CONSEQUENCES OF FEAR OF FALLING AND ACTIVITY RESTRICTION

该项目的广泛长期目标是利用流行病学研究中获得的知识，制定针对害怕跌倒的老年人和因害怕跌倒而减少活动的老年人的干预策略。这项建议的具体目标是：1）确定a）害怕摔倒但不会因害怕而减少活动的老年人的独特身体，心理社会和人口统计特征（以下简称“恐独”）以及B）害怕摔倒的老年人，他们由于这种恐惧而减少活动（以下称为害怕跌倒和相关活动受限的人）; 2）评估跌倒恐惧和相关活动限制对基本日常生活活动（BADL）自我报告功能变化的影响和工具性日常生活活动（IADL）在一个为期三年的时间;和3）以确定是否之间的关系的恐惧下降和功能下降在三年的时间是介导的身体能力的下降。

The broad long term objective of this project is to use the knowledge gained from epidemiologic studies to develop intervention strategies tailored to the needs of older adults with fear of falling and those who cut down on activities due to fear of falling. The specific aims of this proposal are: 1) To identify the distinctive physical, psychosocial, and demographic characteristics of a) older adults with a fear of falling who do not cut down on activity due to that fear (hereafter known as those with fear of falling alone), and b) older adults with fear of falling who cut down on activity due to that fear (hereafter known as those with fear of falling and associated activity restriction); 2) To evaluate the effects of fear of falling and associated activity restriction on changes in self-reported function in basic activities of daily living (BADL) and instrumental activities of daily living (IADL) over a three-year period; and 3) To determine whether the relationship between fear of falling and functional decline over a three-year period is mediated by decline in physical capabilities.