Fear of falling in older women: A longitudinal study of incidence, persistence, and predictors
Fear of falling in older women: A longitudinal study of incidence, persistence, and predictors
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DOI：
10.1111/j.1532-5415.2007.01317.x
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发表时间：
2007-10-01
影响因子：
6.3
通讯作者：
Bruce, David
中科院分区：
文献类型：
--
作者：
Austin, Nicole;Devine, Amanda;Bruce, David
目的：确定老年女性跌倒事件和持续恐惧 (FOF) 的纵向预测因子。设计：纵向研究。地点：一所大学医院的临床研究中心。参与者：1282 名 70 至 85 岁的社区居住女性。测量：基线时和 3 年随访后的 FOF；一系列基线人口统计和临床变量，包括活动能力、平衡能力和抑郁症。结论：基线时 418 名受试者 (33%) 存在 FOF，基线时没有症状的女性中有 30% 出现 FOF，3 年随访后，总共 46% 的样本报告有 FOF。在横断面多变量分析中，基线 FOF 与一系列变量独立相关，包括独居、肥胖、认知障碍、抑郁以及平衡和活动能力障碍。 3 年后持续存在的 FOF 基线预测因素相似，而肥胖和较慢的计时和测试分数预测新发 FOF。老年女性中 FOF 是一种常见且持续的主诉，主要由平衡和活动能力受损引起。一系列导致残疾的社会、心理和身体风险因素与 FOF 的持续存在相关。这些结果表明早期干预对于预防持续性 FOF 可能很重要。
OBJECTIVES: To determine longitudinal predictors of incident and persistent fear of falling (FOF) in older women.DESIGN: Longitudinal study.SETTING: Clinical research center based at a university hospital.PARTICIPANTS: One thousand two hundred eighty-two community-dwelling women aged 70 to 85.MEASUREMENTS: FOF at baseline and after 3 years of follow-up; a range of baseline demographic and clinical variables, including mobility, balance, and depression.CONCLUSION: FOF was present in 418 subjects (33%) at baseline, developed in 30% of women who had been free of the symptom at baseline, and was reported by a total of 46% of the sample after 3 years of follow-up. In cross-sectional multivariable analysis, baseline FOF was independently associated with a range of variables, including living alone, obesity, cognitive impairment, depression, and impairments in balance and mobility. Baseline predictors of FOF that persisted after 3 years were similar, whereas obesity and slower timed up and go test scores predicted new-onset FOF.FOF in older women is a common and persistent complaint that is caused mainly by impairments of balance and mobility. A range of social, psychological, and physical risk factors for disability are associated with persistence of FOF. These results imply that early intervention may be important for the prevention of persistent FOF.