Is Fear of Falling Associated With Incident Disability? A Prospective Analysis in Young-Old Community-Dwelling Adults
| Autor: | Brigitte Santos-Eggimann, Yves Henchoz, Laurence Seematter-Bagnoud, Sarah Fustinoni, Giulia Belloni, Christophe Büla |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Male Activities of daily living Fear of falling Odds 03 medical and health sciences 0302 clinical medicine 030502 gerontology Activities of Daily Living Medicine Humans 030212 general & internal medicine Prospective Studies Risk factor General Nursing Aged business.industry Health Policy Bayes Theorem General Medicine Odds ratio Fear Confidence interval Cohort Observational study Accidental Falls Female Independent Living Geriatrics and Gerontology medicine.symptom 0305 other medical science business |
| Zdroj: | Journal of the American Medical Directors Association. 22(2) |
| ISSN: | 1538-9375 |
| Popis: | Objectives Fear of falling (FOF) is common in older people and is related to negative outcomes. This study aimed to investigate whether 2 different instruments, the Falls Efficacy Scale–International (FES-I) and the single question on FOF and activity restriction (SQ-FAR), were associated with incident disability at 3 years. Design Prospective observational study. Setting and Participants Participants (n = 1219, 57.4% women) were disability-free community-dwelling persons enrolled in the Lausanne cohort 65+, aged 66 to 71 years, in 2005. Measures Baseline covariates included demographic, cognitive, affective, and health status. Basic activities of daily living (BADL) assessment was recorded annually from a self-administered questionnaire. Disability outcome was defined as reporting difficulty or help needed in ≥1 of 5 BADL in ≥2 consecutive years, or being institutionalized during follow-up. Results At 3 years, disability was reported by 77 participants (6.3%). Reporting the highest level of fear at FES-I [adjusted odds ratio (aOR) 5.14, 95% confidence interval (CI) 1.82-14.55, P = .002] or “FOF with activity restriction” with SQ-FAR (aOR 3.23, 95% CI 1.29-8.08, P = .012) were both associated with increased odds of disability even after adjusting for covariates. The FES-I model explained incident disability slightly better than the SQ-FAR one [Bayesian information criterion (BIC) values of 466.70 and 469.43, respectively]. Conclusions and Implications High FOF and related activity restriction, assessed with FES-I and SQ-FAR, are associated with incident disability in young-old community-dwelling people. The SQ-FAR is suitable as a screening tool to proactively detect a potentially reversible risk factor for disability. Using the FES-I may serve additional clinical purposes, such as FOF characterization and management. |
| Databáze: | OpenAIRE |
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