scholarly journals Fear of Falling and Related Activity Restriction Among Middle-Aged African Americans

2005 ◽  
Vol 60 (3) ◽  
pp. 355-360 ◽  
Author(s):  
M.-M. G. Wilson ◽  
D. K. Miller ◽  
E. M. Andresen ◽  
T. K. Malmstrom ◽  
J. P. Miller ◽  
...  
Keyword(s):  
African Americans ◽  
Fear Of Falling ◽  
Middle Aged ◽  
Related Activity ◽  
Activity Restriction

Relationship Between Fear of Falling, Fear‐Related Activity Restriction, Frailty, and Sarcopenia

2020 ◽  
Vol 68 (11) ◽  
pp. 2602-2608 ◽  
Author(s):  
Reshma Aziz Merchant ◽  
Matthew Zhixuan Chen ◽  
Beatrix Ling Ling Wong ◽  
Shu Ee Ng ◽  
Hidehiko Shirooka ◽  
...  
Keyword(s):  
Fear Of Falling ◽  
Related Activity ◽  
Activity Restriction

scholarly journals Cross-Sectional and Longitudinal Risk Factors for Falls, Fear of Falling, and Falls Efficacy in a Cohort of Middle-Aged African Americans

2006 ◽  
Vol 46 (2) ◽  
pp. 249-257 ◽  
Author(s):  
Elena M. Andresen ◽  
Fredric D. Wolinsky ◽  
J. Philip Miller ◽  
Margaret-Mary G. Wilson ◽  
Theodore K. Malmstrom ◽  
...  
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
African Americans ◽  
Odds Ratio ◽  
Fear Of Falling ◽  
Lower Body ◽  
Middle Aged ◽  
Increased Risk ◽  
Prospective Risk ◽  
Risk Factors For Falls

Abstract Purpose: The purpose of this study is to cross-sectionally and longitudinally identify risk factors for falls, fear of falling, and falls efficacy in late-middle-aged African Americans. Design and Methods: We performed in-home assessments on a probability sample of 998 African Americans and conducted two annual follow-up interviews. Multiple logistic regression modeled the associations with falls (any fall or injurious fall) during 2 years prior to the baseline interview, and baseline fear of falling and falls efficacy with 2-year prospective risks for falling and fear of falling. Results: The most consistent association for all outcomes was depressive symptoms. Age was associated with increased risk of prior and prospective falls. Lower-body functional limitations were associated with prior falls, baseline fear of falling, and low falls efficacy, whereas low ability with one-leg stands prospectively predicted fear of falling. The greatest prospective risk for incident falls was having had a prior fall (odds ratio = 2.51), and the greatest prospective risk for fear of falling was having been afraid of falling at baseline (odds ratio = 8.14). Implications: Falls, fear of falling, and low falls efficacy are important issues for late-middle-aged as well as older persons. Interventions should focus on younger adults and attend especially to lower-body function and depressive symptoms as well as building self-efficacy for safe exercise, dealing with falls risks, and managing falls themselves.

scholarly journals Fear of Falling, Recurrence of Falls, and Quality of Life in Patients with a Low Energy Fracture—Part II of an Observational Study

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 584
Author(s):  
Puck C. R. van der Vet ◽  
Jip Q. Kusen ◽  
Manuela Rohner-Spengler ◽  
Björn-Christian Link ◽  
Roderick M. Houwert ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Low Energy ◽  
Activity Levels ◽  
Activity Restriction ◽  
One Year ◽  
Falls In Elderly

Background and objective: Falls in elderly cause injury, mortality, and loss of independence, making Fear of Falling (FoF) a common health problem. FoF relates to activity restriction and increased fall risk. A voluntary intervention including fall risk assessment and prevention strategies was implemented to reduce falls in elderly patients with low energy fractures (LEF). The primary purpose of this study was to evaluate FoF and the number of subsequent falls in trauma patients one year after a LEF. The secondary aim was to examine how FoF affects patients’ lives in terms of Quality of Life (QoL), mobility, and activity levels. Finally, participation in the voluntary fall prevention program (FPP) was evaluated. Materials and Methods: Observational cohort study in one Swiss trauma center. LEF patients, treated between 2012 and 2015, were analyzed one year after injury. Primary outcomes were Falls-Efficacy Score-International (FES-I) and number of subsequent falls. Secondary outcomes were EuroQoL-5-Dimensions-3-Levels (EQ5D-3L), mobility, activity levels, and participation in the FPP. Subgroup analysis was performed for different age categories. Results: 411 patients were included for analysis. Mean age was 72 ± 9.3, mean FES-I was 21.1 ± 7.7. Forty percent experienced FoF. A significant negative correlation between FoF and QoL (R = 0.64; p < 0.001) was found. High FoF correlated with lower activity levels (R= −0.288; p < 0.001). Six percent visited the FPP. Conclusions: At follow-up, 40% suffered from FoF which seems to negatively affect patients’ QoL. Nevertheless, participation in the FPP was low. Simply informing patients about their susceptibility to falls and recommending participation in FPPs seems insufficient to motivate and recruit patients into FPPs. We suggest implementing repeated fall risk- and FoF screenings as standard procedures in the follow-up of LEF, especially in patients aged over 75 years.

scholarly journals Fall-Related Activity Avoidance among Persons with Late Effects of Polio and Its Influence on Daily Life: A Mixed-Methods Study

2021 ◽  
Vol 18 (13) ◽  
pp. 7202
Author(s):  
Christina Brogårdh ◽  
Jan Lexell ◽  
Catharina Sjödahl Hammarlund
Keyword(s):  
Late Effects ◽  
Fear Of Falling ◽  
Daily Life ◽  
The Elderly ◽  
Management Program ◽  
Strategic Thinking ◽  
Related Activity ◽  
Individual Interviews ◽  
Activity Avoidance ◽  
Social Events

Falls are common among persons with late effects of polio (LEoP), which may lead to fear of falling and activity avoidance in everyday life. Here, we assessed the occurrence of fall-related activity avoidance among persons with LEoP and explored how these experiences influenced daily life. Fourteen ambulatory persons (seven women; mean age 70 years) with LEoP participated. They responded to the modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE) and participated in individual interviews, which were analysed by systematic text condensation. Each quotation was deductively analysed from its representation with regard to mSAFFE. We found that many persons often avoided activities related to standing and walking, for example, taking a bath, performing household chores, walking outdoors, attending social events if there were stairs in the building and travelling by public transport, due to fear of falling, increased pain and fatigability. To facilitate the performance of daily activities participants expressed that strategic thinking and aids were important to use. In conclusion, fall-related activity avoidance is common in persons with LEoP, which negatively influence daily life and social participation. To increase daily functioning in this population, fall-related activity avoidance should be included in a multifaceted fall management program.

Participation in Two Evidence-Based Falls Prevention Programs by Adults Aging With a Long-Term Disability: Case-Control Study of Reach and Effectiveness

2018 ◽  
Vol 31 (10_suppl) ◽  
pp. 39S-67S ◽  
Author(s):  
Thomas J. Eagen ◽  
Salom M. Teshale ◽  
Angelica P. Herrera-Venson ◽  
Anne Ordway ◽  
Joe Caldwell
Keyword(s):  
Older Adults ◽  
Fear Of Falling ◽  
Prevention Programs ◽  
Preliminary Evidence ◽  
Case Control ◽  
Falls Prevention ◽  
Evidence Based ◽  
Activity Restriction ◽  
Increased Risk

Objective: Adults aging with a long-term disability (LTD) are at an increased risk for falls. The Older Americans Act Title III-D and Prevention and Public Health Fund (PPHF) support several organizations to deliver falls prevention evidence-based programs designed to reduce risk factors; however, little is understood about the reach and effectiveness of these fall prevention programs for those with LTD compared to those without LTD. This study compared the reach and effectiveness of two evidence-based falls prevention programs between older adults with and without LTD. Method: Using a matched case-control design, 105 LTD older adults enrolled in A Matter of Balance (AMOB) or Stepping On were matched to 315 non-LTD older adults on age, sex, race, and education. Results: On average, LTD older adults attended a higher number of class sessions and were significantly more likely to complete the program compared with the matched-sample of non-LTD older adults. LTD older adults were equally likely as non-LTD older adults to report significant reductions in self-reported fear of falling, falls-related activity restriction, and improvement in falls self-efficacy following completion of the programs. Discussion: These findings provide preliminary evidence for the effectiveness of these evidence-based falls prevention programs for LTD older adults; however, more research is needed to extend these findings.

scholarly journals The Effect of Adverse Housing and Neighborhood Conditions on the Development of Diabetes Mellitus among Middle-aged African Americans

2007 ◽  
Vol 166 (4) ◽  
pp. 379-387 ◽  
Author(s):  
M. Schootman ◽  
E. M. Andresen ◽  
F. D. Wolinsky ◽  
T. K. Malmstrom ◽  
J. P. Miller ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
African Americans ◽  
Middle Aged ◽  
Neighborhood Conditions

Clinically Relevant Levels of Depressive Symptoms in Community-Dwelling Middle-Aged African Americans

2004 ◽  
Vol 52 (5) ◽  
pp. 741-748 ◽  
Author(s):  
Douglas K. Miller ◽  
Theodore K. Malmstrom ◽  
Seema Joshi ◽  
Elena M. Andresen ◽  
John E. Morley ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
African Americans ◽  
Community Dwelling ◽  
Middle Aged

scholarly journals 223SELF-REPORTED UNSTEADINESS PREDICTS FEAR OF FALLING AND ACTIVITY RESTRICTION AT TWO YEARS FOLLOW-UP

2016 ◽  
Vol 45 (suppl 2) ◽  
pp. ii1.40-ii12
Author(s):  
Orna Donoghue ◽  
Annalisa Setti ◽  
Neil O'Leary ◽  
Rose Anne Kenny
Keyword(s):  
Fear Of Falling ◽  
Activity Restriction

scholarly journals 328 An Integrated Approach to Fear of Falling

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Eleanor Murphy ◽  
Petra McLoughlin ◽  
Fiona O'Sullivan ◽  
Ciara Connellan
Keyword(s):  
Older Persons ◽  
Fear Of Falling ◽  
Exercise Program ◽  
Integrated Approach ◽  
Home Exercise ◽  
Activity Restriction ◽  
Home Based ◽  
Increased Risk ◽  
Occupational Therapy Interventions ◽  
The Impact

Abstract Background Fear of falling (FOF) is a known risk factor for falls and subsequent activity restriction which has implications for quality of life and frailty level in older persons.1 The Integrated Care Team for Older Persons in Sligo provides home-based rehabilitation for the acutely frail older adult. We noted that fear of falling was a commonly identified problem in our referral group following comprehensive geriatric assessment (CGA). Our study aims to characterise interventions required. Methods Descriptive study from CGA of acutely frail older adults with a FOF in all referrals to ICTOP from June to December 2018. Results Of the 52 patients studied, 67% reported a FOF with a higher incidence in females (81% vs 45%). Increasing age was associated with a greater likelihood of FOF with 0% reported at 70-74years (n=4) and 86% at 90-95 years (n=7). There was a 1.6 times increased risk of FOF associated with cerebral vascular disease and 1.26 with mental health issues. The median Rockwood Clinical Frailty score was 6 with a median TUG of 28 seconds. Of those with a FOF, 100% received falls education, a home exercise program and advice on acquiring a pendant alarm. A mobility aid was provided in 63% and additional functional aids in 71%. Major housing adaption advice was given in 50% and additional equipment signposting and purchasing advice in 66%. Transport advice was provided in 49% of cases and onward referrals to ophthalmology and orthotics were provided in 9% and 11% respectively. There were only 2 readmissions with a fall within 30 days. Conclusion A significant cohort of ICTOP referrals report a fear of falling. Specific physiotherapy and occupational therapy interventions aim to reduce the impact of this and our low rate of readmissions due to falls indicates the success of this program.

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