TY - JOUR PY - 2018// TI - Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults JO - Medicine (Baltimore) A1 - Tomita, Yoshihito A1 - Arima, Kazuhiko A1 - Tsujimoto, Ritsu A1 - Kawashiri, Shin-Ya A1 - Nishimura, Takayuki A1 - Mizukami, Satoshi A1 - Okabe, Takuhiro A1 - Tanaka, Natsumi A1 - Honda, Yuzo A1 - Izutsu, Kazumi A1 - Yamamoto, Naoko A1 - Ohmachi, Izumi A1 - Kanagae, Mitsuo A1 - Abe, Yasuyo A1 - Aoyagi, Kiyoshi SP - e9721 EP - e9721 VL - 97 IS - 4 N2 - To determine the prevalence of fear of falling and associated factors among Japanese community-dwelling older adults.Cross-sectional study between 2011 and 2013.Community in which residents voluntarily attended a health examination.We recruited 844 older adults (male, n = 350; female, n = 494) aged 60 to 92 years from among those who presented at the health examination.We assessed fear of falling, falls in the previous year, pain, comorbidity, and cataracts. Five times chair stand time was applied as an indicator of physical performance.The prevalence of fear of falling was 26.9% and 43.3% among the men and women, respectively. Men and women who feared falling were older (P < .01), had longer 5 times chair stand time (P < .01), and more falls in the previous year (P < .05), pain (P < .01), and comorbidity (P < .05). Multivariate logistic regression analysis identified advanced age (odds ratios [OR], 1.57; 95% confidence interval [CI], 1.03-2.39), falls in the previous year (OR, 2.44; 95%CI, 1.29-4.64), and pain (OR, 1.82; 95%CI, 1.03-3.22) in men, and advanced age (OR, 1.59; 95%CI, 1.13-2.24), longer 5 times chair stand times (OR, 1.28; 95%CI, 1.04-1.59), falls in the previous year (OR, 2.59; 95%CI, 1.54-4.34), and pain (OR, 1.65; 95%CI, 1.06-2.55) in women as being independently associated with fear of falling.The prevalence of fear of falling was similar to previous reports. Advanced age, falls in previous year, and pain were associated with fear of falling in men. A longer 5 times chair stand time was also associated with fear of falling among older adult women. Maintenance of physical function and pain management might be important for older adults with fear of falling.
Language: en
LA - en SN - 0025-7974 UR - http://dx.doi.org/10.1097/MD.0000000000009721 ID - ref1 ER -