Kazuki Uemura1, Hiroyuki Shimada2, Hyuma Makizako3, Takehiko Doi2, Kota Tsutsumimoto2, Daisuke Yoshida2, Yuya Anan2, Tadashi Ito2, Sangyoon Lee4, Hyuntae Park4, Takao Suzuki5. 1. Section for Health Promotion, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan; Research Fellow of the Japan Society for the Promotion of Science, Tokyo, Japan. Electronic address: uemura@ncgg.go.jp. 2. Section for Health Promotion, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan. 3. Section for Health Promotion, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan; Research Fellow of the Japan Society for the Promotion of Science, Tokyo, Japan. 4. Section for Physical Functioning Activation, Department of Functioning Activation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan. 5. Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan.
Abstract
OBJECTIVES: Few studies have reported the relationship between fear of falling (FoF) and mild and global cognitive impairment in community-dwelling older adults. We aimed to determine whether the status of cognitive impairment affects the prevalence of FoF in community-dwelling older adults. STUDY DESIGN: Cross-sectional study among 4474 community-dwelling older adults who participated in the Obu Study of Health Promotion for the Elderly. MAIN OUTCOME MEASURES: Participants underwent cognitive tests and were divided into three groups: cognitive healthy, mild cognitive impairment (MCI), and global cognitive impairment (GCI). FoF and related variables, such as fall history, physical function, and depression, were also investigated. RESULTS: The prevalence of FoF was significantly different by group (p<0.001; healthy: 43.6%, MCI: 50.6%, GCI: 40.6%). Logistic regression analysis showed that GCI (odds ratio=0.63; 95% confidence interval=0.526-0.76) was independently associated with FoF, after controlling for confounding factors. Older adults with GCI showed the lowest prevalence of FoF, although they had the lowest physical function comparing with the other groups (p<0.001). CONCLUSION: MCI and GCI in community-dwelling older adults affect the prevalence of FoF in a completely different manner. Further study is required to determine whether insensitivity to FoF with GCI increases the risk of falling in older adults.
OBJECTIVES: Few studies have reported the relationship between fear of falling (FoF) and mild and global cognitive impairment in community-dwelling older adults. We aimed to determine whether the status of cognitive impairment affects the prevalence of FoF in community-dwelling older adults. STUDY DESIGN: Cross-sectional study among 4474 community-dwelling older adults who participated in the Obu Study of Health Promotion for the Elderly. MAIN OUTCOME MEASURES: Participants underwent cognitive tests and were divided into three groups: cognitive healthy, mild cognitive impairment (MCI), and global cognitive impairment (GCI). FoF and related variables, such as fall history, physical function, and depression, were also investigated. RESULTS: The prevalence of FoF was significantly different by group (p<0.001; healthy: 43.6%, MCI: 50.6%, GCI: 40.6%). Logistic regression analysis showed that GCI (odds ratio=0.63; 95% confidence interval=0.526-0.76) was independently associated with FoF, after controlling for confounding factors. Older adults with GCI showed the lowest prevalence of FoF, although they had the lowest physical function comparing with the other groups (p<0.001). CONCLUSION: MCI and GCI in community-dwelling older adults affect the prevalence of FoF in a completely different manner. Further study is required to determine whether insensitivity to FoF with GCI increases the risk of falling in older adults.
Authors: Björg Thordardottir; Carlos Chiatti; Lisa Ekstam; Agneta Malmgren Fänge Journal: Int J Environ Res Public Health Date: 2015-12-29 Impact factor: 3.390
Authors: Ellen Freiberger; Paolo Fabbietti; Andrea Corsonello; Fabrizia Lattanzio; Rada Artzi-Medvedik; Robert Kob; Itshak Melzer; Sabine Britting Journal: BMC Geriatr Date: 2022-08-23 Impact factor: 4.070