Characteristics associated with fear of falling and activity restriction in community-living older persons
Characteristics associated with fear of falling and activity restriction in community-living older persons
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DOI：
10.1046/j.1532-5415.2002.50119.x
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发表时间：
2002-03-01
影响因子：
6.3
通讯作者：
Gill, TM
中科院分区：
文献类型：
--
作者：
Murphy, SL;Williams, CS;Gill, TM
目的：识别与因害怕跌倒而限制活动相关的特征（活动限制），并确定限制活动的老年人与害怕跌倒但不限制活动的老年人有哪些区别设计：以人群为基础的横断面研究。地点：一般社区。参与者：1064社区生活的72岁及以上的人。MEASUREMENTS：候选预测因素确定从以下领域：人口，健康状况，身体，心理，和下降相关。结果的措施是没有害怕下降，害怕下降，或activityrestriction.RESULTS的报告：57%的队列报告没有害怕下降，24%的报告害怕下降，和19%的报告限制活动。健康状况不佳、身体表现迟缓、日常生活活动障碍和心理社会功能不佳的参与者比例在活动受限者中最高，在单独害怕跌倒者中居中，在不害怕跌倒者中最低。参与者的恐惧下降，独立与活动限制的特点是历史的一个伤害性的下降，缓慢的时间物理性能，两个或两个以上的慢性疾病，和抑郁symptoms.CONCLUSION：老年人谁限制活动的身体更虚弱，有更大的负担，慢性疾病和抑郁症状比那些谁害怕独自下降。害怕跌倒的人之间的这些差异可能会指导临床干预和预防计划的完善。
OBJECTIVES: To identify the characteristics associated with restricting activity because of fear of falling (activity restriction) and to determine which characteristics distinguish older persons who restrict activity from those who have fear of falling but do not restrict their activities (fear of falling alone).DESIGN: Population-based cross-sectional study.SETTING: General community.PARTICIPANTS: One thousand sixty-four community-living persons aged 72 and older.MEASUREMENTS: Candidate predictors were identified from the following domains: demographic, health status, physical, psychosocial, and fall-related. The outcome measure was the report of no fear of falling, fear of falling alone, or activity restriction.RESULTS: Fifty-seven percent of the cohort reported no fear of falling, 24% reported fear of falling alone, and 19% reported restricting activity. The proportion of participants with poor health status, slow timed physical performance, activities of daily living disability, and poor psychosocial function was highest in those with activity restriction, intermediate in those with fear of falling alone, and lowest in those with no fear of falling. Of participants with fear of falling, characteristics independently associated with activity restriction were history of an injurious fall, slow timed physical performance, two or more chronic conditions, and depressive symptoms.CONCLUSION: Older persons who restrict activity are more physically frail and have a greater burden of chronic conditions and depressive symptoms than those who have fear of falling alone. These differences between persons with fear of falling may guide the refinement of clinical interventions and preventative programs.