The Relationship of Intrinsic Fall Risk Factors to a Recent History of Falling in Older Women With Osteoporosis

Objective: This study aimed to report the fear of falling and assess its associations with several fall-related characteristics and functional fitness parameters among older adults living in the rest home. Methods: Seventy-eight older adults aged between 65-94 years were included in the study. History of falling and the number of risk factors for falling were recorded. Fear of falling was evaluated with The Falls Efficacy ScaleInternational. Functional fitness was assessed with Senior Fitness Test, including tests for the functional measurement of strength, flexibility, aerobic endurance and dynamic balance. Result: The mean age of participants was 78.46±7.16 years. There were correlations exist between fear of falling and number of fall risk factors, dynamic balance, upper body flexibility and aerobic endurance (p<0.05). Multiple linear regression analysis showed that the parameters with the highest determinants of fear of falling were the dynamic balance and history of falling (p<0.05). Conclusions: In our study, history of falling, number of fall risk factors, flexibility for the upper body, aerobic endurance and dynamic balance were parameters related to fear of falling among older adults, but the most influential factors in fear of falling were dynamic balance and history of falling.

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COGNITIVE APPRAISAL AND KNOWLEDGE AS RISK FACTORS FOR HIGH FEAR OF FALLING IN OLDER AND MIDDLE-AGED ADULTS IN SINGAPORE

Innovation in Aging ◽

10.1093/geroni/igz038.1762 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S473-S473

Author(s):

Pey June Tan ◽

Reuben Ng ◽

Angelique Chan ◽

Jagadish U Mallya ◽

Noor Hafizah Ismail ◽

...

Keyword(s):

Risk Factors ◽

Older Adults ◽

Fall Risk ◽

Cognitive Appraisal ◽

Fear Of Falling ◽

Age Groups ◽

Fall Risk Factors ◽

History Of ◽

Middle Aged Adults ◽

Balance Problems

Abstract Fear-of-falling (FOF) can be adaptive or maladaptive depending on one’s appraisal of knowledge and beliefs, but few have elucidated this cognitive process in older adults surrounding falls. We aim to identify risk factors for high FOF amongst community-dwelling older adults (OA) and middle-aged adults (MA) in Singapore. This was a cross-sectional survey of a nationally-representative sample of OA (≥60 years) and MA (40-59 years) identified by stratified random sampling. Primary outcome was high FOF measured by a single-item (4-point scale). Independent variables were history-of-falls, quality-of-life, fall-related cognitive appraisal (balance problems, importance to restrict activities to prevent falls) and knowledge indicators (knowledge of other OA who fell, ability to identify out of 13 fall risk factors). MA were also asked if they’re caregivers. Multiple logistic regressions identified risk factors for high FOF separately by age-groups, adjusting for socio-demographics and comorbidities. The final analysis included 549 OA (70.6±6.88 years) and 309 MA (49.7±5.89 years). No differences in high FOF was found among OA and MA (37% vs. 38%, p=0.305), but there were more falls among OA (19% vs 12%, p=0.010). Higher knowledge of fall risk factors and self-reported balance problems were significant risk factors for high FOF among OA only, while a history-of-falls and being a caregiver were significant among MA only. Perceived importance to restrict activities was associated with high FOF in both age-groups. Although findings suggest differences in the mechanism of high FOF between OA and MA, both age-groups have maladaptive appraisal tendencies related to restrict activities to prevent falls.

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Hierarchy and power in the Pacific

Anthropological Theory ◽

10.1177/1463499614534116 ◽

2014 ◽

Vol 14 (2) ◽

pp. 215-230 ◽

Cited By ~ 1

Author(s):

Jukka Siikala

Keyword(s):

Recent History ◽

Military Coup ◽

Political Processes ◽

Postcolonial State ◽

The Pacific ◽

History Of ◽

Relationship Of ◽

The Military ◽

The Relationship ◽

Structural Arrangements

Looking at recent turmoil in political processes in the Pacific, the article discusses the relationship of socio-cosmic holism and hierarchy in Tonga, Samoa and Fiji to western ideologies of democracy and individualism. Incorporation of traditional chieftainship into colonial and postcolonial state structures has had different outcomes in each case. The structural arrangements, which according to Dumont are seen as intermediary forms, are looked at using material from the recent history of the societies. Thus the riots in Nukuʻalofa orchestrated by the Tongan democracy movement, the military coup in Fiji and the multiplication of chiefly titles in Samoa are seen as results of the interplay of local and western ideologies culminating in notions of holism and individualism.

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Fall risk factors in community-dwelling elderly people

Norsk Epidemiologi ◽

10.5324/nje.v22i2.1561 ◽

2012 ◽

Vol 22 (2) ◽

Cited By ~ 16

Author(s):

Astrid Bergland

Keyword(s):

Risk Factors ◽

Fall Risk ◽

Web Of Science ◽

Epidemiological Studies ◽

Community Dwelling ◽

Special Focus ◽

Fall Risk Factors ◽

Psychoactive Medication ◽

History Of ◽

Multiple Chronic Diseases

Falls are a common and serious problem for older adults. Approximately one-third of older communitydwelling people fall at least once a year. The main purpose of this paper is to present risk factors for fall in older people living at home. The databases used for identifying documentation of risk factors are Cinahl, Eric, ISI Web of Science, Cochrane Medline, Psycinfo and dissertation. Many psychosocial and medical conditions and impairment of sensorimotor function, balance and gait have been shown in large epidemiological studies to be strongly associated with falls. Several of the risk factors are interrelated. The intrinsic-extrinsic distinction seem to be an oversimplification. A better understanding of falls is usually obtained when examining the person in association with the environmental factors. Advanced age, history of falls, ADL limitations, impaired gait and mobility, visual impairment, reduced sensation, muscular weakness, poor reaction time, impaired cognition, diseases as stroke, use of psychoactive medication and use of many medications are risk factors shown to be strongly associated with falls. This means recommendation of multifactorial fall risk assessment must incorporate a range of physiological and mental tests in addition to assessing balance and gait as well as taking multiple chronic diseases and medications into account. These finding underscore the importance of multidimensional fall intervention with special focus on modifiable risk factors

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Prehistoric Monuments as Numinous Sites of Spiritual Tourism

Fieldwork in Religion ◽

10.1558/firn.37161 ◽

2018 ◽

Vol 13 (1) ◽

pp. 61-80

Author(s):

Carole Cusack

Keyword(s):

Popular Culture ◽

Identity Construction ◽

Recent History ◽

The Past ◽

Spiritual Tourism ◽

History Of ◽

History Of Use ◽

Ritual Site ◽

Relationship Of ◽

The Relationship

Prehistoric monuments in Britain are sites that have "drawn" people throughout history, due to their impressive size, dramatic location in the landscape, and the sense of permanence and timelessness they convey. The religious attraction of such stones for modern Pagans has been studied in some detail, particularly in terms of renowned circles like Stonehenge and Avebury, but the appeal that Neolithic monuments have for "spiritual tourists" has not been assessed to date. This article focuses on the Rollright Stones near Chipping Norton in Oxfordshire, a relatively accessible group of monuments that has an established body of folklore attached to the site, a profile in popular culture, and a recent history of use by modern Pagans as a ritual site. The author's fieldwork at the Rollright Stones in 2014 produced three interrelated hypotheses: first, the primary appeal of prehistoric monuments for "spiritual tourists" is aesthetic; second, that responding aesthetically to such monuments is an experience that feels "special" and often involves an experience of the "numinous"; and third, this "specialness" is linked to ideas about what it means to be human, the relationship of the past to the present and future, and to the process of identity-construction and the search for wellbeing that spiritual tourists typically engage with in their travels.

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Significant fall risk factors in the personal history of in-patients with neurological disease

Česká a slovenská neurologie a neurochirurgie ◽

10.14735/amcsnn2019649 ◽

2019 ◽

Vol 82/115 (6) ◽

pp. 649-654

Author(s):

Michaela Miertová ◽

Ivana Bóriková ◽

Marián Grendár ◽

Jaroslav Madleňák ◽

Martina Tomagová ◽

...

Keyword(s):

Risk Factors ◽

Fall Risk ◽

Personal History ◽

Significant Fall ◽

Fall Risk Factors ◽

History Of

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The Relationship between Falls Efficacy and Improvement in Fall Risk Factors Following an Exercise Plus Educational Intervention for Older Adults with Hip Osteoarthritis

Physiotherapy Canada ◽

10.3138/ptc.2010-29 ◽

2011 ◽

Vol 63 (4) ◽

pp. 410-420 ◽

Cited By ~ 14

Author(s):

C.M. Arnold ◽

R.A. Faulkner ◽

N.C. Gyurcsik

Keyword(s):

Risk Factors ◽

Older Adults ◽

Educational Intervention ◽

Fall Risk ◽

Hip Osteoarthritis ◽

Fall Risk Factors ◽

The Relationship

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The Relationship between Specific Cognitive Domains, Fear of Falling, and Falls in People with Multiple Sclerosis

BioMed Research International ◽

10.1155/2014/281760 ◽

2014 ◽

Vol 2014 ◽

pp. 1-10 ◽

Cited By ~ 27

Author(s):

Alon Kalron

Keyword(s):

Fall Risk ◽

Fear Of Falling ◽

Cognitive Testing ◽

Cognitive Test ◽

Walking Ability ◽

Cognitive Domains ◽

Cognitive Component ◽

Fall Risk Factors ◽

History Of ◽

The Relationship

The primary aim was to examine the relationship between seven definite aspects of cognition measured by a computerized cognitive testing tool on the history falls in people with mild to moderate MS (PwMS). Secondary aims focused on whether cognition performance is correlated to fear of falling, walking velocity, and a patient-rated measure of walking ability. One hundred and one PwMS were included in the study analysis. Fifty-two had a history of at least one fall during the past year. Outcome measures included a computerized cognitive test battery designed to evaluate multiple cognitive domains, gait speed, and self-reported questionnaires; 12-item MS walking scale (MSWS-12); and Falls Efficacy Scale International. Significant differences between fallers and nonfallers were exhibited in attention and verbal function, scoring 7.5% (P=0.013) and 6.2% (P=0.05), respectively, below the parallel scores of the nonfallers. Attention was the only cognitive component significantly correlated with the MSWS-12 self-reported questionnaire. Fear of falling was significantly correlated with 6 (out of 7) definite cognitive variables. The present findings support the concept that when evaluating and attempting to reduce fall risk, emphasis should be placed not only on traditional fall risk factors like muscle strength and motor function, but also on cognitive function.

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The Relationship of Intrinsic Fall Risk Factors to a Recent History of Falling in Older Women With Osteoporosis