Association of Physical Performance and Pain With Fear of Falling Among Community-Dwelling Japanese Women Aged 65 Years and Older.
Our aim was to explore the association of physical performance and pain with fear of falling among community-dwelling Japanese women.The subjects were 278 women aged 65 years and over. We collected information on fear of falling, painful joints, comorbidities, falls in the previous year, and cataracts. Walking time (distance of 6 m), chair stand time (5 times), grip strength, the timed up and go test (TUG), and functional reach were measured.The prevalence of fear of falling was 36.3%, and it increased with age, but it was not significant (P = 0.081). Multivariate logistic regression analysis showed that poor physical performance (longer walking time, longer chair stand time, weaker grip strength, and longer TUG) and pain (low back, and upper and lower extremity pain) were significantly associated with fear of falling after adjusting for age, body mass index, comorbidities, falls in the previous year, and cataracts.Maintaining physical functioning and managing pain may be important for elderly women with fear of falling.
From the Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (YT, KA, MK, TO, TN, YA, KA); Department of Rehabilitation, Nishi-Isahaya Hospital, Isahaya, Japan (YT, MK, TO, SM); Goto Health Care Office, Nagasaki, Japan (HG); and Center for Public Relations Strategy, Nagasaki University, Nagasaki, Japan (IH).
Yoshihito
Y
Tomita
Kazuhiko
K
Arima
Mitsuo
M
Kanagae
Takuhiro
T
Okabe
Satoshi
S
Mizukami
Takayuki
T
Nishimura
Yasuyo
Y
Abe
Hisashi
H
Goto
Itsuko
I
Horiguchi
Kiyoshi
K
Aoyagi
D000058:Accidental Falls; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D018771:Arthralgia / Q000453:epidemiology* / Q000503:physiopathology; D044466:Asian People; D015897:Comorbidity; D003430:Cross-Sectional Studies; D019468:Disease Management; D005239:Fear / Q000502:physiology / Q000523:psychology*; D005260:Female; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D057187:Independent Living; D009043:Motor Activity / Q000502:physiology*; D053580:Muscle Strength / Q000502:physiology; D015995:Prevalence; D012044:Regression Analysis; D016138:Walking / Q000502:physiology