Fear of Falling among Community-dwelling Sedentary and Active Older People

Authors

DOI:

https://doi.org/10.17533/udea.iee.v39n1e13

Keywords:

accidental falls, aged, geriatric assessment, depression, fear, exercise

Abstract

Objective. The study sought to compare community-dwelling older people with respect to their level of physical activity and to the fear of falls between a group of sedentary elderly and a group of active elderly.

Methods. Cross-sectional descriptive study carried out with 113 community-dwelling older people (45 sedentary and 48 active), users of an outpatient care center of the private health system with a geriatric program in Santiago, Chile. The study measured socio-demographic variables, state of health, comprehensive geriatric assessment, exercise, depression with the Yesavage scale, and fear of falling with the Short Falls Efficacy Scale - International (Short FES-I).

Results. Sedentary older people have significantly higher scores in the Yesavage depression scale compared with active older people (4.2 versus 0.8). No statistically significant differences were found when comparing both groups of sedentary and active participants in terms of socio-demographic variables along with health, and functional and cognitive capacity. Regarding the fear of falling, the sedentary had a slightly higher score than the active (12 versus 11), although not significant.

Conclusion. This study showed that fear of falling was equal in sedentary and active older people who live in the community, although it was found that sedentary individuals had a higher risk of having a positive screening for geriatric depression in those participants who do not perform physical activity.

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Author Biographies

Alejandra-Ximena Araya, Universidad Andrés Bello

Nurse-midwife, PhD. Universidad Andrés Bello, Santiago, Chile. E-mail: alejandra.araya.g@unab.cl. Corresponding author

Evelyn Iriarte, Universidad Católica de Chile

Nurse, PhD. Pontificia Universidad Católica de Chile, Santiago, Chile. University of Miami, Miami, USA. E-mail: esiriart@uc.cl

References

Gazibara T, Kurtagic I, Kisic-Tepavcevic D, Nurkovic S, Kovacevic N, Gazibara T et al. Falls, risk factors and fear of falling among persons older than 65 years of age. Psychogeriatrics. 2017; 17(4):215‐23.

Lavedán A, Viladrosa M, Jürschik P, Botigué T, Nuín C, Masot C, et al. Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both? PLoS One. 2018;13(3):e0194967.

Greenberg SA. Analysis of measurement tools of fear of falling for high-risk, community-dwelling older adults. Clin. Nurs. Res. 2012; 21(1):113-30.

Jorstad EC, Hauer K, Becker C, Lamb SE. Measuring the psychological outcomes of falling: a systematic review. J. Am. Geriatr. Soc. 2005; 53: 501–10.

Lee J, Choi M, Kim CO. Falls, a fear of falling and related factors in older adults with complex chronic disease. J. Clin. Nurs. 2017;26(23-24):4964‐72.

Rosen T, Mack KA, Noonan R. Slipping and tripping: Fall injuries in adults associated with rugs and carpets. J. Inj. Violence Res. 2012; 5:61–69.

Makino K, Makizako H, Doi T, Tsutsumimoto K, Hotta R, Nakakubo S, et al. Impact of fear of falling and fall history on disability incidence among older adults: Prospective cohort study. Int. J. Geriatr. Psychiatry. 2018; 33(4):658‐62.

Curcio, CL, Gómez Montes, JF. Factores predictores de temor a caer. Rev. Asoc. Colomb. Gerontol. Geriatr. 2006; 20(4):965-70.

Auais M, Alvarado BE, Curcio CL, Garcia A, Ylli A, Deshpande N. Fear of falling as a risk factor of mobility disability in older people at five diverse sites of the IMIAS study. Arch. Gerontol. Geriatr. 2016; 66:147-53.

Schoene D, Heller C, Aung YN, Sieber C, Kemmler W, Freiberger El. A systematic review on the influence of fear of falling on quality of life in older people: Is there a role for falls?. Clin. Interv. Aging. 2019;14:701‐719.

Huang TT, Yang LH, Liu CY. Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: a randomized controlled trial. Journal of advanced nursing. 2011 May;67(5):961-71. PubMed PMID: 21214623.

Kendrick D, Kumar A, Carpenter H, Zijlstra GA, Skelton DA, Cook JR, et al. Exercise for reducing fear of falling in older people living in the community. Cochrane Database Syst. Rev. 2014; 2014(11):CD009848.

13. Organización Mundial de la Salud. Recomendaciones mundiales sobre la actividad física para la salud [Internet]. 2020 [cited 4 Jul 2020]. Available from: https://apps.who.int/iris/bitstream/handle/10665/44441/9789243599977_spa.pdf

Mahoney FI, Barthel DW. Functional Evaluation: The Barthel Index. Md. State Med. J. 1965; 14:61-5.

Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969; 9(3):179-86.

Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res. 1975; 12(3):189-98.

Hoyl MT, Alessi CA, Harker JO, Josephson KR, Pietruszka FM, Koelfgen M, et al. Development and testing of a five-item version of the Geriatric Depression Scale. J. Am. Geriatr. Soc. 1999; 47(7):873-8.

Kempen GI, Yardley L, van Haastregt JC, Zijlstra GA, Beyer N, Hauer K, et al. The Short FES-I: a shortened version of the falls efficacy scale-international to assess fear of falling. Age Ageing. 2008; 37(1):45-50.

Araya AX, Valenzuela E, Padilla O, Iriarte E, Caro C. Preocupación a caer: Validación de un instrumento de medición en personas mayores chilenas que viven en la comunidad. Rev. Esp. Geriatr. Gerontol. 2017; 52(4):188–92.

Denkinger MD, Lukas A, Nikolaus T, Hauer K. Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. Am. J. Geriatr. Psychiatry. 2015; 23(1):72-86.

Jefferis BJ, Iliffe S, Kendrick D, Kerse N, Trost S, Lennon LT, et al. How are falls and fear of falling associated with objectively measured physical activity in a cohort of community-dwelling older men? BMC Geriatr. 2014; 14:114.

Tam-Seto L, Weir P, Dogra S. Factors Influencing Sedentary Behaviour in Older Adults: An Ecological Approach. AIMS Public Health. 2016; 3(3):555-72.

Carta MG, Hardoy MC, Pilu A, Sorba M, Floros AL, Mannu FA, et al. Improving physical quality of life with group physical activity in the adjunctive treatment of major depressive disorder. Clin. Pract. Epidemiol. Ment. Health. 2008; 4:1.

Blake H. Physical activity and exercise in the treatment of depression. Front Psychiatry. 2012; 3:106.

Martin CK, Church TS, Thompson AM, Earnest CP, Blair SN. Exercise dose and quality of life: a randomized controlled trial. Arch. Intern. Med. 2009; 169(3):269–78.

Published

2021-03-04

How to Cite

Araya, A.-X., & Iriarte, E. (2021). Fear of Falling among Community-dwelling Sedentary and Active Older People. Investigación Y Educación En Enfermería, 39(1). https://doi.org/10.17533/udea.iee.v39n1e13

Issue

Section

ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS