
@article{ref1,
title="Levels of accelerometer-based physical activity in older adults with a mismatch between physiological fall risk and fear of falling",
journal="Journal of gerontological nursing",
year="2023",
author="Thiamwong, Ladda and Xie, Rui and Park, Joon-Hyuk and Choudhury, Renoa and Malatyali, Ayse and Li, Wenjun and Eckstrom, Elizabeth and Stout, Jeffrey R.",
volume="49",
number="6",
pages="41-49",
abstract="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. [Journal of Gerontological Nursing, 49(6), 41-49.].<p /> <p>Language: en</p>",
language="en",
issn="0098-9134",
doi="10.3928/00989134-20230512-06",
url="http://dx.doi.org/10.3928/00989134-20230512-06"
}