Key result
Among older adults with heart disease, fear of falling increased with lower physical performance, cognition, quality of life, and insufficient income.
Why the study?
Older adults with heart disease have a higher prevalence of falls, but factors associated with fear of falling in this group remain poorly understood.
What factors are associated with fear of falling among community-dwelling older adults with heart disease?
Cross-Sectional (n=429)
Yes
What factors are associated with fear of falling among community-dwelling older adults with heart disease?
Fear of falling in older adults with heart disease is multifactorial and associated with lower physical performance, cognitive function, quality of life, and insufficient income.
Answers are grounded in this paper and cite their sources.
FOF screening may inform fall prevention in older adults with HD; leaves open causal factors and intervention effects for prospective trials.
BACKGROUND: Older adults with heart disease (HD) are more likely to report a higher prevalence of falls compared to those without HD. A knowledge gap currently exists regarding the factors associated with fear of falling (FOF) among older adults with HD. Therefore, this study aimed to estimate FOF and identify factors associated with FOF among older adults with HD. METHODS: Data came from a secondary analysis of the International Mobility in Aging Study (IMIAS) baseline (2012) data. FOF was measured using the Falls Efficacy Scale-International (FES-I). Stepwise linear regression was used to identify factors associated with FOF. RESULTS: A total of 429 participants identified themselves as having heart disease diagnosed by their physician (mean age 69.5 ± 2.9). Older adults with HD reported on average (25.6) higher FOF than those without HD. For older adults with HD, FES-I increased significantly by 1.3, 1.0, and 0.6 points, when the Short Physical Performance Battery, the Leganes Cognitive Test, and QOL total scores decreased by one point. FES-I also significantly increased by 3.2 when income was insufficient compared to sufficient or very sufficient income. DISCUSSION: FOF is multifactorial, and our findings provide a base for developing future management rehabilitation intervention programs aimed at decreasing FOF among older adults with HD.
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Aburub et al. (2021) conducted a cross-sectional in Heart disease (n=429). Decreased physical performance, cognition, quality of life, and insufficient income vs. Higher performance/cognition/QOL scores and sufficient income was evaluated on Fear of falling (FOF) measured by the Falls Efficacy Scale-International (FES-I). Among older adults with heart disease, fear of falling increased with lower physical performance, cognition, quality of life, and insufficient income.
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