@article{ref1,
title="Impact of fear of falling and fall history on disability incidence among older adults: prospective cohort study",
journal="International journal of geriatric psychiatry",
year="2018",
author="Makino, Keitaro and Makizako, Hyuma and Doi, Takehiko and Tsutsumimoto, Kota and Hotta, Ryo and Nakakubo, Sho and Suzuki, Takao and Shimada, Hiroyuki",
volume="33",
number="4",
pages="658-662",
abstract="OBJECTIVE: Fear of falling (FOF) is a major health problem for older adults, present not just in fallers, but also nonfallers. This study examined the impact of FOF and fall history on disability incidence among community-dwelling older adults from a prospective cohort study. <br><br>METHODS: A total of 5104 older adults living in community settings participated in baseline assessment and were followed up for about 4 years (median 52 mo, range 49-55 mo). At baseline, participants were assessed the presence of FOF and their fall history, and divided into 4 groups: Fall (-) FOF (-), Fall (+) FOF (-), Fall (-) FOF (+), and Fall (+) FOF (+). Disability incidence was defined as national long-term care insurance certification for personal support or care. <br><br>RESULTS: During the follow-up period, 429 participants (9.9%) were newly certified as having a disability and needing personal support for long-term care insurance. Fall (-) FOF (+) group and Fall (+) FOF (+) group showed a significantly higher risk of disability incidence than Fall (-) FOF (-) group even after adjusting for covariates (Fall (-) FOF (+): hazard ratio 1.28, 95% confidence interval, 1.01-1.62, Fall (+) FOF (+): hazard ratio 1.44, 95% confidence interval, 1.05-1.98). <br><br>CONCLUSIONS: Fear of falling could be a simple and useful predictor of disability incidence in community-dwelling older adults. Identifying and decreasing fall risk factors may prevent fall-related injuries, but excessive FOF may be associated with increased risk of disability incidence.<br><br>Copyright © 2017 John Wiley & Sons, Ltd.<p /> <p>Language: en</p>",
language="en",
issn="0885-6230",
doi="10.1002/gps.4837",
url="http://dx.doi.org/10.1002/gps.4837"
}