Cognitive impairment is associated with the absence of fear of falling in community-dwelling frail older adults

Geriatrics & Gerontology International
Hidehiko ShirookaTomoki Aoyama

Abstract

The purpose of the present study was to explore the association between cognitive function and fear of falling in frail/non-frail older adults in a community setting. We recruited 483 community-dwelling older adults aged 65 years and older (mean age 73.3 ± 5.1 years, 68.3% women). Fear of falling was assessed using a yes/no question, "Are you afraid of falling?" Cognitive function was measured using the Mini-Mental State Examination. The five subscores of the examination were also recorded. We used the frailty criteria developed by the Cardiovascular Health Study, and divided the participants into non-frail and frail groups according to the number of affected domains. The statistical analyses were carried out separately for these two groups. A multiple logistic regression analysis showed that, in frail older adults, cognitive impairment was significantly associated with the absence of fear of falling (OR 0.04, 95% CI 0.00-0.50, P = 0.012). In addition, a stepwise multivariate logistic regression analysis showed that the score on the attention and calculation subsection of the Mini-Mental State Examination was positively associated with the presence of fear of falling in frail older adults (OR 1.83, 95% CI 1.08-3.12, P = 0.026)....Continue Reading

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Citations

Oct 3, 2019·Aging Clinical and Experimental Research·Antoine LangeardSébastien Grenier
Aug 19, 2020·Archives of Gerontology and Geriatrics·Hiroshi MurayamaShoji Shinkai
Jul 29, 2019·Journal of the American Medical Directors Association·Hye-Mi NohYong Soon Park
Sep 8, 2021·International Journal of Injury Control and Safety Promotion·In Cheol Hwang, Hong Yup Ahn
Nov 7, 2019·Dementia and Geriatric Cognitive Disorders Extra·Helena KisvetrováYukari Yamada

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