Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

Predictors of the Fear of Falling among Elderly Women with Mild Cognitive Impairment

경도인지장애 여성노인의 낙상두려움 예측 요인

  • Received : 2021.07.26
  • Accepted : 2022.02.14
  • Published : 2022.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify the predictors influencing fear of falling in community-dwelling elderly women with mild cognitive impairment (MCI). Methods: A secondary data analysis was performed using data of 65 years or older elderly women with MCI participating in the 7th Korea Longitudinal Study of Ageing of the Korea Employment Information Service. The study subjects included 368 elderly women with MCI. For data analysis, descriptive statistics and logistic regression with complex samples were performed using IBM SPSS ver. 23.0. Results: 89.9% of the elderly women with MCI had fear of falling. There were significant factors such as religion (OR=8.85, 95% CI: 3.39~23.15), restriction of activity (OR=6.84, 95% CI: 2.14~21.90), depression (OR=0.75, 95% CI: 0.62~0.90), and MMSE (OR=1.30, 95% CI: 1.03~1.63), predicting fear of falling in community-dwelling elderly women with MCI. Conclusion: Differentiated strategies should be developed for elderly women with MCI to decrease fear of falling and prevent falls with understanding of contributing factors. This study will provide fundamental information on programming and a policy proposal related to fear of falling for elderly women with MCI.

Keywords

References

  1. Korea Centers for Disease Control and Prevention. Fall [Internet]. Chungcheongbuk-do: Korea Centers for Disease Control and Prevention; 2020 Aug 28 [cited 2021 Jul 23]. Available from: https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do
  2. Korea Consumer Agency. 2019 Analysis of the trends of safety accidents for the elderly [Internet]. Seoul: Korea Consumer Agency; 2020 Jan 2 [cited 2021 Jul 23]. Available from: http://www.ciss.go.kr/www/selectBbsNttView.do?bbsNo=84&nttNo=34199&key=187
  3. Kim MJ. Factors associated with falls in the elderly: Based on 2014 the Korean elderly survey. Journal of the Korea Contents Association. 2017;17(6):479-489. https://doi.org/10.5392/JKCA.2017.17.06.479
  4. Lusardi MM, Fritz S, Middleton A, Allison L, Wingood M, Phillips E, et al. Determining risk of falls in community dwelling older adults: A systematic review and meta-analysis using post-test probability. Journal of Geriatric Physical Therapy. 2017;40 (1):1-36. https://doi.org/10.1519/JPT.0000000000000099
  5. Denkinger MD, Lukas A, Nikolaus T, Hauer K. Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. The American Journal of Geriatric Psychiatry. 2015;23(1):72-86. https://doi.org/10.1016/j.jagp.2014.03.002
  6. Scheffer AC, Schuurmans MJ, Dijk N, Hooft T. Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older person. Age and Ageing. 2008;37(1):19-24. https://doi.org/10.1093/ageing/afm169
  7. Park NJ, Shin YS. Factors influencing the fear of falling among community-dwelling elderly in Korea. Journal of the Korea Academia-Industrial Cooperation Society. 2019;20(6):278-287. https://doi.org/10.5762/KAIS.2019.20.6.278
  8. Borges SM, Radanovic M, Forlenza OV. Fear of falling and falls in older adults with mild cognitive impairment and alzheimer's disease. Aging, Neuropsychology, and Cognition. 2015;22 (3):312-321. https://doi.org/10.1080/13825585.2014.933770
  9. Davis JC, Best J, Hsu CL, Nagamatsu LS, Dao E, Liu-Ambrose T. Examining the effect of the relationship between falls and mild cognitive impairment on mobility and executive functions in community-dwelling older adults. Journal of the American Geriatrics Society. 2015;63(3):590-593. https://doi.org.ssl.access.yonsei.ac.kr/10.1111/jgs.13290
  10. Amboni M, Barone P, Hausdorff JM. Cognitive contributions to gait and falls: Evidence and implications. Movement Disorders. 2013;28(11):1520-1533. https://doi.org/10.1002/mds.25674
  11. Peeters G, Feeney J, Carey D, Kennelly S, Kenny RA. Fear of falling: A manifestation of executive dysfunction? International Journal of Geriatric Psychiatry. 2019;34(8):1275-1282. https://doi.org/10.1002/gps.5133
  12. Kalron A. The relationship between specific cognitive domains, fear of falling, and falls in people with multiple sclerosis. Bio-Med Research International. 2014;281760:1-10. https://doi.org/10.1155/2014/281760
  13. Oh ES, Lee AY. Mild cognitive impairment. Journal of the Korean Neurological Association. 2016;34(3):167-175. https://doi.org/10.17340/jkna.2016.3.1
  14. Uemura K, Shimada H, Makizako H, Doi T, Tsutsumimoto K, Sangyoon L, et al. Effects of mild cognitive impairment on the development of fear of falling in older Adults: A prospective cohort study. Journal of the American Medical Directors Association. 2015;16(12):1104.e9-1104.e13. https://doi.org/10.1016/j.jamda.2015.09.014
  15. Kucharik M, Kosutzka Z, Pucik J, Hajduk M, Saling M. Processing moving visual scenes during upright stance in elderly patients with mild cognitive impairment. Peer J. 2020;8:e10363. https://doi.org/10.7717/peerj.10363
  16. 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 and Ageing. 2008;37(1):19-24. https://doi.org/10.1093/ageing/afm169
  17. Oh-Park M, Xue X, Holtzer R, Verghese J. Transient versus persistent fear of falling in community-dwelling older adults: Incidence and risk factors. Journal of the American Geriatrics Society. 2011;59(7):1225-1231. https://doi.org/10.1111/j.1532-5415.2011.03475.x
  18. LeBouthillier DM, Thibodeau MA, Asmundson GJG. Severity of fall-based injuries, fear of falling, and activity restriction: Sex differences in a population-based sample of older Canadian adults. Journal of Aging and Health. 2013;25(8):1378-1387. https://doi.org/10.1177/0898264313507317
  19. Tay PKC, Chan A, Tan PJ, Wong CH. Sex differences in perceptions toward falls among older adults living in the community in singapore. Journal of Aging and Health. 2020;32(10):1355-1362. https://doi.org/10.1177/0898264320925972
  20. Riva D, Mamo C, Fani M, Saccavino P, Rocca F, Momente M, et al. Single stance stability and proprioceptive control in older adults living at home: Gender and age Differences. Journal of Aging Research. 2013;561695:1-14. https://doi.org/10.1155/2013/561695
  21. Korea Employment Information Service. 2020 Korean aging longitudinal research user's guide [Internet]. Seoul: Korea Employment Information Service; 2020 [cited 2021 Jul 23]. Available from: https://survey.keis.or.kr/klosa/klosaguide/List.jsp
  22. Shin KR, Kang Y, Jung D, Kim M, Yun ES, Ma RW. A study on the frequency of falls, fear of falling, and perceived health status according to cognitive function in community-dwelling elderly women. Journal of the Korean Gerontological Society. 2011;31(4):1155-1167.
  23. Koenig H, Larson D, Larson S. Religion and coping with serious medical illness. The Annals of Pharmacotherapy. 2001;35 (3):352-359. https://doi.org/10.1345/aph.10215
  24. Reyes-Ortiz CA, Ayele H, Mulligan T, Espino DV, Berges IM, Markides KS. Higher church attendance predicts lower fear of falling in older Mexican-Americans. Aging & Mental Health. 2006;10(1):13-18. https://doi.org/10.1080/13607860500307787
  25. Yardley L, Smith H. A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. The Gerontologist. 2002;42 (1):17-23. https://doi.org/10.1093/geront/42.1.17
  26. Lee M, Lee Y. Fear of falling and related factors in elderly living alone based on fall experience. Journal of Agricultural Medicine and Community Health. 2013;38(4):243-256. https://doi.org/10.5393/JAMCH.2013.38.4.243
  27. Yun E, An J. Relation of the physical performance and fear of falls of the elderly. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(10):6242-6249. https://doi.org/10.5762/KAIS.2014.15.10.6242
  28. Noh JH, Lim EJ. Factors influencing fear of falling among women in the early phase of old age by assessing level of hand grip strength. Journal of Korean Academic Society of Home Health Care Nursing. 2018;25(1):96-104. https://doi.org/10.22705/jkashcn.2018.25.1.096
  29. Vinkers DJ, Gussekloo J, Stek ML, Westendorp RG, van der Mast RC. Temporal relation between depression and cognitive impairment in old age: Prospective population based study. BMJ. 2004;329(7471):881. https://doi.org/10.1136/bmj.38216.604664.DE
  30. Uemura K, Shimada H, Makizako H, Doi T, Tsutsumimoto K, Yoshida D, et al. Effects of mild and global cognitive impairment on the prevalence of fear of falling in community-dwelling older adults. Maturitas. 2014;78(1):62-66. https://doi.org/10.1016/j.maturitas.2014.02.018