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Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living

Author

Listed:
  • Inmaculada Tornero-Quiñones

    (Faculty of Education, Psychology and Sport Sciences, University of Huelva, 21071 Huelva, Spain)

  • Jesús Sáez-Padilla

    (Faculty of Education, Psychology and Sport Sciences, University of Huelva, 21071 Huelva, Spain)

  • Alejandro Espina Díaz

    (Faculty of Education, Psychology and Sport Sciences, University of Huelva, 21071 Huelva, Spain)

  • Manuel Tomás Abad Robles

    (Faculty of Education, Psychology and Sport Sciences, University of Huelva, 21071 Huelva, Spain)

  • Ángela Sierra Robles

    (Faculty of Education, Psychology and Sport Sciences, University of Huelva, 21071 Huelva, Spain)

Abstract

The objective of this research was to determine the differences in autonomy in both basic activities of daily life in instrumental activities of daily life, as well as functional capacity, fragility and risk of falls between an active group and a sedentary group. The individual associations of functional capacity, fragility and risk of falls were also analyzed, with autonomy in basic activities of daily living and in instrumental activities of daily living in the active group. In this cross-sectional investigation, 139 people from Huelva between 65 and 87 years of age were evaluated (Mean (M) = 73.1; standard deviation (SD) = 5.86); 100 were women and 39 men. The active and sedentary group were composed of 69 and 70 elderly people, respectively. The active group carried out a physical activity program. Among the results, a significant effect was seen in the multivariate contrast of the study variables, V = 0.24, F (5, 137) = 8.58, and p < 0.001; while in the linear regressions in the active group, the Vivifrail with the Barthel Index (Δ Adj. R 2 = 0.15) and with the Lawton and Brody Scale (Δ Adj. R 2 = 0.22) were used. In conclusion, the active group presented better values in all the variables evaluated in comparison to the sedentary group, establishing statistically significant differences. In addition, in the active group, it has been found that functional capacity is a significant predictive variable of autonomy in instrumental activities of daily living (22%), while fragility and the risk of falls are significant predictors of autonomy in activities of basic daily life (15%).

Suggested Citation

  • Inmaculada Tornero-Quiñones & Jesús Sáez-Padilla & Alejandro Espina Díaz & Manuel Tomás Abad Robles & Ángela Sierra Robles, 2020. "Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living," IJERPH, MDPI, vol. 17(3), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:1006-:d:316805
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    Citations

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    Cited by:

    1. Alejandra Segura Cardona & Doris Cardona Arango & Angela Segura Cardona & Carlos Robledo Marín & Diana Muñoz Rodríguez, 2022. "Friendly Residential Environments That Generate Autonomy in Older Persons," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    2. Noé Labata-Lezaun & Max Canet-Vintró & Carlos López-de-Celis & Jacobo Rodríguez-Sanz & Ramón Aiguadé & Leonor Cuadra-Llopart & Esther Jovell-Fernández & Joan Bosch & Albert Pérez-Bellmunt, 2022. "Effectiveness of a Multicomponent Training Program on Physical Performance and Muscle Quality in Older Adults: A Quasi-Experimental Study," IJERPH, MDPI, vol. 20(1), pages 1-8, December.
    3. Alexandre Duarte Martins & Orlando Fernandes & Ana Pereira & Rafael Oliveira & Franco David Alderete Goñi & Nilton João Chantre Leite & João Paulo Brito, 2022. "The Effects of High-Speed Resistance Training on Health Outcomes in Independent Older Adults: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(9), pages 1-29, April.
    4. Emilio Jofré-Saldía & Álvaro Villalobos-Gorigoitía & Cristián Cofré-Bolados & Gerson Ferrari & Gemma María Gea-García, 2023. "Multicomponent Training in Progressive Phases Improves Functional Capacity, Physical Capacity, Quality of Life, and Exercise Motivation in Community-Dwelling Older Adults: A Randomized Clinical Trial," IJERPH, MDPI, vol. 20(3), pages 1-24, February.
    5. Antonio Granero-Gallegos, 2020. "New Developments in Physical Education and Sport," IJERPH, MDPI, vol. 17(24), pages 1-9, December.
    6. María Antonia Parra-Rizo & Gema Sanchís-Soler, 2021. "Physical Activity and the Improvement of Autonomy, Functional Ability, Subjective Health, and Social Relationships in Women over the Age of 60," IJERPH, MDPI, vol. 18(13), pages 1-10, June.
    7. Elisabeta Ioana Hiriscau & Elena-Cristina Buzdugan & Ligia-Ancuta Hui & Constantin Bodolea, 2022. "Exploring the Relationship between Frailty, Functional Status, Polypharmacy, and Quality of Life in Elderly and Middle-Aged Patients with Cardiovascular Diseases: A One-Year Follow-Up Study," IJERPH, MDPI, vol. 19(4), pages 1-18, February.

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