TY  - JOUR
PY  - 2016//
TI  - Cognitive impairment is associated with the absence of fear of falling in community-dwelling frail older adults
JO  - Geriatrics and gerontology international
A1  - Shirooka, Hidehiko
A1  - Nishiguchi, Shu
A1  - Fukutani, Naoto
A1  - Tashiro, Yuto
A1  - Nozaki, Yuma
A1  - Hirata, Hinako
A1  - Yamaguchi, Moe
A1  - Tasaka, Seishiro
A1  - Matsushita, Tomofumi
A1  - Matsubara, Keisuke
A1  - Aoyama, Tomoki
SP  - 232
EP  - 238
VL  - 17
IS  - 2
N2  - AIM: The purpose of the present study was to explore the association between cognitive function and fear of falling in frail/non-frail older adults in a community setting. <br><br>METHODS: We recruited 483 community-dwelling older adults aged 65 years and older (mean age 73.3 ± 5.1 years, 68.3% women). Fear of falling was assessed using a yes/no question, "Are you afraid of falling?" Cognitive function was measured using the Mini-Mental State Examination. The five subscores of the examination were also recorded. We used the frailty criteria developed by the Cardiovascular Health Study, and divided the participants into non-frail and frail groups according to the number of affected domains. The statistical analyses were carried out separately for these two groups. <br><br>RESULTS: A multiple logistic regression analysis showed that, in frail older adults, cognitive impairment was significantly associated with the absence of fear of falling (OR 0.04, 95% CI 0.00-0.50, P = 0.012). In addition, a stepwise multivariate logistic regression analysis showed that the score on the attention and calculation subsection of the Mini-Mental State Examination was positively associated with the presence of fear of falling in frail older adults (OR 1.83, 95% CI 1.08-3.12, P = 0.026). In contrast, cognitive impairment was not associated with fear of falling in non-frail older adults. <br><br>CONCLUSIONS: The results suggest that cognitive impairment, especially that in executive function, is associated with the absence of fear of falling in community-dwelling frail older adults. Geriatr Gerontol Int 2016; ●●: ●●-●●.<p />  <p>Language: en</p>
LA  - en
SN  - 1444-1586
UR  - http://dx.doi.org/10.1111/ggi.12702
ID  - ref1
ER  -