@article{ref1,
title="Changes in self-estimated step-over ability among older adults: a 3-year follow-up study",
journal="Journals of gerontology. Series B: psychological sciences and social sciences",
year="2020",
author="Sakurai, Ryota and Fujiwara, Yoshinori and Suzuki, Hiroyuki and Ogawa, Susumu and Higuchi, Takahiro and Imanaka, Kuniyasu",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: There is a growing body of literature examining age-related overestimation of one's own physical ability, which is a potential risk of falls in older adults, but it is unclear what leads them to overestimate. This study aimed to examine 3-year longitudinal changes in self-estimated step-over ability, along with one key risk factor: low frequency of going outdoors (FG), which is a measure of poor daily physical activity.   METHOD: This cohort study included 116 community-dwelling older adults who participated in baseline and 3-year follow-up assessments. The step-over test was used to measure both the self-estimated step-over bar height (EH) and the actual bar height (AH). Low FG was defined as going outdoors either every few days or less at baseline.   RESULTS: The number of participants who overestimated their step-over ability (EH>AH) significantly increased from 10.3% to 22.4% over the study period. AH was significantly lower at follow-up than at baseline in both participants with low and high FGs. Conversely, among participants with low FG, EH was significantly higher at follow-up than at baseline, resulting in increased self-estimation error toward overestimation. Regression model showed that low FG was independently associated with increased error in estimation (i.e., tendency to overestimate) at follow-up.   DISCUSSION: The present study indicated that self-overestimated physical ability in older adults is not only due to decreased physical ability but also due to increased self-estimation of one's ability as a function of low FG. Active lifestyle may be critical for maintaining accurate estimations of one's own physical ability.<p /> <p>Language: en</p>",
language="en",
issn="1079-5014",
doi="10.1093/geronb/gbaa219",
url="http://dx.doi.org/10.1093/geronb/gbaa219"
}