scholarly journals Fear of Falls & Quality of Life in Community-Dwelling Older Adults: Is Diabetes an Effect Modifier?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 906-906
Author(s):  
Christina Whitehouse ◽  
Janell Mensinger ◽  
Michelle McKay
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Fear Of Falling ◽  
Short Form ◽  
The Elderly ◽  
Community Dwelling ◽  
Diabetes Diagnosis ◽  
Diabetes Research ◽  
Diabetes Status

Abstract Prior research suggests that diabetes is a risk factor for falling. Moreover, older adults with diabetes are more likely to experience hip fractures when compared to older adults without diabetes. Research has also shown a relationship between fear of falling and quality of life. This study aimed to examine the moderating role of diabetes in the relationship between fear of falling (FoF) and quality of life (QoL) among older adults in a program for all-inclusive care for the elderly (PACE). This was a retrospective single cohort study that included 84 older adults in a PACE program located in the Northeastern United States. Participants were 55 years of age or older (M=70.33; SD=6.46) and cognitively intact. Diabetes diagnosis (n=46) was determined according to chart review. Fear of Falling was assessed with the Falls Efficacy Scale-International, and the Short Form 12v2 (SF-12v2) was used to measure the quality of life, including physical and mental domains. Hayes’ Process Macro was used to conduct moderation analyses (model 1) controlling race, gender, age, and comorbidities. Alpha was set at .10 to account for low power to detect interaction effects with small groups. Our results indicate the interaction between diabetes status and FoF was significant for mental QoL (p=.09) and not significant for physical QoL (p=.99). The association between FoF with lower mental QoL was stronger for patients with diabetes than for patients without diabetes; this finding was not replicated for physical QoL. Regardless of diabetes status, physical QoL significantly decreased as FoF increased.

scholarly journals The Link of Three-Dimensional Frailty Index With Quality of Life and Fear of Falling Among Taiwanese Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 301-302
Author(s):  
Duan-Rung Chen ◽  
Chun-Tung Kuo ◽  
Peng-Yu Chen
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Structural Equation Models ◽  
Fear Of Falling ◽  
Short Form ◽  
Frailty Index ◽  
Three Dimensional ◽  
Community Dwelling ◽  
Physical Aspect

Abstract Objective. Frailty has received increasing attention as a way of understanding gradual losses in one or more domains of human functioning (physical, psychological, and social) in older adults. Studies suggested that frailty is related to lower quality of life (QoL) and the fear of falling (FoF). The most commonly used frailty criteria is the Fried Phenotype, which solely focuses on physical dimension of frailty. This study aims to evaluate the three-dimensional frailty index (namely, physical, psychological and social), and its association with QoL and FoF in a sample of community-dwelling Taiwanese older people. Methods. A total of 751 older adults aged 65 years and older (mean age 73.69 yrs ; SD=6.6) were included from May 2019 to Jan 2020 in Taipei City. The 8-Item Short-Form Health and the Falls Efficacy Scare International (FES-I) were used. Structural equation models (SEM) were employed to examine the association of the three-dimensional frailty index with QoL and FoF. Results. The SEM results confirmed a three-dimensional frailty index (physical, psychological and social frailty), and it is significantly associated with OoL and FoF. Physical frailty had the strongest association with PCS and FES-I, yet social frailty with MCS. Conclusion. Public health efforts to prevent elderly frailty should not solely focusing on physical aspect of frailty.

scholarly journals Associations of Falls with Quality of Life and Correlated Factors in Community-Dwelling Older Adults: A Two-Wave Cohort Study

2021 ◽  
Author(s):  
Yih-Jian Tsai ◽  
Wen-Jung Sun ◽  
Yi-Ching Yang ◽  
Pesus Chou ◽  
Jung-Der Wang
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Fear Of Falling ◽  
Short Form ◽  
Community Dwelling ◽  
World Health ◽  
Life Questionnaire ◽  
World Health Organization Quality ◽  
Prevention Interventions

Abstract Background Falls contribute to disability and burden of care among older adults. Studies of fall-related impacts on quality of life (QOL) are warranted for future prevention interventions. Methods Fall-related data were collected from adults aged 70 years and above using questionnaire interviews in the 1996 and 1999 surveys at Hunei community in southern Taiwan. Their QOL was measured using the Short Form 36 Health Survey (SF-36) and World Health Organization Quality of Life questionnaire (WHOQOL-BREF) in the 1999 follow-up only. The bilateral relationship among fall category, selected covariates (i.e., age, sex, number of difficulties in performing activities of daily living (ADLs) or instrumental ADLs, number of comorbidities, Geriatric Depression Scale (GDS) scores, Mini-Mental Stated Examination (MMSE) scores, fear of falling, and Physical Activity Scale for the Elderly (PASE) scores), and mean QOL scores were investigated. Hierarchical linear regression models were tested to examine the associations between fall frequency and QOL with sequential entry of explanatory variables. The final models were established by substituting fall category for fall frequency. Results Fall category was significantly associated with physical-related subscale scores, except body pain. Almost every QOL score revealed a negative association with the number of comorbidities, GDS scores, and fear of falling; however, a positive association with MMSE and PASE scores was observed. Conclusions Future prevention interventions should target common risk factors of both QOL and falls among older people, including control of comorbidities, depressive symptoms, cognitive impairment, and inactivity.

scholarly journals The Effectiveness of the Stepping-On Fall Prevention Program on the Quality of Life, Fear of Fall, and Fall-Preventive Behaviors Among Community-Dwelling Older Adults: A Randomized Clinical Trial

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sakineh Gholamzadeh ◽  
Maryam Ebrahimi ◽  
Nasrin Sharifi ◽  
Masoumeh Rambod
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Clinical Trial ◽  
Fall Prevention ◽  
The Elderly ◽  
Community Dwelling ◽  
Preventive Behaviors ◽  
Significant Difference ◽  
Community Dwelling Older Adults

Background: Along with increasing population of the elderly in various countries, the incidence of falls and respective damages has also increased. Objectives: Given the numerous disagreements regarding the effectiveness of different interventions mentioned in various sources, the present study aimed to examine the effectiveness of the Stepping-On fall preventive program on the quality of life, fear of fall, and fall-preventive behaviors among community-dwelling older adults in Shiraz, Iran. Methods: This study is a single-blinded randomized interventional or clinical trial study conducted on 90 elderly people under the coverage of two large health centers during 2019 - 2020 in Shiraz, Iran. Multi-stage randomized sampling was used to select the participants who were randomly allocated to either of the intervention (n = 45) or control groups (n = 45). Data collection tools were the fall efficiency scale, fall prevention behaviors, and Lipad quality of life questionnaires. The intervention group participated in a 7-session Stepping-On program, while the control group received the same routine care. Collected data were analyzed with SPSS software version 22. Results: The findings indicated that the Stepping-On program was effective on the fear of falling scores (P = 0.008) and the quality of life of the elderly under study (P = 0.019) at follow-up time. However, there was no significant difference immediately after the intervention (P > 0.05). However, the mean score of fall-preventing behaviors increased during the course of the study and reached a significant level immediately after the study was conducted (P = 0.046) and the other two months later (P = 0.028). Conclusions: The Stepping-On program may apparently affect the study variables. Therefore, further research is suggested to confirm the effectiveness of this program so that it can be used across all healthcare centers for the elderly.

Gait Speed, Quality of Life, and Sedentary Time are Associated with Steps per Day in Community-Dwelling Older Adults with Osteoporosis

2016 ◽  
Vol 24 (1) ◽  
pp. 22-31 ◽  
Author(s):  
Ing-Mari Dohrn ◽  
Maria Hagströmer ◽  
Mai-Lis Hellénius ◽  
Agneta Ståhle
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Self Efficacy ◽  
Gait Speed ◽  
Short Form ◽  
Community Dwelling ◽  
Balance Performance ◽  
Community Dwelling Older Adults

Aim:To describe objectively-measured physical activity levels and patterns among community-dwelling older adults with osteoporosis, impaired balance, and fear of falling, and to explore the associations with gait, balance performance, falls self-efficacy, and health-related quality of life (HRQoL).Methods:Ninety-four individuals (75.6 ± 5.4 years) were included. Physical activity was assessed with pedometers and accelerometers. Mean steps/day, dichotomized into < 5,000 or = 5,000 steps/day, and time spent in different physical activity intensities were analyzed. Gait was assessed with a GAITRite walkway, balance performance was assessed with the modified figure-eight test and oneleg stance, falls self-efficacy was assessed with the Falls Efficacy Scale International, and HRQoL was assessed with Short Form-36.Results:Mean steps/day were 6,201 (991–17,156) and 40% reported < 5,000 steps/day. Participants with < 5,000 steps/day spent more time sedentary, had slower gait speed, poorer balance performance, and lower HRQoL than participants with ≥ 5,000 steps/day. No participants with < 5,000 met the recommended level of physical activity.

scholarly journals Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christopher Olusanjo Akosile ◽  
Charles Kenechukwu Igwemmadu ◽  
Emmanuel Chiebuka Okoye ◽  
Adesola Christiana Odole ◽  
Ukamaka Gloria Mgbeojedo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Assisted Living ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Activity Level ◽  
Analysis Of Covariance ◽  
Community Dwelling Older Adults

Abstract Background Physical activity (PA), fear of falling (FOF) and quality of life (QOL) are very important constructs in geriatrics. The interplay among these constructs may vary between community-dwelling and assisted-living older adults. However, studies comparing the wellbeing of community-dwelling older adults with those residing in the assisted-living facilities (ALFs) are rather rare especially from developing countries. This study was aimed at comparing PA, FOF and QOL between assisted-living and community-dwelling older adults and also determining the correlations amongst the constructs for each group. Methods This cross-sectional survey involved consecutively sampled 114 older adults (≥65 years, ambulant and well-oriented in time, place and person) residing in conveniently selected ALFs (11.3% males) and adjoining communities (54.1% males). PA, FOF and QOL were evaluated using the Physical Activity Scale for the Elderly, the Modified Fall Efficacy Scale and the Short-form Health Survey (SF-36) questionnaire respectively. Data was analysed using descriptive statistics, analysis of covariance and Spearman rank-order correlation test at 0.05 level of significance. Results Participants from the ALFs had significantly lower domain and overall PA (F=5.6–103.34; p< 0.05) and QOL (F=11.12–118.05; p< 0,05) scores than community-dwelling groups. FOF was significantly more prevalent in assisted-living group (p< 0.05). There were significant positive correlations (p< 0.05) between each pair of PA, FOF and QOL for both assisted-living and community-dwelling groups. Conclusions Older adults in the ALFs had lower PA and QOL scores with higher prevalence of FOF than their community-dwelling counterparts. Significant relationships existed between PA, FOF and QOL for participants in either group. Present results may be suggesting that ageing in place ensures better health outcomes than institutionalised ageing. Whenever possible, older adults should therefore be encouraged to age in place rather than moving into ALFs.

scholarly journals Frailty & Depression: Mediators of Fear of Falling and Quality of Life in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 909-909
Author(s):  
Michelle McKay ◽  
Christina Whitehouse ◽  
Janell Mensinger
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Indirect Effect ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Mediation Effects ◽  
Health Related ◽  
The Relationship

Abstract Fear of falling is a known predictor for decreased health-related quality of life (QoL) in older adults, including among high risk frail community-dwelling older adults with multiple comorbidities including depression. The study aimed to examine the sequential explanatory roles of frailty and depressive symptoms in the relationship between fear of falling (FoF) and QoL in a program for all-inclusive care for the elderly (PACE). This was a retrospective single cohort study that included 84 older adults in a PACE program located in the Northeastern United States. Participants were cognitively intact older adults ≥55 years (M=70.33; SD=6.46). FoF was assessed with the Falls Efficacy Scale-International; frailty was measured with the Edmonton Frail Scale; QoL was measured with the Short Form 12v2 which includes both physical and mental domains. Using the Process Macro (model 6) in SPSS, path models were constructed hypothesizing frailty and depressive symptoms as serial mediators of the relationship between FoF and QoL while controlling for race, gender, age and comorbidities. Frailty and depressive symptoms serially mediated the FoF and mental QoL relationship (Indirect Effect = -0.10; 95% CI= -0.19, -0.03). Serial mediation effects of frailty and depressive symptoms were not replicated for the association between FoF and physical QoL (Indirect Effect = 0.00; 95% CI= -0.04, 0.05). Understanding the roles of frailty and depressive symptoms in explaining the association between FoF and mental health-related QoL can delineate targeted areas for intervention development not typically considered when attempting to reduce the influence of FoF on QoL in older adults.

scholarly journals Development and validation of a short version of the Sarcopenia Quality of Life questionnaire: the SF-SarQoL

2021 ◽  
Author(s):  
A. Geerinck ◽  
C. Beaudart ◽  
J.-Y. Reginster ◽  
M. Locquet ◽  
C. Monseur ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Short Form ◽  
Reduction Process ◽  
Community Dwelling ◽  
Short Version ◽  
Second Phase ◽  
Life Questionnaire ◽  
Quality Of Life Questionnaire ◽  
Two Phases

Abstract Purpose To facilitate the measurement of quality of life in sarcopenia, we set out to reduce the number of items in the previously validated Sarcopenia Quality of Life (SarQoL®) questionnaire, and to evaluate the clinimetric properties of this new short form. Methods The item reduction process was carried out in two phases. First, information was gathered through item-impact scores from older people (n = 1950), a Delphi method with sarcopenia experts, and previously published clinimetric data. In the second phase, this information was presented to an expert panel that decided which of the items to include in the short form. The newly created SFSarQoL was then administered to older, community-dwelling participants who previously participated in the SarcoPhAge study. We examined discriminative power, internal consistency, construct validity, test–retest reliability, structural validity and examined item parameters with a graded response model (IRT). Results The questionnaire was reduced from 55 to 14 items, a 75% reduction. A total of 214 older, community-dwelling people were recruited for the validation study. The clinimetric evaluation showed that the SF-SarQoL® can discriminate on sarcopenia status [EWGSOP2 criteria; 34.52 (18.59–43.45) vs. 42.86 (26.56–63.69); p = 0.043], is internally consistent (α = 0.915, ω = 0.917) and reliable [ICC = 0.912 (0.847–0.942)]. A unidimensional model was fitted (CFI = 0.978; TLI = 0.975; RMSEA = 0.108, 90% CI 0.094–0.123; SRMR = 0.055) with no misfitting items and good response category separation. Conclusions A new, 14-item, short form version of the Sarcopenia Quality of Life questionnaire has been developed and shows good clinimetric properties.

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