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Prospective Study on the Impact of Fear of Falling on Functional Decline among Community Dwelling Elderly Women

Author

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  • Kyungwon Choi

    (Department of Nursing, Korea National University of Transportation, 61 Daehak-ro, Jeungpyeong-gun Chungbuk 27909, Korea)

  • Gyeong-Suk Jeon

    (Department of Nursing, Mokpo National University, 1666 Yeongsan-ro, Cheonggye-myeon, Muan-gun, Jeollanam-do 534-729, Korea)

  • Sung-il Cho

    (Graduate School of Public Health and Institute of Health and Environment, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea)

Abstract

Fear of falling (FOF) is expected to have effects on functional decline in the elderly. In this study, we examined over 2 years the effect of change in FOF on functional decline in community dwelling elderly. We conducted a secondary analysis using data from elderly women, 70 years of age and older, who participated in the Korean Longitudinal Study of Aging (KLoSA). Participants were divided into four categories according to change in FOF between the 2010 and 2012 surveys. Multiple logistic regression analysis was conducted regarding the effects of changes in FOF on functional decline after controlling for variables as known risk factors for functional decline. Rates of functional decline were highest in the “consistently having FOF” group, whereas they were lowest in the “consistently no FOF” group in both 2010 and 2012. Characteristics independently associated with functional decline were change in FOF, depressive symptoms, low frequency of meeting friends, and fear-induced activity avoidance. Longer exposure to FOF was associated with an increased risk of functional decline. FOF is an important health problem that deserves attention in its own right. Public health approaches for elderly persons should address early detection, prevention, and intervention programs for FOF.

Suggested Citation

  • Kyungwon Choi & Gyeong-Suk Jeon & Sung-il Cho, 2017. "Prospective Study on the Impact of Fear of Falling on Functional Decline among Community Dwelling Elderly Women," IJERPH, MDPI, vol. 14(5), pages 1-11, April.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:5:p:469-:d:96959
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    References listed on IDEAS

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    1. Carlos F. Mendes de Leon & Deborah T. Gold & Thomas A. Glass & Lori Kaplan & Linda K. George, 2001. "Disability as a Function of Social Networks and Support in Elderly African Americans and Whites," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(3), pages 179-190.
    2. Stuck, Andreas E. & Walthert, Jutta M. & Nikolaus, Thorsten & Büla, Christophe J. & Hohmann, Christoph & Beck, John C., 1999. "Risk factors for functional status decline in community-living elderly people: a systematic literature review," Social Science & Medicine, Elsevier, vol. 48(4), pages 445-469, February.
    3. William R. Young & Alan M. Wing & Mark A. Hollands, 2012. "Influences of State Anxiety on Gaze Behavior and Stepping Accuracy in Older Adults During Adaptive Locomotion," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(1), pages 43-51.
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    Cited by:

    1. Luis Toronjo-Hornillo & Carolina Castañeda-Vázquez & María del Carmen Campos-Mesa & Gloria González-Campos & Juan Corral-Pernía & Fátima Chacón-Borrego & Óscar DelCastillo-Andrés, 2018. "Effects of the Application of a Program of Adapted Utilitarian Judo (JUA) on the Fear of Falling Syndrome (FOF) for the Health Sustainability of the Elderly Population," IJERPH, MDPI, vol. 15(11), pages 1-9, November.
    2. Yong Fang & Wenli Zhang & Hua Hu & Jiayi Zhou & Dianliang Xiao & Shaojie Li, 2022. "Adaptive Aging Safety of Guidance Marks in Rail Transit Connection Systems Based on Eye Movement Data," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    3. Magnifique Nkurunziza & Zandile June-Rose Mchiza & Yanga Zembe, 2023. "Meals on Wheels: Promoting Food and Nutrition Security among Older Persons in Cape Town, South Africa," IJERPH, MDPI, vol. 20(3), pages 1-19, January.
    4. Milena Kostadinovic & Dejan Nikolic & Ivana Petronic & Dragana Cirovic & Mirko Grajic & Milena Santric Milicevic, 2018. "Sociodemographic Predictors of Physical Functioning in the Elderly: A National Health Survey," IJERPH, MDPI, vol. 16(1), pages 1-13, December.
    5. Seonhye Lee & Eunmi Oh & Gwi-Ryung Son Hong, 2018. "Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History," IJERPH, MDPI, vol. 15(5), pages 1-12, May.
    6. Ewa Puszczalowska-Lizis & Wioletta Mikulakova & Sabina Lizis & Karolina Koziol & Jaroslaw Omorczyk, 2022. "Relationships between the Perception of Footwear Comfort and the Fear of Falls in People at the Early Period of Old Age," IJERPH, MDPI, vol. 19(10), pages 1-10, May.
    7. Sukhee Ahn & Rhayun Song, 2021. "Exploring Fear of Falling Related Activity Avoidance among Postmenopausal Women," IJERPH, MDPI, vol. 18(8), pages 1-8, April.

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