Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?

Background: Despite the number of studies that have tried to demonstrate that there is an association between previous falls and the fear of falling, the relationship between these two variables remains a matter of controversy. Objectives: Our objective was to investigate whether the fear of falling...

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Autores: Lavedán, Ana, Viladrosa, Maria, Jürschik, Pilar, Botigué, Teresa, Nuin Orrio, Carmen, Masot, Olga, Lavedán, Raquel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10459.1/63133
Acceso en línea:https://doi.org/10.1371/journal.pone.0194967
http://hdl.handle.net/10459.1/63133
Access Level:acceso abierto
Palabra clave:Infermeria
Persones grans
Caigudes (Accidents)
Por
Older people
Falls (Accidents)
Fear
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spelling Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?Lavedán, AnaViladrosa, MariaJürschik, PilarBotigué, TeresaNuin Orrio, CarmenMasot, OlgaLavedán, RaquelInfermeriaPersones gransCaigudes (Accidents)PorOlder peopleFalls (Accidents)FearBackground: Despite the number of studies that have tried to demonstrate that there is an association between previous falls and the fear of falling, the relationship between these two variables remains a matter of controversy. Objectives: Our objective was to investigate whether the fear of falling is a cause of falls, a consequence, or both in community-dwelling adults aged ≥ 75 years old. Methods: A descriptive, longitudinal, prospective study was performed. A total of 640 individuals were interviewed between 2009 and 2011. Sociodemographic data, health status, history of falls and fear of falling were assessed at baseline and at 24 months. Results: The prevalence of falls at baseline was 25% as opposed to 35.2% at 24 months. The prevalence of the fear of falling was 41.5% at baseline. Logistic regression analysis showed a significant association between a history of falls and the fear of falling. Other factors associated with the fear of falling were female gender, comorbidity, depressive symptoms, and disability. In total, 41.7% of the subjects who had reported a fear of falling at baseline had suffered at least one fall 24 months later. Unadjusted Cox regression analysis revealed that the fear of falling was a risk factor for falls. According to the final model adjusted for other covariates, the only reliable predictor was female gender. The Cox model stratified by gender failed to show a crude association between fear of falling and falls. Conclusion: A previous history of falls in the previous year was a good predictor of the fear of falling; but the fear of falling was a predictor of falls during follow-up only in the unadjusted model, pointing to strong gender turns out as an effect modifier of the association of FOF and subsequent falls. Nursing staff working in elderly care should not only routinely assess patients' previous history of falls, but also evaluate their fear of falling and its associated factors. Dades primàries associades a l'article http://hdl.handle.net/10459.1/62535Public Library of Science2018201820182018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.1371/journal.pone.0194967http://hdl.handle.net/10459.1/63133http://hdl.handle.net/10459.1/63133reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1371/journal.pone.0194967Plos One, 2018, vol. 13, num. 3, p. 1-14http://hdl.handle.net/10459.1/62535cc-by (c) Lavedán Santamaría, Ana et al., 2018info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/esoai:recercat.cat:10459.1/631332026-05-29T05:05:01Z
dc.title.none.fl_str_mv Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
title Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
spellingShingle Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
Lavedán, Ana
Infermeria
Persones grans
Caigudes (Accidents)
Por
Older people
Falls (Accidents)
Fear
title_short Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
title_full Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
title_fullStr Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
title_full_unstemmed Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
title_sort Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?
dc.creator.none.fl_str_mv Lavedán, Ana
Viladrosa, Maria
Jürschik, Pilar
Botigué, Teresa
Nuin Orrio, Carmen
Masot, Olga
Lavedán, Raquel
author Lavedán, Ana
author_facet Lavedán, Ana
Viladrosa, Maria
Jürschik, Pilar
Botigué, Teresa
Nuin Orrio, Carmen
Masot, Olga
Lavedán, Raquel
author_role author
author2 Viladrosa, Maria
Jürschik, Pilar
Botigué, Teresa
Nuin Orrio, Carmen
Masot, Olga
Lavedán, Raquel
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Infermeria
Persones grans
Caigudes (Accidents)
Por
Older people
Falls (Accidents)
Fear
topic Infermeria
Persones grans
Caigudes (Accidents)
Por
Older people
Falls (Accidents)
Fear
description Background: Despite the number of studies that have tried to demonstrate that there is an association between previous falls and the fear of falling, the relationship between these two variables remains a matter of controversy. Objectives: Our objective was to investigate whether the fear of falling is a cause of falls, a consequence, or both in community-dwelling adults aged ≥ 75 years old. Methods: A descriptive, longitudinal, prospective study was performed. A total of 640 individuals were interviewed between 2009 and 2011. Sociodemographic data, health status, history of falls and fear of falling were assessed at baseline and at 24 months. Results: The prevalence of falls at baseline was 25% as opposed to 35.2% at 24 months. The prevalence of the fear of falling was 41.5% at baseline. Logistic regression analysis showed a significant association between a history of falls and the fear of falling. Other factors associated with the fear of falling were female gender, comorbidity, depressive symptoms, and disability. In total, 41.7% of the subjects who had reported a fear of falling at baseline had suffered at least one fall 24 months later. Unadjusted Cox regression analysis revealed that the fear of falling was a risk factor for falls. According to the final model adjusted for other covariates, the only reliable predictor was female gender. The Cox model stratified by gender failed to show a crude association between fear of falling and falls. Conclusion: A previous history of falls in the previous year was a good predictor of the fear of falling; but the fear of falling was a predictor of falls during follow-up only in the unadjusted model, pointing to strong gender turns out as an effect modifier of the association of FOF and subsequent falls. Nursing staff working in elderly care should not only routinely assess patients' previous history of falls, but also evaluate their fear of falling and its associated factors. Dades primàries associades a l'article http://hdl.handle.net/10459.1/62535
publishDate 2018
dc.date.none.fl_str_mv 2018
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://doi.org/10.1371/journal.pone.0194967
http://hdl.handle.net/10459.1/63133
http://hdl.handle.net/10459.1/63133
url https://doi.org/10.1371/journal.pone.0194967
http://hdl.handle.net/10459.1/63133
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1371/journal.pone.0194967
Plos One, 2018, vol. 13, num. 3, p. 1-14
http://hdl.handle.net/10459.1/62535
dc.rights.none.fl_str_mv cc-by (c) Lavedán Santamaría, Ana et al., 2018
info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
rights_invalid_str_mv cc-by (c) Lavedán Santamaría, Ana et al., 2018
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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