Levels of Accelerometer-Based Physical Activity in Older Adults With a Mismatch Between Physiological Fall Risk and Fear of Falling.

Levels of Accelerometer-Based Physical Activity in Older Adults With a Mismatch Between Physiological Fall Risk and Fear of Falling.
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DOI:
10.3928/00989134-20230512-06
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发表时间:
2023-06
影响因子:
1.3
通讯作者:
Stout JR
Stout JR
中科院分区:
医学4区
文献类型:
--
作者:
Thiamwong L;Xie R;Park JH;Choudhury R;Malatyali A;Li W;Eckstrom E;Stout JR

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我们研究了基于加速度计的身体活动水平与社区老年人生理跌倒风险和跌倒恐惧(FOF)不匹配之间的关联。我们评估了123名接受7天腕戴式加速度计的参与者。使用便携式BTrackS™平衡系统评估生理性跌倒风险,并使用国际福尔斯疗效量表的简短版本评估FOF。参与者被分为四组:合理(低FOF/正常平衡),不合理(高FOF/正常平衡),不一致(低FOF/平衡差)和一致(高FOF/平衡差)。三分之一的老年人的FOF和实际跌倒风险之间不匹配。基于加速度计的中度至剧烈体力活动(MVPA)在不合理组与合理组(p = 0.023)和一致组与合理组(p = 0.032)之间存在显著差异。鼓励老年人改善MVPA可以防止他们从理性转向非理性或一致的群体,从而降低伤害性福尔斯的风险。
We examined the associations between levels of accelerometer-based physical activity and the mismatch of physiological fall risk and fear of falling (FOF) in community-dwelling older adults. We assessed 123 participants who received 7-day wrist-worn accelerometry. Physiological fall risk was assessed using the portable BTrackS™ balance system and FOF was assessed using a short version of the Falls Efficacy Scale-International. Participants were categorized into four groups: rational (low FOF/normal balance), irrational (high FOF/normal balance), incongruent (low FOF/poor balance), and congruent (high FOF/poor balance). One third of older adults had a mismatch between their FOF and actual fall risk. Accelerometer-based moderate to vigorous physical activity (MVPA) was significantly different in the irrational group compared to the rational group (p = 0.023) and the congruent group compared to the rational group (p = 0.032). Encouraging older adults to improve MVPA may prevent them from shifting from rational to irrational or congruent groups, thereby reducing the risk of injurious falls.
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