The development of fear of falling among community-living older women: predisposing factors and subsequent fall events.
The development of fear of falling among community-living older women: predisposing factors and subsequent fall events.
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社区老年妇女对跌倒恐惧的发展：诱发因素和随后的跌倒事件。
DOI：
10.1093/gerona/58.10.m943
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Gill,ThomasM
中科院分区：
文献类型：
--
作者：
Murphy,SusanL;Dubin,JoelA;Gill,ThomasM
背景：害怕跌倒是老年人的一个常见的、有可能改变的健康问题。然而，相对知之甚少的是谁开发的恐惧下降或whyse.Methods。从一个有代表性的队列的社区生活的人年龄在72岁或以上，我们评估了313名妇女谁没有害怕下降。这些参与者接受了全面的家庭评估，并在1年后因担心跌倒而重新评估。跌倒事件每月使用一个有效的fallemetriar.Results.84（27%）的参与者发展的恐惧下降，在1年和77（25%）的参与者经历了至少一个跌倒事件。发生跌倒恐惧的诱发因素包括年龄80岁或以上（校正的相对风险1.48; 95%置信区间1.04-2.12），视力障碍（1.42; 1.01-2.00），久坐不动的生活方式（1.96; 1.35-2.84）和没有可用的情感支持（2.64; 1.57-4.41）。随后的跌倒事件的发生也与发展中的跌倒恐惧显着相关（未调整的相对危险度1.70; 1.18-2.45），虽然这种效果只观察到参与者中谁至少有一个predisposingfactor.Conclusions.Among社区生活的老年妇女，跌倒的恐惧发展由于相结合的诱发因素和随后的跌倒事件。由于许多诱发因素与跌倒风险有关，因此减少跌倒恐惧的预防措施也可能降低跌倒的可能性。
Background.Fear of falling is a common and potentially modifiable health problem among older persons. However, relatively little is known about who develops fear of falling or why.Methods.From a representative cohort of community-living persons aged 72 years or older, we evaluated 313 women who had no fear of falling. These participants underwent a comprehensive in-home assessment and were reassessed for fear of falling 1 year later. Fall events were ascertained monthly using a validated fall calendar.Results.84 (27%) participants developed fear of falling at 1 year and 77 (25%) participants experienced at least one fall event. The predisposing factors for developing fear of falling included age 80 years or older (adjusted relative risk 1.48; 95% confidence intervals 1.04–2.12), visual impairment (1.42; 1.01–2.00), a sedentary lifestyle (1.96; 1.35–2.84), and no available emotional support (2.64; 1.57–4.41). The occurrence of a subsequent fall event was also significantly associated with developing fear of falling (unadjusted relative risk 1.70; 1.18–2.45), although this effect was observed only among participants who had at least one predisposing factor.Conclusions.Among community-living older women, fear of falling develops due to a combination of predisposing factors and subsequent fall events. Since many of the predisposing factors are related to fall risk, preventive efforts to reduce fear of falling may also decrease the likelihood of falling.