Everyday Experiences of Physical Function and Awareness of Fall Risk in Older Adulthood.
Everyday Experiences of Physical Function and Awareness of Fall Risk in Older Adulthood.
复制标题
DOI：
10.1093/geroni/igad037
复制
发表时间：
2023
影响因子：
7
通讯作者：
Sosnoff, Jacob J.
中科院分区：
文献类型：
--
作者：
Mejia, Shannon T.;Su, Tai-Te;Washington, Faith C.;Golinski, Sean;Sosnoff, Jacob J.
关键词：
福尔斯是老年人死亡和残疾的主要原因，当日常活动的需求超过保持平衡的能力时，就会发生在日常生活中。据估计，30%的老年人错误估计了他们的身体机能，使他们面临更大的跌倒风险。这项研究探讨了身体功能的经验如何与日常生活中跌倒风险的意识相关联。在跌倒风险评估后连续30天，41名老年人（观察值= 1，135; 56%女性;年龄：65-91）使用自定义智能手机应用程序自我评估客观和主观跌倒风险。跌倒风险的客观和主观的一致性被指数化为跌倒风险的意识。通过应用程序测量姿势摇摆。每天报告身体和活动症状以及害怕跌倒。在基线时，49%的参与者错误估计了他们的跌倒风险。对跌倒风险的认识每天都不一样，40%的日子里跌倒风险被错误估计。多水平多项模型显示，个体差异的水平，日常症状，增加的倾向，错误估计跌倒的风险。日常症状和对跌倒的恐惧增加了对高跌倒风险的认识，但日常症状威胁了对低跌倒风险的认识。研究结果表明，跌倒风险的错误估计在老年人中很常见，并通过对身体功能的评估来了解。跌倒预防策略可以帮助老年人了解他们的日常身体功能，并提供工具来调整日常生活中的活动需求。
Falls, the leading cause of death and disability among older adults, occur in daily life when the demands of daily activities surpass the ability to maintain balance. An estimated 30% of older adults misestimate their physical function, placing them at greater risk of falling. This study examined how experiences of physical function are linked to awareness of fall risk in daily life. For 30 consecutive days following a fall-risk assessment, 41 older adults (observations = 1,135; 56% women; age: 65–91) self-assessed objective and subjective fall risk using a custom smartphone application. Alignment of objective and subjective fall risk was indexed as awareness of fall risk. Postural sway was measured by the application. Physical and mobility symptoms and fear of falling were reported daily. At baseline, 49% of participants misestimated their fall risk. Awareness of fall risk varied from day to day and fall risk was misestimated on 40% of days. Multilevel multinomial models showed individual differences in the level of daily symptoms to increase the tendency to misestimate fall risk. Daily symptoms and fear of falling increased awareness of high fall risk, but daily symptoms threatened awareness of low fall risk. Findings suggest that misestimation of fall risk is common in older adulthood and informed by appraisals of physical function. Fall prevention strategies could support older adults in understanding their everyday physical function and provide tools to adjust the demands of activities in daily life.
登录
查看更多内容
日常步行活动，客观和感知到老年人跌倒的风险之间的关联。
影响因子：
6.7
作者：
Jansen CP;Klenk J;Nerz C;Todd C;Labudek S;Kramer-Gmeiner F;Becker C;Schwenk M
通讯作者：
Schwenk M
影响因子：
4.1
作者：
Sakurai R;Fujiwara Y;Ishihara M;Higuchi T;Uchida H;Imanaka K
通讯作者：
Imanaka K
DOI：
10.1093/geronb/gby085
发表时间：
2020-03-01
影响因子：
6.2
作者：
Barrett, Anne E.;Gumber, Clayton
通讯作者：
Gumber, Clayton
DOI：
10.1016/j.jamda.2017.08.001
发表时间：
2017-11-01
影响因子：
7.6
作者：
Klenk, Jochen;Becker, Clemens;Kerse, Ngaire
通讯作者：
Kerse, Ngaire
影响因子：
4
作者：
Lajoie, Y;Gallagher, SP
通讯作者：
Gallagher, SP