Perceived Balance, Balance Performance, and Falls Among Community-Dwelling Older Adults: A Retrospective, Cross-Sectional Study.

IF 2.2 3区 医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-03-28 DOI:10.1177/08982643241242518
Hanne R Dolan, Janet Pohl, Keenan Pituch, David W Coon
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Abstract

Objectives: To examine the extent to which older adults' perceived balance, a balance performance test, and fear of falling (FOF) were associated with falls in the last month. Methods: The Health Belief Model served as the theoretical framework. A retrospective, cross-sectional, secondary analysis using data from the National Health and Aging Trends Study was conducted (N = 7499). Results: Multiple logistic regression analysis revealed that the odds of reporting a fall in the past month were 3.3 times (p < .001) greater for participants who self-reported having a balance problem compared to those who did not. The Short Physical Performance Battery and FOF were not uniquely associated with falls. Discussion: Our findings support limited evidence suggesting that older adults' perceived balance is a better predictor of falls than balance performance. Assessing older adults' perceived balance may be a new way to assess older adults' fall risk to prevent future falls.

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社区老年人的平衡感、平衡能力和跌倒:一项回顾性横断面研究。
研究目的研究老年人的平衡感、平衡能力测试和跌倒恐惧(FOF)与最近一个月内跌倒的相关程度。方法: 以健康信念模型为理论框架:以健康信念模型为理论框架。利用全国健康与老龄化趋势研究(N = 7499)的数据进行了一项回顾性、横截面、二次分析。结果显示多元逻辑回归分析显示,自称有平衡问题的参与者与没有平衡问题的参与者相比,在过去一个月内跌倒的几率是后者的 3.3 倍(p < .001)。短期体能测试和 FOF 与跌倒没有独特的关联。讨论:我们的研究结果支持有限的证据,即老年人的平衡感比平衡能力更能预测跌倒。评估老年人的感知平衡可能是评估老年人跌倒风险以预防未来跌倒的一种新方法。
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来源期刊
CiteScore
5.60
自引率
3.60%
发文量
113
期刊介绍: The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.
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