title: Factors associated with fear of falling in community-dwelling older adults with and without diabetes mellitus: Findings from the Frailty in Brazilian Older People Study (FIBRA-BR).
abstract: This study aimed to investigate the associated factors with fear of falling in community-dwelling older adults with and without diabetes mellitus.
  
  
  
  Data from the Frailty in Brazilian Older People Study (FIBRA-BR), involving 4449 individuals aged 65years or older (19.2% with diabetes), were analyzed. The potential factors associated with fear of falling included sociodemographic data, chronic diseases, health-related variables and functional capacity measures. Logistic regression analysis was performed to identify the factors associated with fear of falling.
  
  
  
  Female gender, arthritis or rheumatism, negative health self-perception, frailty, lower Lawton Scale score and reduced gait speed were independently associated with fear of falling in both groups. Factors associated with fear of falling specific to non-diabetic older adults were depression, visual impairment, falls in the previous 12months, obesity, depressive symptoms, higher Katz Index score and decreased handgrip strength. Lower Mini-Mental State Examination score was an associated factor with fear of falling only in those with diabetes.
  
  
  
  The factors associated with fear of falling did differ between non-diabetic and diabetic older adults. Health care professionals should consider such differences when planning their therapeutic approaches for a successful management of fear of falling in these older populations.
authors.affiliation: Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, Belo Horizonte, MG 31270-901, Brazil. Electronic address: brunosouzamoreira@gmail.com.
authors.forename: Bruno de Souza
authors.initials: BS
authors.lastname: Moreira
authors.affiliation: Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, Belo Horizonte, MG 31270-901, Brazil. Electronic address: sampaioufmg@gmail.com.
authors.forename: Rosana Ferreira
authors.initials: RF
authors.lastname: Sampaio
authors.affiliation: Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, Belo Horizonte, MG 31270-901, Brazil. Electronic address: julianodiz@gmail.com.
authors.forename: Juliano Bergamaschine Mata
authors.initials: JB
authors.lastname: Diz
authors.affiliation: Department of Physical Therapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 5000 MGT 367 Highway, Diamantina, MG 39100-000, Brazil. Electronic address: ale.bastone@gmail.com.
authors.forename: Alessandra de Carvalho
authors.initials: AC
authors.lastname: Bastone
authors.affiliation: Department of Internal Medicine, School of Medicine of Ribeirão Preto, Universidade de São Paulo, 3900 Bandeirantes Avenue, Ribeirão Preto, SP 14049-900, Brazil. Electronic address: eferriol@fmrp.usp.br.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Ferriolli
authors.affiliation: Graduate Program in Gerontology, Faculty of Medical Sciences, Universidade Estadual de Campinas, 126 Tessalia Vieira de Camargo Avenue, Campinas, SP 13083-887, Brazil. Electronic address: anitalbn@uol.com.br.
authors.forename: Anita Liberalesso
authors.initials: AL
authors.lastname: Neri
authors.affiliation: Department of Internal Medicine, Faculty of Medical Sciences, Universidade do Estado do Rio de Janeiro, 381 Marechal Rondon Street, 2° Floor, Rio de Janeiro, RJ 20950-000, Brazil. Electronic address: roberto.lourenco@globo.com.
authors.forename: Roberto Alves
authors.initials: RA
authors.lastname: Lourenço
authors.affiliation: Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, Belo Horizonte, MG 31270-901, Brazil. Electronic address: rcorreadias8@gmail.com.
authors.forename: Rosângela Corrêa
authors.initials: RC
authors.lastname: Dias
authors.affiliation: Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, Belo Horizonte, MG 31270-901, Brazil. Electronic address: renata.kirkwood@gmail.com.
authors.forename: Renata Noce
authors.initials: RN
authors.lastname: Kirkwood
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005239:Fear / Q000523:psychology*; D005260:Female; D016330:Frail Elderly / Q000523:psychology*; D015577:Geriatric Assessment; D018737:Hand Strength; D006801:Humans; D016015:Logistic Models; D008297:Male; D011569:Psychiatric Status Rating Scales; D000072797:Walking Speed
keywords: Diabetes mellitus; Fear of falling; Frailty; Gait speed; Older adults