TY - JOUR PY - 2022// TI - Health-related physical fitness as a risk factor for falls in elderly people living in the community: a prospective study in China JO - Frontiers in public health A1 - Duan, Hongxia A1 - Wang, Hao A1 - Bai, Yiwen A1 - Lu, Yan A1 - Xu, Xueping A1 - Wu, Jing A1 - Wu, Xubo SP - 874993 EP - 874993 VL - 10 IS - N2 - OBJECTIVES: Health-related physical-fitness (HRPF) involves multi-components of physical functional tests and is reported to be associated with the risk of fall. The study sought to determine whether specific physical fitness components were stronger predictors of falls among elderly people.

METHODS: This prospective cohort study involved 299 community residents age ≥60 years from Shanghai, China. The baseline data included comprehensive assessment of sociodemographic, clinical, and HRPF test. Subjects were followed for 1 year and were contacted by telephone to report falls. LASSO regression and Multivariate regression analysis were used to identify risk predictors of fall. In addition, we used receiver operating characteristic (ROC) curve analyses to determine whether the predictors have diagnostic.

RESULTS: During the 1-year prospective fall assessment, 11.7% of these subjects experienced one or frequent falls. LASSO models revealed that age (=0.01) and 8-ft up-and-go test score (=0.06) were positively associated with falls, while activity-specific balance confidence (ABC; = -0.007) and 2-min step test score (= -0.005) were inversely related. The Area Under roc Curve (AUC) for a linear combination of age, ABC scale score, 2-min step test and 8-ft up-and-go test was 0.778 (95% confidence interval: 0. 700-0.857), which was superior to any of the variables taken alone.

CONCLUSION: Age, activity-specific balance confidence and fitness abnormalities were determined to contribute to the incident of falls. The value of 2-min step test score, and 8-ft up-and-go test score were the key HRPF components in predicting falls among elderly people.

Language: en

LA - en SN - 2296-2565 UR - http://dx.doi.org/10.3389/fpubh.2022.874993 ID - ref1 ER -