Health-Related Physical Fitness as a Risk Factor for Falls in Elderly People Living in the Community
A Prospective Study in China
Bibliographic Data
| ID | 22068452 |
|---|---|
| Authors | Hongxia Duan (0000-0001-5096-763X, Shanghai University of Traditional Chinese Medicine), Hao Wang (0000-0003-3392-1562, Shanghai University of Traditional Chinese Medicine), Yiwen Bai (Shanghai University of Traditional Chinese Medicine), Yan Lu (0000-0002-6757-5533, Shanghai University of Traditional Chinese Medicine), Xueping Xu (0000-0002-1166-9311, Shanghai University of Traditional Chinese Medicine), Jing Wu (0000-0002-6559-4335, Shanghai University of Traditional Chinese Medicine, corresponding author), Xubo Wu (0000-0001-8332-549X, Shanghai University of Traditional Chinese Medicine, corresponding author) |
| Year | 2022 |
| Volume | 10 |
| Pages | 874993-874993 |
| Publication date | 2022-07-13 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2022.874993 |
| PMID | 35910877 |
| OpenAlex | W4285086434 |
| Language | EN |
| References cited | 45 |
Objectives: Health-related physical-fitness (HRPF) involves multi-components of physical functional tests and is reported to be associated with the risk of fall. The study sought to determine whether specific physical fitness components were stronger predictors of falls among elderly people. Methods: This prospective cohort study involved 299 community residents age ≥60 years from Shanghai, China. The baseline data included comprehensive assessment of sociodemographic, clinical, and HRPF test. Subjects were followed for 1 year and were contacted by telephone to report falls. LASSO regression and Multivariate regression analysis were used to identify risk predictors of fall. In addition, we used receiver operating characteristic (ROC) curve analyses to determine whether the predictors have diagnostic. Results: During the 1-year prospective fall assessment, 11.7% of these subjects experienced one or frequent falls. LASSO models revealed that age (=0.01) and 8-ft up-and-go test score (=0.06) were positively associated with falls, while activity-specific balance confidence (ABC; = -0.007) and 2-min step test score (= -0.005) were inversely related. The Area Under roc Curve (AUC) for a linear combination of age, ABC scale score, 2-min step test and 8-ft up-and-go test was 0.778 (95% confidence interval: 0. 700-0.857), which was superior to any of the variables taken alone. Conclusion: Age, activity-specific balance confidence and fitness abnormalities were determined to contribute to the incident of falls. The value of 2-min step test score, and 8-ft up-and-go test score were the key HRPF components in predicting falls among elderly people
Biology · Confidence interval · Multivariate statistics · Physical fitness · Physical therapy · Poison control · Prospective cohort study · Receiver operating characteristic · Statistics · Timed Up and Go test · Balance, Gait, and Falls Prevention · Frailty in Older Adults · Medicine · Nutrition and Health in Aging · Emergency Medicine · Gerontology · Internal Medicine
Falls and Fall Injuries Among Adults Aged ≥65 Years — United States, 2014
The Timed “Up & Go”
A review of the measurement of grip strength in clinical and epidemiological studies
A 30-s Chair-Stand Test as a Measure of Lower Body Strength in Community-Residing Older Adults
The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme
Physical Fitness among Community-Dwelling Older Women with and without Risk of Falling—The Taipei Study, Taiwan
| Highly cited | No |
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