TY - JOUR
PY - 2017//
TI - Frailty and fear of falling: The FISTAC Study
JO - Journal of frailty and aging
A1 - Esbrí-Víctor, M.
A1 - Huedo-Rodenas, I.
A1 - López-Utiel, M.
A1 - Navarro-López, J. L.
A1 - Martínez-Reig, M.
A1 - Serra-Rexach, J. A.
A1 - Romero-Rizos, L.
A1 - Abizanda, P.
SP - 136
EP - 140
VL - 6
IS - 3
N2 - OBJECTIVE: To analyze the association between frailty and Fear of Falling (FoF) in a cohort of older adults with previous falls.
DESIGN: Cross-sectional study (FISTAC). SETTING: Falls Unit, Complejo Hospitalario Universitario of Albacete (Spain). PARTICIPANTS: 183 adults older than 69 years, from the Falls Unit, with a history of a previous fall in the last year. MEASUREMENTS: FoF was assessed at baseline using the Falls Efficacy Scale International (FES-I) and three questions previously validated. Frailty was assessed with the frailty phenotype criteria. Age, gender, comorbidity, nutritional status, cognitive status and risk of depression were determined.
RESULTS: Mean age 78.4, 80.3% women. FoF was present in 140 (76.5%) participants with the three questions and 102 (55.7%) presented high concern of falling with the FES-I. 88.8% of frail older adults presented FoF compared to 62.4% of those who were not frail, and only 37.8% of non frail had a high concern of falling, compared to 77.2% of those who were frail measured with the FES-I. Frail participants had an adjusted risk of FoF that was 3.18 (95% CI 1.32 to 7.65) higher compared to those who were not frail assessed with the three questions and 3.93 (95% CI 1.85 to 8.36) higher concern of falling when using the FES-I scale. Only female sex and depression risk were also associated to FoF in the final adjusted models.
CONCLUSION: Frailty is independently associated with the FoF syndrome in older faller subjects.
Language: en
LA - en SN - 2260-1341 UR - http://dx.doi.org/10.14283/jfa.2017.19 ID - ref1 ER -