Fall Awareness Behaviour And Its Associated Factors Among Malaysian Community Dwelling Older Adults

Abstract Background Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors among Malaysian community dwelling older adults. Methods A total of 144 community dwelling older adults (mean age of 70.69±4.3 years) participated in this study. Physical performance were assessed using timed up and go (TUG), gait speed (GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviour and fall prevention knowledge respectively. Results Stepwise linear regression analysis showed that the practice of fall awareness behaviour (R2=0.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p<0.001], having lower BMI [95% C.I: -0.692 to -0.135, p<0.05], living with family [95% C.I: 0.022 to 5.953, p<0.05] and those having higher functional mobility [95% C.I: -2.008 to -0.164, p<0.05]. Conclusions Fall awareness behaviour should be emphasized among older females, those with lower functional mobility, higher BMI and living alone.

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Fall Awareness Behaviour And Its Associated Factors Among Community Dwelling Older Adults

10.21203/rs.3.rs-54230/v1 ◽

2020 ◽

Author(s):

GOH JING WEN ◽

Devinder Kaur Ajit Singh ◽

NORMALA MESBAH ◽

ANIS AFIFA MOHD HANAFI ◽

ADLYN FARHANA AZWAN

Keyword(s):

Older Adults ◽

Associated Factors ◽

Linear Regression Analysis ◽

Community Dwelling ◽

Functional Mobility ◽

Timed Up And Go ◽

Mortality And Morbidity ◽

Falls In Older Adults ◽

Causes Of Mortality ◽

Community Dwelling Older Adults

Abstract Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors. A total of 140 community dwelling older adults (mean age of 70.69±4.3 years) participated in this study. Physical performance was assessed using timed up and go(TUG), gait speed(GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviours and fall prevention knowledge respectively. Stepwise linear regression analysis showed that the practice of fall awareness behaviours (R2=.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p<.001], having lower BMI [95% C.I: -0.692 to -0.135, p<.05], living with family [95% C.I: 0.022 to 5.953, p<.05] and those having higher functional mobility [95% C.I: -2.008 to -0.164, p<.05]. Fall awareness behaviours should be emphasized among older females, those with lower functional mobility, higher BMI and living alone.

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Fall awareness behaviour and its associated factors among community dwelling older adults

BMC Geriatrics ◽

10.1186/s12877-021-02122-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jing Wen Goh ◽

Devinder Kaur Ajit Singh ◽

Normala Mesbah ◽

Anis Afifa Mohd Hanafi ◽

Adlyn Farhana Azwan

Keyword(s):

Older Adults ◽

Associated Factors ◽

Linear Regression Analysis ◽

Community Dwelling ◽

Functional Mobility ◽

Timed Up And Go ◽

Mortality And Morbidity ◽

Falls In Older Adults ◽

Causes Of Mortality ◽

Community Dwelling Older Adults

Abstract Background Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors among Malaysian community dwelling older adults. Methods A total of 144 community dwelling older adults (mean age of 70.69 ± 4.3 years) participated in this study. Physical performance were assessed using timed up and go (TUG), gait speed (GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviour and fall prevention knowledge respectively. Results Stepwise linear regression analysis showed that the practice of fall awareness behaviour (R2 = 0.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p < 0.001], having lower BMI [95% C.I: − 0.692 to − 0.135, p < 0.05], living with family [95% C.I: 0.022 to 5.953, p < 0.05] and those having higher functional mobility [95% C.I: − 2.008 to − 0.164, p < 0.05]. Conclusions Fall awareness behaviour should be emphasized among older females, those with lower functional mobility, higher BMI and living alone.

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Towards Using the Instrumented Timed Up-and-Go Test for Screening of Sensory System Performance for Balance Control in Older Adults

Sensors ◽

10.3390/s19030622 ◽

2019 ◽

Vol 19 (3) ◽

pp. 622 ◽

Cited By ~ 3

Author(s):

Thomas Gerhardy ◽

Katharina Gordt ◽

Carl-Philipp Jansen ◽

Michael Schwenk

Keyword(s):

Older Adults ◽

System Performance ◽

Fall Risk ◽

Balance Control ◽

Sensory System ◽

Sensory Systems ◽

Community Dwelling ◽

Functional Mobility ◽

Timed Up And Go ◽

Community Dwelling Older Adults

Background: Decreasing performance of the sensory systems’ for balance control, including the visual, somatosensory and vestibular system, is associated with increased fall risk in older adults. A smartphone-based version of the Timed Up-and-Go (mTUG) may allow screening sensory balance impairments through mTUG subphases. The association between mTUG subphases and sensory system performance is examined. Methods: Functional mobility of forty-one community-dwelling older adults (>55 years) was measured using a validated mTUG. Duration of mTUG and its subphases ‘sit-to-walk’, ‘walking’, ‘turning’, ‘turn-to-sit’ and ‘sit-down’ were extracted. Sensory systems’ performance was quantified by validated posturography during standing (30 s) under different conditions. Visual, somatosensory and vestibular control ratios (CR) were calculated from posturography and correlated with mTUG subphases. Results: Vestibular CR correlated with mTUG total time (r = 0.54; p < 0.01), subphases ‘walking’ (r = 0.56; p < 0.01), and ‘turning’ (r = 0.43; p = 0.01). Somatosensory CR correlated with mTUG total time (r = 0.52; p = 0.01), subphases ‘walking’ (r = 0.52; p < 0.01) and ‘turning’ (r = 0.44; p < 0.01). Conclusions: Supporting the proposed approach, results indicate an association between specific mTUG subphases and sensory system performance. mTUG subphases ‘walking’ and ‘turning’ may allow screening for sensory system deterioration. This is a first step towards an objective, detailed and expeditious balance control assessment, however needing validation in a larger study.

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Impact of Malnutrition Status on Muscle Parameter Changes over a 5-Year Follow-Up of Community-Dwelling Older Adults from the SarcoPhAge Cohort

Nutrients ◽

10.3390/nu13020407 ◽

2021 ◽

Vol 13 (2) ◽

pp. 407

Author(s):

Laetitia Lengelé ◽

Olivier Bruyère ◽

Charlotte Beaudart ◽

Jean-Yves Reginster ◽

Médéa Locquet

Keyword(s):

Older Adults ◽

Muscle Strength ◽

Physical Performance ◽

Community Dwelling ◽

Timed Up And Go ◽

P Values ◽

Student’S T ◽

The Impact ◽

Community Dwelling Older Adults

This study aimed to assess the impact of malnutrition on the 5-year evolution of physical performance, muscle mass and muscle strength in participants from the SarcoPhAge cohort, consisting of community-dwelling older adults. The malnutrition status was assessed at baseline (T0) according to the “Global Leadership Initiatives on Malnutrition” (GLIM) criteria, and the muscle parameters were evaluated both at T0 and after five years of follow-up (T5). Lean mass, muscle strength and physical performance were assessed using dual X-ray absorptiometry, handgrip dynamometry, the short physical performance battery test and the timed up and go test, respectively. Differences in muscle outcomes according to nutritional status were tested using Student’s t-test. The association between malnutrition and the relative 5-year change in the muscle parameters was tested using multiple linear regressions adjusted for several covariates. A total of 411 participants (mean age of 72.3 ± 6.1 years, 56% women) were included. Of them, 96 individuals (23%) were diagnosed with malnutrition at baseline. Their muscle parameters were significantly lower than those of the well-nourished patients both at baseline and after five years of follow-up (all p-values < 0.05), except for muscle strength in women at T5, which was not significantly lower in the presence of malnutrition. However, the 5-year changes in muscle parameters of malnourished individuals were not significantly different than those of well-nourished individuals (all p-values > 0.05).

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Multisensory integration involved in the body perception of community-dwelling older adults

Scientific Reports ◽

10.1038/s41598-021-81121-x ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

M. Hide ◽

Y. Ito ◽

N. Kuroda ◽

M. Kanda ◽

W. Teramoto

Keyword(s):

Older Adults ◽

Multisensory Integration ◽

Fall Risk ◽

Community Dwelling ◽

The Body ◽

Risk Of Falling ◽

Body Perception ◽

Rubber Hand ◽

Timed Up And Go ◽

Community Dwelling Older Adults

AbstractThis study investigates how the multisensory integration in body perception changes with increasing age, and whether it is associated with older adults’ risk of falling. For this, the rubber hand illusion (RHI) and rubber foot illusion (RFI) were used. Twenty-eight community-dwelling older adults and 25 university students were recruited. They viewed a rubber hand or foot that was stimulated in synchrony or asynchrony with their own hidden hand or foot. The illusion was assessed by using a questionnaire, and measuring the proprioceptive drift and latency. The Timed Up and Go Test was used to classify the older adults into lower and higher fall-risk groups. No difference was observed in the RHI between the younger and older adults. However, several differences were observed in the RFI. Specifically, the older adults with a lower fall-risk hardly experienced the illusion, whereas those with a higher fall-risk experienced it with a shorter latency and no weaker than the younger adults. These results suggest that in older adults, the mechanism of multisensory integration for constructing body perception can change depending on the stimulated body parts, and that the risk of falling is associated with multisensory integration.

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Association between objectively measured walking steps and sleep in community-dwelling older adults: A prospective cohort study

PLoS ONE ◽

10.1371/journal.pone.0243910 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243910

Author(s):

Noriyuki Kimura ◽

Yasuhiro Aso ◽

Kenichi Yabuuchi ◽

Etsuro Matsubara

Keyword(s):

Older Adults ◽

Sleep Disturbances ◽

Linear Regression Analysis ◽

Community Dwelling ◽

Sleep Efficiency ◽

Ageing Society ◽

Sleep Parameters ◽

Objectively Measured ◽

Community Dwelling Older Adults ◽

The Relationship

Physical inactivity and sleep disturbances are major problems in an ageing society. There is increasing evidence that physical activity is associated with sleep quality. However, the association between daily walking steps and sleep remain unclear. This prospective study examined the relationship between objectively measured daily walking steps and sleep parameters in Japanese community-dwelling older adults. In total, 855 community-dwelling individuals aged 65 and above, with an uninterrupted follow-up from August 2015 to March 2016, were enrolled. The participants wore a wristband sensor for an average of 7.8 days every three months. Multiple linear regression analysis was performed to examine the relationship between daily walking steps and sleep parameters, including the total sleep time, sleep efficiency, time awake after sleep onset (WASO), awakening time count during the night, and naptime. The median (interquartile range, IQR) age of the participants was 73 (69–78) years, with 317 (37.1%) men and 538 (62.9%) women. The median (IQR) educational level was 12 (11–12) years, and the median (IQR) Mini-Mental State Examination score was 29 (27–30) points. The number of daily walking steps showed a positive correlation with sleep efficiency and an inverse correlation with WASO, awakening time count, and naptime, after adjusting for covariates and correcting for the false discovery rate (β = 0.098, 95% confidence interval [CI]: 0.034 to 0.162, p = 0.003; β = −0.107, 95% CI: −0.172 to −0.043, p = 0.001; β = −0.105, 95% CI: −0.17 to −0.04, p = 0.002; and β = −0.31, 95% CI: −0.371 to −0.249, p < 0.001, respectively). Our results can help promote walking as an intervention for preventing sleep disturbances in community-dwelling older adults.

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Prevalence and Multidimensional Risk Factors of Physical Frailty in Korean Community-Dwelling Older Adults: Findings from Korean Frailty and Aging Cohort Study

10.20944/preprints202009.0423.v1 ◽

2020 ◽

Author(s):

Heeeun Jung ◽

Miji Kim ◽

Yunhwan Lee ◽

Chang Won Won

Keyword(s):

Risk Factors ◽

Older Adults ◽

Cohort Study ◽

Medical Condition ◽

Glycosylated Hemoglobin ◽

Community Dwelling ◽

National Standard ◽

Timed Up And Go ◽

Frailty Phenotype ◽

Community Dwelling Older Adults

Frailty is defined as a state of increased vulnerability to stressors, and it predicts the disability and mortality in the older population. This study aimed to investigate standardized prevalence and multidimensional risk factors associated with frailty among the Korean community-dwelling older adults. We analyzed the baseline data of 2,907 adults aged 70–84 years (mean age 75.8±3.9 years, 57.8% women) in the Korean Frailty and Aging Cohort Study. The Fried frailty phenotype was used to define frailty. Analyzed data included sociodemographic, physical, physical function, biological, lifestyle, health condition, medical condition, psychological, and social domains. Data were standardized using the national standard population composition ratio based on the Korean Population and Housing Census. The standardized prevalence of frailty and pre-frailty was 7.9% (95% confidence interval [CI] 6.8–8.9%) and 57.2% (95% CI 45.1–48.8%), respectively. The following 14 risk factors had a significant association with frailty: at risk of malnutrition, sarcopenia, severe mobility limitation, poor social capital, rural dwellers, depressive, poor self-perceived health, polypharmacy, elevated high-sensitivity C-reactive protein, elevated glycosylated hemoglobin, low 25-hydroxy vitamin D level, longer timed up and go, and low short physical performance battery score (p<0.05). Physico-nutritional, psychological, sociodemographic, and medical factors are strongly associated with frailty.

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Timed Up and Go: Reference Values for Community-Dwelling Older Adults with and without Arthritis and Non-Communicable Diseases: The Tromsø Study

Clinical Interventions in Aging ◽

10.2147/cia.s294512 ◽

2021 ◽

Vol Volume 16 ◽

pp. 335-343

Author(s):

Odd-Einar Svinøy ◽

Gunvor Hilde ◽

Astrid Bergland ◽

Bjørn Heine Strand

Keyword(s):

Older Adults ◽

Reference Values ◽

Communicable Diseases ◽

Community Dwelling ◽

Timed Up And Go ◽

Non Communicable Diseases ◽

Community Dwelling Older Adults

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Leisure Activity Variety and Brain Volume Among Community-Dwelling Older Adults: Analysis of the Neuron to Environmental Impact Across Generations Study Data

Frontiers in Aging Neuroscience ◽

10.3389/fnagi.2021.758562 ◽

2021 ◽

Vol 13 ◽

Author(s):

Ai Iizuka ◽

Hiroshi Murayama ◽

Masaki Machida ◽

Shiho Amagasa ◽

Shigeru Inoue ◽

...

Keyword(s):

Older Adults ◽

Environmental Impact ◽

Gray Matter ◽

Brain Volume ◽

Linear Regression Analysis ◽

Leisure Activity ◽

Community Dwelling ◽

Wide Range ◽

Gray Matter Volumes ◽

Community Dwelling Older Adults

Background: Recent findings indicate that leisure activity (LA) delays cognitive decline and reduces the risk of dementia. However, the association between LA and brain volume remains unclear. This study aimed to examine the association between LA variety and brain volume with a focus on the hippocampus and gray matter.Methods: Data were obtained from the baseline survey of the Neuron to Environmental Impact across Generations study, which had targeted community-dwelling older adults living in Niigata, Japan. We divided LAs into 10 categories, and counted the number of categories of activities in which the participants engaged. We classified them as follows: 0 (i.e., no activity), 1, 2, or ≥ 3 types. Brain volume was assessed through magnetic resonance imaging, and hippocampal and gray matter volumes were ascertained.Results: The sample size was 482. Multiple linear regression analysis showed that hippocampal and gray matter volumes were significantly greater among participants with ≥ 3 types of LAs than among their no-activity counterparts. Hippocampal volume was significantly greater among those who engaged in one type of LA than among those who engaged in no such activity. Sex-stratified analysis revealed that hippocampal volumes were significantly greater among males who engaged in ≥ 3 types of LAs and one type of LA. However, no such association was found among females.Conclusion: The present findings suggest that engaging in a wide range of LAs is related to hippocampal and gray matter volumes. Furthermore, there was a sex difference in the association between LA variety and brain volume.

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