Syncope, Fear of Falling and Quality of Life Among Older Adults: Findings From the Irish Longitudinal Study on Aging (TILDA)
Syncope, Fear of Falling and Quality of Life Among Older Adults: Findings From the Irish Longitudinal Study on Aging (TILDA)
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DOI：
10.3389/fcvm.2020.00007
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发表时间：
2020-02-07
影响因子：
3.6
通讯作者：
Kenny, Rose Anne
中科院分区：
文献类型：
--
作者：
McCarthy, Kevin;Ward, Mark;Kenny, Rose Anne
目的：晕厥是一种常见疾病，对生活质量有显着影响。我们研究了晕厥与生活质量 (QoL) 之间的关联，以及这种关联是否可以用对跌倒的恐惧 (FoF) 来解释。方法：我们研究了爱尔兰老龄化纵向研究 (TILDA) 第 3 波的数据，对象是年龄 >= 50 岁的成年人 (n = 4,946)，他们被要求报告晕厥并完成了 CASP-12 QoL 工具。分析按年龄和性别进行分层。结果：超过 20% 的参与者报告曾有过晕厥发作，而 8% 的参与者报告去年有过晕厥、昏厥或不明原因的跌倒。随着晕厥负担的增加，生活质量评分下降：针对协变量调整的线性回归模型显示，去年发生过两次或两次以上晕厥发作的患者报告的 CASP-12 评分显着低于没有晕厥发作的患者 (p = 0.011)。 FoF 部分介导了晕厥和生活质量之间的关联，尤其是在年轻参与者中。结论：晕厥是老年人中的常见病症，对生活质量产生有害影响，最近发生 >= 2 次晕厥发作对生活质量尤其不利。 FoF 是一种潜在的途径，它既可以解释这种关联，也可以允许健康从业者进行治疗干预。
Objective: Syncope is a prevalent condition that has a marked impact on quality of life. We examined the association between syncope and quality of life (QoL) and whether this association was explained by fear of falling (FoF).Methods: We examined data from Wave 3 of The Irish Longitudinal Study on Aging (TILDA), of adults aged >= 50 years (n = 4,946) who were asked to report syncope and who completed the CASP-12 QoL instrument. Analyses were stratified by age and gender.Results: Over 20% of participants reported having a previous syncopal episode, while 8% reported a faint, blackout or unexplained fall in the last year. QoL scores decreased as the burden of syncope increased: linear regression models adjusted for covariates showed that those having had two or more syncopal episodes in the last year reported a significantly lower CASP-12 score compared to those with none (p = 0.011). FoF partially mediated the association between syncope and QoL, particularly among younger participants.Conclusions: Syncope is a common condition among older adults that has a deleterious effect on QoL, with >= 2 recent syncopal episodes having a particularly adverse impact on QoL. FoF is a potential pathway which may both explain this association and allow therapeutic interventions by health practitioners.