Author:
Cui Yao,Liu Bo,Qin Ming-Zhao,Liu Qian,Ye Hui,Zhou Jian
Abstract
Abstract
Background
Fear of falling is a potential consequence for older adults who have experienced a fall. Whether such psychological concerns related to falls, in turn, affect physical function? Especially those who have a history of falling but have not been diagnosed with anxiety, depression, or both. This study aimed to clarify the effects of early psychological changes on the physical function of older patients.
Methods
The 111 participants with falling history were divided into the poor physical function (PPF) group with the Short Physical Performance Battery (SPPB) ≤ 9 and the good physical function (GPF) group with SPPB > 9. Their physical function was assessed through 4-m gait speed (4MGS), five times sit-to-stand test (FTSST), grip strength, and Timed Up and Go tests TUGT. Their mental state was assessed by the self-rating anxiety/depression scale (SAS/SDS).
Results
(1) SAS/SDS scores were negatively correlated with the SPPB score, gait speed, and maximum grip strength (males). (2) Multivariate logistic regression analysis showed that the SPPB score was subject to such independent influence factors: cerebrovascular disease (OR = 11.805; P = 0.005), normal ratio of grip strength (OR = 0.046; P = 0.016), TUGT (OR = 1.717; P < 0.001), and SDS score (OR = 1.154; P = 0.008). (3) The area under the ROC curve was 0.699 (0.601, 0.797) for SAS score, with a sensitivity of 0.776 and a specificity of 0.547; the AUC was 0.694 (0.596, 0.792) for SDS score, with a sensitivity of 0.586 and a specificity of 0.755.
Conclusions
In older adults with a history of falls without a diagnosis of anxiety or depression, higher SAS/SDS scores were associated with worse fall-related physical function, and there was a statistically significant correlation between the two. This may indicate a risk of falling again in the future.
Funder
National Key R&D Program of China
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology
Reference25 articles.
1. National Bureau of Statistics, 2021. Communique of China’s 7th national population census. National Bureau of Statistics.
http://www.stats.gov.cn/tjsj/zxfb/202105/t20210510_1817176.html.
2. Charlotte Beaudart, Rolland Yves, et al. Assessment of Muscle Function and Physical Performance in Daily Clinical Practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Calcif Tissue Int. 2019;105(1):1–14.
3. Mattle M, Chocano-Bedoya PO, Fischbacher M, et al. Association of dance-based mind-motor activities with falls and physical function among healthy older adults: a systematic review and meta-analysis. JAMA Netw Open. 2020;3(9):e2017688.
4. WHO global report on falls prevention in older age[EB / OL]. [2017–08–0l] Geneva: World Health Organization , 2008. http://www.who.int/ageing/publications/Falls.
5. Turhan Damar, H, Demir Barutcu, C. Relationship between hospitalised older people's fear of falling and adaptation to old age, quality of life, anxiety and depression. Int J Older People N. 2022;17(6):e12467.