TY  - JOUR
PY  - 2018//
TI  - Impact of fear of falling and fall history on disability incidence among older adults: prospective cohort study
JO  - International journal of geriatric psychiatry
A1  - Makino, Keitaro
A1  - Makizako, Hyuma
A1  - Doi, Takehiko
A1  - Tsutsumimoto, Kota
A1  - Hotta, Ryo
A1  - Nakakubo, Sho
A1  - Suzuki, Takao
A1  - Shimada, Hiroyuki
SP  - 658
EP  - 662
VL  - 33
IS  - 4
N2  - 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>
LA  - en
SN  - 0885-6230
UR  - http://dx.doi.org/10.1002/gps.4837
ID  - ref1
ER  -