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March 17, 2021Physiotherapy Theory and Practice

Fear of Falling Among Community-Dwelling Older Adults with Heart Disease: Findings from an International Mobility in Aging Study (IMIAS)

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Key result

Among older adults with heart disease, fear of falling (average FES-I score 25.6) significantly 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?

Population

429 older adults with physician-diagnosed heart disease (mean age 69.5 +/- 2.9)

Comparison

Older adults with heart disease vs those without heart disease

Design

Secondary analysis of baseline cross-sectional study data

Authors

AAAla’ S. AburubSPSusan P. PhillipsMAMayis Aldughmi

Discussion

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Member takes

Overview

FOF screening may inform fall prevention in older adults with HD; leaves open causal factors and intervention effects for prospective trials.

Study Design

Type

Cross-Sectional (n=429)

Multicenter

Yes

Structured PICO

What factors are associated with fear of falling among community-dwelling older adults with heart disease?

P
Population
429 older adults (mean age 69.5 years) with physician-diagnosed heart disease from the International Mobility in Aging Study baseline data.
O
Outcome
Fear of falling (FOF) measured using the Falls Efficacy Scale-International (FES-I)patient reported

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.

Cite This Study

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 (average FES-I score 25.6) significantly increased with lower physical performance, cognition, quality of life, and insufficient income.

synapsesocial.com/papers/6a4c42c9028ea97264ab774chttps://doi.org/10.1080/09593985.2021.1901327
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Epidemiology of heart failure: the prevalence of heart failure and ventricular dysfunction in older adults over time. A systematic review2016 · 804 citations
  2. 2Fear of Falling in Older Mexican Americans: A Longitudinal Study of Incidence and Predictive Factors2016 · 61 citations
  3. 3Validation of a short cognitive tool for the screening of dementia in elderly people with low educational level2003 · 138 citations
  4. 4The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study2010 · 875 citations
  5. 5Associations between health-related quality of life, physical function and fear of falling in older fallers receiving home care2018 · 102 citations