Browse > Article
http://dx.doi.org/10.12799/jkachn.2022.33.1.63

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

Moon, Jeong On (College of Nursing, CHA University)
Hong, Sehoon (College of Nursing, CHA University)
Publication Information
Research in Community and Public Health Nursing / v.33, no.1, 2022 , pp. 63-73 More about this Journal
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
Accidental falls; Aged; Women; Cognitive dysfunction;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 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   DOI
3 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   DOI
4 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   DOI
5 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   DOI
6 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   DOI
7 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   DOI
8 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   DOI
9 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   DOI
10 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   DOI
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 and Ageing. 2008;37(1):19-24. https://doi.org/10.1093/ageing/afm169   DOI
12 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   DOI
13 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.
14 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
15 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
16 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   DOI
17 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   DOI
18 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   DOI
19 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   DOI
20 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   DOI
21 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   DOI
22 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   DOI
23 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   DOI
24 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   DOI
25 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
26 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   DOI
27 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   DOI
28 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   DOI
29 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   DOI
30 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   DOI