TY  - JOUR
PY  - 2012//
TI  - Fall Risk Index predicts functional decline regardless of fall experiences among community-dwelling elderly
JO  - Geriatrics and gerontology international
A1  - Ishimoto, Yasuko
A1  - Wada, Taizo
A1  - Kasahara, Yoriko
A1  - Kimura, Yumi
A1  - Fukutomi, Eriko
A1  - Chen, Wenling
A1  - Hirosaki, Mayumi
A1  - Nakatsuka, Masahiro
A1  - Fujisawa, Michiko
A1  - Sakamoto, Ryota
A1  - Ishine, Masayuki
A1  - Okumiya, Kiyohito
A1  - Otsuka, Kuniaki
A1  - Matsubayashi, Kozo
SP  - 659
EP  - 666
VL  - 12
IS  - 4
N2  - Aim:  The 21-item Fall Risk Index (FRI-21) has been used to detect elderly persons at risk for falls. The aim of this longitudinal study was to evaluate the FRI-21 as a predictor of decline in basic activities of daily living (BADL) among Japanese community-dwelling elderly persons independent of fall risk. Methods:  The study population consisted of 518 elderly participants aged 65 years and older who were BADL independent at baseline in Tosa, Japan. We examined risk factors for BADL decline from 2008 to 2009 by multiple logistic regression analysis on the FRI-21 and other functional status measures in all participants. We carried out the same analysis in selected participants who had no experience of falls to remove the effect of falls. Results:  A total of 45 of 518 participants showed decline in BADL within 1 year. Multivariate logistic regression analysis showed that age (odds ratio [OR] 1.13, 95% confidence interval [CI] 1.05-1.20), FRI-21 ≥ 10 (OR 3.81, 95% CI 1.49-9.27), intellectual activity dependence (OR 3.25, 95% CI 1.42-7.44) and history of osteoarthropathy (OR 3.17, 95% CI 1.40-7.21) were significant independent risk factors for BADL decline within 1 year. FRI-21 ≥ 10 and intellectual activity dependence (≤3) remained significant predictors, even in selected non-fallers. Conclusion:  FRI-21 ≥ 10 and intellectual activity dependence were significant predictive factors of BADL decline, regardless of fall experience, after adjustment for confounding variables. The FRI-21 is a brief, useful tool not only for predicting falls, but also future decline in functional ability in community-dwelling elderly persons. Geriatr Gerontol Int 2012; ••: ••-••.<p />  <p>Language: en</p>
LA  - en
SN  - 1444-1586
UR  - http://dx.doi.org/10.1111/j.1447-0594.2012.00837.x
ID  - ref1
ER  -