[Home ] [Archive]    
:: Main Archive Search Submit Manuscript Publication Ethics Contact ::
:: Volume 5, Issue 2 (6-2020) ::
CJHR 2020, 5(2): 23-27 Back to browse issues page
Assessment of Fear of Falling and its Relation to Balance in Elderly People of Urmia
Moradali Zarepour1, Mohammad Saeed Jadgal2, Zahra Moradi3, Ehsan Movahed 4
1- Health System Research Center, Health Center of Urmia, Urmia University of Medical Sciences, Urmia, Iran
2- School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran
3- Urmia Health Center,Urmia University of Medical Sciences, Urmia, Iran
4- School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran. , ehsanmovahed89@yahoo.com
Abstract:   (130 Views)
Background: Falling is a serious problem in the elderly population and one of its complications is fear of falling. Fear of falling is one of the threatening factors of elderly health. This study aimed to investigate fear of falling and its relationship with balance in elderly in Urmia.
Methods: This is a descriptive-analytic study that 200 elderly people were selected by random cluster sampling. Required data were collected using a two-part questionnaire including demographic information and Self-efficacy Fear Questionnaire. Data were analyzed using logistic regression test in SPSS v.21.
Results: The results showed that 52.5%, 27.5%, 20% of the elderly had moderate, severe, mild fear of falling, respectively. Results of logistic regression showed age (OR = 2.1, p = .04), female (OR = 1.4, p = .02), living alone (OR = 1.8, p = .05), history of falling (OR = 1.9, p = .008), low balance (OR = 4.1, p = .001), increases the likelihood of fear of falling in elderly.
Conclusion: The findings of this study showed that the level of fear of falling in the elderly is relatively high and appropriate and effective preventive interventions should be carried out according to the factors in the fear of falling in the elderly.
Keywords: Fear, Fall, Elderly, Balance, Urmia
Full-Text [PDF 652 kb]   (76 Downloads)    
Article Type: Original Contributions | Subject: Health Management
Received: 2020/04/18 | Accepted: 2020/06/12 | Published: 2020/06/30
References
1. Mazloomy Mahmoodabad SS, Zareipour M, Askarishahi M, Beigomi AR. Effect of the Living Environment on falls among the Elderly in Urmia. Open Access Maced J Med Sci. 2018;6(11):2233-2238. doi:10.3889/oamjms.2018.434. [DOI:10.3889/oamjms.2018.434]
2. Pfortmueller CA, Lindner G, Exadaktylos AK. Reducing fall risk in the elderly: risk factors and fall prevention, a systematic review. Minerva Med. 2014;105(4):275-281.
3. Huang HC, Gau ML, Lin WC, George K. Assessing risk of falling in older adults. Public Health Nurs. 2003;20(5):399-411. doi: 10.1046/j.1525-1446.2003.20508.x. [DOI:10.1046/j.1525-1446.2003.20508.x]
4. Stevens JA, Corso PS, Finkelstein EA, Miller TR. The costs of fatal and non-fatal falls among older adults. Inj Prev. 2006;12(5):290-295. doi: 10.1136/ip.2005.011015. [DOI:10.1136/ip.2005.011015]
5. Bell AJ, Talbot-Stern JK, Hennessy A. Characteristics and outcomes of older patients presenting to the emergency department after a fall: a retrospective analysis. Med J Aust. 2000;173(4):179-182. doi: 10.5694/j.1326-5377.2000.tb125596.x. [DOI:10.5694/j.1326-5377.2000.tb125596.x]
6. Di Monaco M, Vallero F, Di Monaco R, Tappero R. Prevalence of sarcopenia and its association with osteoporosis in 313 older women following a hip fracture. Arch Gerontol Geriatr. 2011;52(1):71-74. doi. 10.1016/j.archger.2010.02.002. [DOI:10.1016/j.archger.2010.02.002]
7. Rixt Zijlstra GA, van Haastregt JCM, van Eijk JTM, de Witte LP, Ambergen T, Kempen GIJ. Mediating effects of psychosocial factors on concerns about falling and daily activity in a multicomponent cognitive behavioral group intervention. Aging Ment Health. 2011;15(1):68-77. doi: 10.1080/13607863.2010.501054. [DOI:10.1080/13607863.2010.501054]
8. Bloch F, Thibaud M, Dugué B, Brèque C, Rigaud A, Kemoun G. Episodes of falling among elderly people: a systematic review and meta-analysis of social and demographic pre-disposing characteristics. Clinics (Sao Paulo). 2010;65(9):895-903. doi: 10.1590/s1807-59322010000900013. [DOI:10.1590/S1807-59322010000900013]
9. Nick N, Jahanbin I, Petramfar P, Ghodsbin F, Keshavarzi S. Educational intervention for reducing the fear of falling and improving balance in the elderly: A single blind randomized controlled trial. Int J Community Based Nurs Midwifery. 2013;1(4):208-215.
10. Schmid AA, van Puymbroeck M, Koceja DM. Effect of a 12-week yoga intervention on fear of falling and balance in older adults: a pilot study. Arch Phys Med Rehabil. 2010;91(4):576-583. doi: 10.1016/j.apmr.2009.12.018. [DOI:10.1016/j.apmr.2009.12.018]
11. Scheffer AC, Schuurmans MJ, van Dijk N, van der Hooft T, de Rooij SE. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing. 2008;37(1):19-24. doi: 10.1093/ageing/afm169. [DOI:10.1093/ageing/afm169]
12. Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing. 2005;34(6):614-619. doi: 10.1093/ageing/afi196. [DOI:10.1093/ageing/afi196]
13. Najafi Ghezlcheh T, Ariapour S, Jafari Oori M. Epidemiology and relationship of fall and fear of falling in the elderly residing at Kamrani nursing home, Tehran, Iran [in Persian]. Iran J Ageing. 2016;10(4):152-161.
14. Tinetti ME, Williams TF, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med.1986;80(3):429-434. doi: 10.1016/0002-9343(86)90717-5. [DOI:10.1016/0002-9343(86)90717-5]
15. Mahmoodabad SSM, Zareipour M, Askarishahi M, Beigomi A. Prevalence of Falling and its relation with Chronic diseases and Balance of Older Adults in Urmia City. Int J Ayurvedic Med. 2018;9(4):273-278.
16. Lopes KT, Costa DF, Santos LF, Castro DP, Bastone AC. Prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls. Rev Bras Fisiote. 2009;13(3):223-229. [DOI:10.1590/S1413-35552009005000026]
17. Mozaffari N, Mohammadi MA, Samadzadeh S. Effect of fall care behaviors training on fear of falling among the elderly people referred to health centers: A double-blind randomized clinical trial [in Persian]. Hayat. 2018:24(3):220-232.
18. Hill KD, Stinson AT. A pilot study of falls, fear of falling, activity levels and fall prevention actions in older people with polio. Aging Clin Exp Res. 2004;16(2):126-131. doi: 10.1007/BF03324541. [DOI:10.1007/BF03324541]
19. Borhaninejad VR, Rashedi V, Tabe R, Delbari A, Ghasemzadeh H. Relationship between fear of falling and physical activity in older adults [in Persian]. Med J Mashhad Univ Med Sci. 2015;58(8):446-452.
20. Clemson L, Kendig H, Mackenzie L, Browning C. Predictors of injurious falls and fear of falling differ: an 11-year longitudinal study of incident events in older people. J Aging Health. 2015;27(2):239-256. doi: 10.1177/0898264314546716. [DOI:10.1177/0898264314546716]
21. Fletcher PC, Hirdes JP. Restriction in activity associated with fear of falling among community-based seniors using home care services. Age Ageing. 2004;33(3):273-279. doi: 10.1093/ageing/afh077. [DOI:10.1093/ageing/afh077]
22. Friedman SM, Munoz B, West SK, Rubin GS, Fried LP. Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc. 2002;50(8):1329-1335. doi: 10.1046/j.1532-5415.2002.50352.x. [DOI:10.1046/j.1532-5415.2002.50352.x]
23. Arfken CL, Lach HW, Birge SJ, Miller JP. The prevalence and correlates of fear of falling in elderly persons living in the community. Am J Public Health. 1994;84(4):565-570. doi: 10.2105/ajph.84.4.565. [DOI:10.2105/AJPH.84.4.565]
24. Andresen EM, Wolinsky FD, Miller JP, Wilson MMG, Malmstrom TK, Miller DK. Cross-sectional and longitudinal risk factors for falls, fear of falling, and falls efficacy in a cohort of middle-aged African Americans. Gerontologist. 006;46(2):249-257. doi: 10.1093/geront/46.2.249. [DOI:10.1093/geront/46.2.249]
25. Rahimi A, Balouchi R, Eslami R, Shahrokhi M. The relationship between back extensor muscle strength with dynamic balance and fear of falling in elderly people [in Persian]. Journal of Practical Studies of Biosciences in Sport. 2016; 4(7):114-124.
26. Kasukawa Y, Miyakoshi N, Hongo M, Ishikawa Y, Noguchi H, Kamo K, et al. Relationships between falls, spinal curvature, spinal mobility and back extensor strength in elderly people. J Bone Miner Metab. 2010;28(1):82-87. doi: 10.1007/s00774-009-0107-1. [DOI:10.1007/s00774-009-0107-1]
27. Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011;9 (11(.doi: 10.1002/14651858.CD004963.pub3. [DOI:10.1002/14651858.CD004963.pub3]
28. van Haastregt JCM, Rixt Zijlstra GA, van Rossum E, van Eijk JTM, Kempen GIJM. Feelings of anxiety and symptoms of depression in community-living older persons who avoid activity for fear of falling. Am J Geriatr Psychiatry. 2008;16(3):186-193. doi: 10.1097/JGP.0b013e3181591c1e. [DOI:10.1097/JGP.0b013e3181591c1e]
29. Zijlstra GAR, van Haastregt J, van Eijk JTM, van Rossum E, Stalenhoef PA, Kempen GIJM. Prevalence and correlates of fear of falling, and associated avoidance of activity in the general population of community-living older people. Age Ageing. 2007;36(3):304-309. doi: 10.1093/ageing/afm021. [DOI:10.1093/ageing/afm021]
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Zarepour M, Jadgal M S, Moradi Z, Movahed E. Assessment of Fear of Falling and its Relation to Balance in Elderly People of Urmia. CJHR. 2020; 5 (2) :23-27
URL: http://cjhr.gums.ac.ir/article-1-153-en.html


Volume 5, Issue 2 (6-2020) Back to browse issues page
Caspian Journal of Health Research
 
Creative Commons License
Persian site map - English site map - Created in 0.14 seconds with 30 queries by YEKTAWEB 4250