Fear of falling avoidance behavior affects the inter-relationship between vision impairment and diminished mobility in community-dwelling older adults.
Age-related decline in vision may contribute to the development of fear of falling (FOF) behavior and reduced mobility, which are related to increased fall risk in older adults. To investigate the inter-relationship between vision impairment, physical mobility performance, and FOF behavior in commun...
| Publicado en: | Physiotherapy Theory & Practice Vol. 38; no. 5; pp. 686 - 695 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156615087&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156615087 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: May2022 vid: 38 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 156615087 145558312 156615087 156615087 10.1080/09593985.2020.1780656 156615087 ppf: 686 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Fear of falling avoidance behavior affects the inter-relationship between vision impairment and diminished mobility in community-dwelling older adults. aug: au: Lee, Szu-Ping Hsu, Ya-Wen Andrew, Lauren Davis, Talia Johnson, Christian affil: Department of Physical Therapy, University of Nevada, Las Vegas, NV, USA sug: subj: Accidental Falls Fear Avoidance (Psychology) Vision Disorders Physical Mobility Community Living In Old Age Human Aged Funding Source Male Female Community Health Services Cross Sectional Studies Physical Performance Aged, 80 and Over Visual Acuity Evaluation Psychological Tests Questionnaires Correlational Studies Aging Descriptive Statistics Chi Square Test Two-Way Analysis of Variance Post Hoc Analysis Power Analysis Data Analysis Software Aged: 65+ years Aged, 80 & over Male Female ab: Age-related decline in vision may contribute to the development of fear of falling (FOF) behavior and reduced mobility, which are related to increased fall risk in older adults. To investigate the inter-relationship between vision impairment, physical mobility performance, and FOF behavior in community-dwelling older adults. A total of 400 participants from community centers (267 females; age = 74.8 (6.4), range = 65–97 years) participated in this cross-sectional study. Presence of age-related eye diseases (e.g. macular degeneration, cataracts, glaucoma, and retinopathy) and visual acuity (VA) was assessed. Physical mobility and FOF avoidance behavior were assessed using the Timed Up-and-Go (TUG) test and the Fear of Falling Avoidance Behavior Questionnaire (FFABQ). The inter-relationships between parameters were analyzed using mediation model analysis. Significant decreases in mobility performance were observed in those with eye disease (eye disease = 9.56 [5.2] sec, no eye disease = 8.54 [2.75] sec; p =.037) and FOF avoidance behavior (avoiders = 12.87 [6.04] sec, non-avoiders = 8.51 [3.56] sec; p <.001). Furthermore, FOF behavior was found to significantly influence the inter-relationship between presence of eye disease and TUG performance (p =.004). VA alone had no significant effect on mobility (p =.69). The presence of eye disease and the associated FOF behavior was related to decreased mobility and potentially increased fall risk. We recommend clinicians to inquire about the presence of eye disease and FOF behavior to identify risk factors related to falls in older adults. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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