Analisar, entre idosos com ocorrência de quedas, a relação entre as variáveis sociodemográficas, clínicas, físicas e funcionais segundo as variáveis critério desempenho físico e número de quedas. Métodos: Estudo transversal com 72 idosos (76,3±8,3 anos) que sofreram quedas no último ano, sendo 65,3% mulheres, atendidos no ambulatório de geriatria de um hospital universitário de Campinas, SP. Os idosos foram divididos em grupo com pior (PDF) e grupo com melhor desempenho físico (MDF), e em grupo com uma queda (1Q) e grupo com duas quedas ou mais (2Q). As características sociodemográficas, clínicas, físicas e funcionais foram as variáveis independentes do estudo. Foi realizada análise de comparação entre os grupos. Resultados: Os idosos do grupo PDF tiveram maior faixa etária, maior número de doenças e menor independência na maior parte das tarefas da dimensão motora em relação ao grupo MDF. Os idosos do grupo 2Q apresentaram maior número de doenças, menor força de preensão manual e menor independência na tarefa "controle das fezes" na dimensão motora da medida de independência funcional (MIF) em relação ao grupo 1Q. Conclusões: Entre idosos que já caíram, piores níveis de desempenho físico relacionam-se com maior faixa etária, mais doenças e menos independência funcional. Além disso, ter sofrido quedas recorrentes relaciona-se com mais doenças, menos força muscular e menos independência funcional na tarefa de controle de fezes.

show abstract

Section: Discussionmentioning

confidence: 55%

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Gomes¹,

Cintra²,

Diogo³

et al. 2009

Rev. bras. fisioter.

View full text Add to dashboard Cite

show abstract

“…The authors commented that, when preserved, balance and mobility are important resources to ensure the stability needed to maintain a standing position, thus generating a feeling of self-confidence. Also, the study developed by Oscan et al 31 showed that longer TUG performance was associated with shorter distances in FRT. They also showed that older adults with greater physical deterioration had compromised balance and gait, as well as a high risk of falling 31 .…”

Section: Discussionmentioning

confidence: 99%

“…Also, the study developed by Oscan et al 31 showed that longer TUG performance was associated with shorter distances in FRT. They also showed that older adults with greater physical deterioration had compromised balance and gait, as well as a high risk of falling 31 .…”

Section: Discussionmentioning

confidence: 99%

Prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas

Kt¹,

Costa²,

Lf³

et al. 2009

Rev. bras. fisioter.

137

View full text Add to dashboard Cite

Objectives: To investigate the prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls. Methods: This was a randomized cross-sectional study. The participants were 147 older adults between the ages of 60 and 92: 94 women (65.95%) and 53 men (36.05%). Fear of falling was assessed using FES-I-BRAZIL (FIB); mobility, using the "timed up and go" (TUG) test; risk of falls, using the "functional reach test" (FRT); and dynamic balance, using the "tandem gait test"(TGT). Results: One hundred and thirty-three older adults (90.48%) reported fear of falling in at least one activity and 80 older adults (54.42%) had a history of falls (HF). Pearson's correlation was statistically significant (p<0.001) between fear of falling and the TGT (r=-0.44248), FRT (r=-0.51562), HF (r=0.54069), TUG (r=0.45738) and age (r=0.39772). Conclusions: The present study identified high prevalence of fear of falling among older adults in the community, independent of their history of falls, and significant correlations between fear of falling and mobility, dynamic balance, risk and history of falls.Key words: fear of falling; accidents due to falls; older adult; mobility limitation; musculoskeletal balance. ResumoObjetivos: Investigar a prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade,

show abstract

“…Elderly people that were carrying out a regular physical activity for five or more times a week presented great scores for this domain (18). Proper physical therapy programs minimizing the risk of falls as muscle strength, balance and flexibility may improve quality of life among elderly (3). disagreement between members that may contribute to impair elderly self-esteem, emotional state and, consequently, quality of life (19).…”

Section: Discussionmentioning

confidence: 99%

“…Ozcan et al (3) suggested that quality of life does not change with aging but age affects the risk factors for falls. The risk factors for falls (balance, functional mobility, muscle strength, fear of falling) in older adults are associated with quality of life while flexibility and proprioception are not.…”

Section: Introductionmentioning

confidence: 99%

Effects of a physical therapy program on quality of life among community-dwelling elderly women: randomized-controlled trial

et al. 2013

View full text Add to dashboard Cite

INTRODUCTION: Health promotion policies for encouraging elderly to remain active, independent and, effectively have a positive effect on their quality of life. OBJECTIVE: To verify the effects of a low-intensity group-based physical therapy program on quality of life among community-dwelling elderly women. MATERIALS AND METHODS: It was carried out a randomized controlled trial. Seventeen women (67.8 ± 4.9 years old) that completed 12-week training program and 10 women (68.9 ± 5.7 years old) that were included in control group answered the abbreviated version for World Health Organization Quality of life Questionnaire - WHOQOL-bref at baseline and after 12 weeks. Exercise group performed stretching, resistance and balance training. Intragroup and intergroup analysis was made using Wilcoxon and Mann-Whitney U tests, respectively. The level of significance used for all comparisons was 5%. Furthermore, it was determined the Reliable Change Index (RCI) as part of JT Method. RESULTS: Exercise group presented a significant improvement for Psychological domain (p = 0.047) after 12-week physical therapy program. Otherwise, control group presented a significant worsening for overall (p = 0.01), physical (p = 0.01) and psychological (p = 0.008) domains. Exercise group presented two participants with positive reliable change (PRC) for social domain, two participants with PRC for Environment domain. Overall and Physical domain presented three participants with PRC. Psychological domain presented four participants with PRC and one with negative reliable change. CONCLUSION: A low-intensity group-based physical therapy program may contribute in order to maintain quality of life and improve some psychological aspects among community-dwelling elderly women.

show abstract

The relationship between risk factors for falling and the quality of life in older adults

Cited by 130 publications

References 20 publications

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Comparação entre idosos que sofreram quedas segundo desempenho físico e número de ocorrências

Prevalência do medo de cair em uma população de idosos da comunidade e sua correlação com mobilidade, equilíbrio dinâmico, risco e histórico de quedas

Effects of a physical therapy program on quality of life among community-dwelling elderly women: randomized-controlled trial

Contact Info

Product

Resources

About