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Investigating Fall-Related Factors in Community-Dwelling Older Women Through Structural Equation Modeling Analysis

Author

Listed:
  • Riskah Nur’amalia

    (Doctoral Course of Graduate School of Medical Sciences, Kanazawa University, Kanazawa 9200942, Japan
    Department of Physiotherapy, Hasanuddin University, Makassar 90245, Indonesia)

  • Mayumi Kato

    (Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa 9200942, Japan)

  • Masami Yokogawa

    (Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa 9200942, Japan)

  • Yoshimi Taniguchi

    (Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa 9200942, Japan)

  • Andi Masyitha Irwan

    (Faculty of Nursing, Hasanuddin University, Makassar 90245, Indonesia)

Abstract

Falls are more prevalent in older women than in older men; however, few structural equation analysis studies have focused on the factors contributing to falls in this population, particularly in Asian regions such as Indonesia. This study aimed to investigate the direct and indirect associations among fall-related factors in community-dwelling older women. This cross-sectional study enrolled 90 community-dwelling older women aged ≥ 60 years from August to September 2023. Data collection included structured questionnaires on fall incidence as a sociodemographic variable, fear of falling, and gait efficacy, as well as physical measurements of physical function and the amount of physical activity. Structural equation modeling was used to test the hypothesized pathways among the variables. The results showed that physical function (β = 0.233, p = 0.02), gait efficacy (β = −0.318, p = 0.001), and amount of physical activity (β = −0.243, p = 0.009) were directly associated with fall incidence. Physical function (β = 0.152) and fear of falling (β = 0.183) were indirectly associated with fall incidence through the mediation of gait efficacy and the amount of physical activity. Furthermore, the amount of physical activity was directly associated with high physical function (β = −0.236, p = 0.038). These findings suggest that, in addition to improving physical function and activity levels, older women require psychometric interventions to prevent falls.

Suggested Citation

  • Riskah Nur’amalia & Mayumi Kato & Masami Yokogawa & Yoshimi Taniguchi & Andi Masyitha Irwan, 2025. "Investigating Fall-Related Factors in Community-Dwelling Older Women Through Structural Equation Modeling Analysis," IJERPH, MDPI, vol. 22(6), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:6:p:906-:d:1673215
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    References listed on IDEAS

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    1. Edward McAuley & James F. Konopack & Katherine S. Morris & Robert W. Motl & Liang Hu & Shawna E. Doerksen & Karl Rosengren, 2006. "Physical Activity and Functional Limitations in Older Women: Influence of Self-Efficacy," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(5), pages 270-277.
    2. Ana Lavedán & Maria Viladrosa & Pilar Jürschik & Teresa Botigué & Carmen Nuín & Olga Masot & Raquel Lavedán, 2018. "Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-14, March.
    Full references (including those not matched with items on IDEAS)

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