TY - JOUR PY - 2017// TI - Factors associated with fear of falling in community-dwelling older adults with and without diabetes mellitus: findings from the Frailty in Brazilian Older People Study (FIBRA-BR) JO - Experimental gerontology A1 - de Souza Moreira, Bruno A1 - Sampaio, Rosana Ferreira A1 - Diz, Juliano Bergamaschine Mata A1 - de Carvalho Bastone, Alessandra A1 - Ferriolli, Eduardo A1 - Neri, Anita Liberalesso A1 - Lourenço, Roberto Alves A1 - Dias, Rosângela Corrêa A1 - Kirkwood, Renata Noce SP - 103 EP - 111 VL - 89 IS - N2 - PURPOSE: This study aimed to investigate the associated factors with fear of falling in community-dwelling older adults with and without diabetes mellitus.

METHODS: Data from the Frailty in Brazilian Older People Study (FIBRA-BR), involving 4449 individuals aged 65years or older (19.2% with diabetes), were analyzed. The potential factors associated with fear of falling included sociodemographic data, chronic diseases, health-related variables and functional capacity measures. Logistic regression analysis was performed to identify the factors associated with fear of falling.

RESULTS: Female gender, arthritis or rheumatism, negative health self-perception, frailty, lower Lawton Scale score and reduced gait speed were independently associated with fear of falling in both groups. Factors associated with fear of falling specific to non-diabetic older adults were depression, visual impairment, falls in the previous 12months, obesity, depressive symptoms, higher Katz Index score and decreased handgrip strength. Lower Mini-Mental State Examination score was an associated factor with fear of falling only in those with diabetes.

CONCLUSION: The factors associated with fear of falling did differ between non-diabetic and diabetic older adults. Health care professionals should consider such differences when planning their therapeutic approaches for a successful management of fear of falling in these older populations.

Copyright © 2016. Published by Elsevier Inc.

Language: en

LA - en SN - 0531-5565 UR - http://dx.doi.org/10.1016/j.exger.2017.01.004 ID - ref1 ER -