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

Autor: Ifeoma Uchenna Onwuakagba, Emmanuel Chiebuka Okoye, Charles Kenechukwu Igwemmadu, Christopher Olusanjo Akosile, Ayodeji A. Fabunmi, Adesola C. Odole, Ukamaka Gloria Mgbeojedo
Rok vydání: 2021
Předmět:
Zdroj: BMC Geriatrics, Vol 21, Iss 1, Pp 1-9 (2021)
BMC Geriatrics
ISSN: 1471-2318
DOI: 10.1186/s12877-020-01982-1
Popis: BackgroundPhysical 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.MethodsThis 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.ResultsParticipants from the ALFs had significantly lower domain and overall PA (F=5.6–103.34;pF=11.12–118.05;pppConclusionsOlder 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.
Databáze: OpenAIRE