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Journal Article

Citation

de Souza Moreira B, Sampaio RF, Diz JB, de Carvalho Bastone A, Ferriolli E, Neri AL, Lourenço RA, Dias RC, Kirkwood RN. Exp. Gerontol. 2017; 89: 103-111.

Affiliation

Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, Belo Horizonte, MG 31270-901, Brazil. Electronic address: renata.kirkwood@gmail.com.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.exger.2017.01.004

PMID

28104446

Abstract

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

Keywords

Diabetes mellitus; Fear of falling; Frailty; Gait speed; Older adults

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