title: Relationship among fear of falling, physical performance, and physical characteristics of the rural elderly.
abstract: OBJECTIVE
  The aim of this study was to evaluate the relationship between the fear of falling, physical performance, and physical characteristics in an elderly population.
  
  
  METHODS
  This study is a cross-sectional study with 883 community dwellers 60 yrs or older from a rural area. They completed surveys and evaluations including demographics, the Korean version of the Falls Efficacy Scale-International, the Short Physical Performance Battery, the timed up and go (TUG) test, grip strength, and bone mineral density.
  
  
  RESULTS
  The subjects who had experienced a fall showed lower physical performance than those who had not experienced a fall. Regardless of a previous experience of a fall, the score on the Korean version of the Falls Efficacy Scale-International had a positive correlation with TUG time and negative correlations with the score on the Short Physical Performance Battery, grip strength, and bone mineral density. Compared with the group without the fear of falling, the group with the fear of falling showed a lower score on the Short Physical Performance Battery, longer TUG time, weaker grip strength, and lower bone mineral density. The subjects with osteoporosis showed significantly higher scores on the Korean version of the Falls Efficacy Scale-International.
  
  
  CONCLUSIONS
  The experience of falls had a significant relationship with the fear of falling and physical performance, and greater fear of falling was related to poorer physical performance, independent of the experience of falls. This result implies that more attention should be paid to seniors with the fear of falling and the experience of falls, and screening and consequent intervention for fall prevention should be warranted in this population. For this purpose, the TUG test may be recommended as a screening tool because TUG time reflects the fear of falling and the experience of falls as well as physical performance.
authors.affiliation: From the Department of Rehabilitation Medicine and Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, South Korea (JHP); and Department of Rehabilitation Medicine (HC, J-HS, TK, S-BP, MJK) and Department of Preventive Medicine (B-YC), Hanyang University College of Medicine, Seoul, South Korea.
authors.forename: Jung Hyun
authors.initials: JH
authors.lastname: Park
authors.forename: Hyungpil
authors.initials: H
authors.lastname: Cho
authors.forename: Joon-Ho
authors.initials: JH
authors.lastname: Shin
authors.forename: Taikon
authors.initials: T
authors.lastname: Kim
authors.forename: Si-Bog
authors.initials: SB
authors.lastname: Park
authors.forename: Bo-Youl
authors.initials: BY
authors.lastname: Choi
authors.forename: Mi Jung
authors.initials: MJ
authors.lastname: Kim
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density / Q000502:physiology*; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005080:Exercise Test; D005239:Fear / Q000523:psychology*; D005260:Female; D015577:Geriatric Assessment; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D010809:Physical Fitness / Q000502:physiology*; D004856:Postural Balance / Q000502:physiology; D056910:Republic of Korea; D018570:Risk Assessment; D012424:Rural Population; D012737:Sex Factors; D013647:Task Performance and Analysis