Fear of Falling in Older Women: A Longitudinal Study of Incidence, Persistence, and Predictors
- 2 August 2007
- journal article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 55 (10), 1598-1603
- https://doi.org/10.1111/j.1532-5415.2007.01317.x
Abstract
Objectives: To determine longitudinal predictors of incident and persistent fear of falling (FOF) in older women. Design: Longitudinal study. Setting: Clinical research center based at a university hospital. Participants: One thousand two hundred eighty-two community-dwelling women aged 70 to 85. Measurements: FOF at baseline and after 3 years of follow-up; a range of baseline demographic and clinical variables, including mobility, balance, and depression. Results: FOF was present in 418 subjects (33%) at baseline, developed in 30% of women who had been free of the symptom at baseline, and was reported by a total of 46% of the sample after 3 years of follow-up. In cross-sectional multivariable analysis, baseline FOF was independently associated with a range of variables, including living alone, obesity, cognitive impairment, depression, and impairments in balance and mobility. Baseline predictors of FOF that persisted after 3 years were similar, whereas obesity and slower timed up and go test scores predicted new-onset FOF. Conclusion: FOF in older women is a common and persistent complaint that is caused mainly by impairments of balance and mobility. A range of social, psychological, and physical risk factors for disability are associated with persistence of FOF. These results imply that early intervention may be important for the prevention of persistent FOFThis publication has 20 references indexed in Scilit:
- Epidemiology and outcomes of osteoporotic fracturesThe Lancet, 2002
- Recreational Physical Activity Levels in Healthy Older Women: The Importance of Fear of FallingJournal of the American Geriatrics Society, 2002
- Associations of Demographic, Functional, and Behavioral Characteristics with Activity‐Related Fear of Falling Among Older Adults Transitioning to FrailtyJournal of the American Geriatrics Society, 2001
- Prospective Study of the Impact of Fear of Falling on Activities of Daily Living, SF-36 Scores, and Nursing Home AdmissionThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2000
- Covariates of Fear of Falling and Associated Activity CurtailmentThe Gerontologist, 1998
- Fear of Falling and Activity Restriction: The Survey of Activities and Fear of Falling in the Elderly (SAFE)The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 1998
- Fear of falling and restriction of mobility in elderly fallersAge and Ageing, 1997
- The prevalence and correlates of fear of falling in elderly persons living in the community.American Journal of Public Health, 1994
- Fear of Falling and Postural Performance in the ElderlyJournal of Gerontology, 1991
- Components of postural dyscontrol in the elderly: A reviewNeurobiology of Aging, 1989