Volume 9, Issue 1 (June 2023)                   Elderly Health Journal 2023, 9(1): 31-38 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rezaeipandari H, Koochaki N, Chahmatki F, Taheri Tanjani P, Shaker M, Dehghani Tafti A. The Relationship Between Fear of Falling and Physical Activity among Older Adults. Elderly Health Journal 2023; 9 (1) :31-38
URL: http://ehj.ssu.ac.ir/article-1-282-en.html
Department of Aging and Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , hrezaeipandari@yahoo.com
Abstract:   (534 Views)
Introduction: Physical activity (PA) improves balance, walking, and muscle strength and reduces the prevalence of falls among the elderly. Fear of falling (FOF) is the most common fear among older adults and a major health problem among them. Therefore, this study was conducted to determine the relationship between FOF and PA among older adults in Iran.
Methods: This cross-sectional study was conducted on 687 elderly people aged ≥ 60 years in Yazd province, Iran using cluster sampling method. The data collection tools were The Falls Efficacy Scale International and the Physical Activity Scale for the Elderly. The data were analyzed by describing frequency distribution, Mann-Whitney, Spearman correlation tests and Hierarchical regression under SPSS software.
Results: The mean score of FOF and PA were 27.08 ± 12.30 (range 16-64) and 86.87 ± 79.15 (range 0-494), respectively. There was an inverse significant correlation between PA and FOF(r = -0.304) and with increasing age, PA of the elderly decreases, and the FOF increases. Demographic variables (age, gender, living status, and retirement status) which were entered into the model in the first stage, predicted 10.9 % of the variance of PA (p < 0.001). In step 2, chronic diseases predicted 3.5 % which was statistically significant and in step 3, FOF also significantly predicted 2.8% of the variance of PA (p < 0.001).
Conclusion: The level of PA among older adults is very low, so it is very important to know the factors influencing that, to take action to prevent the occurrence of these factors, and also to eliminate them. Considering that demographic variables and FOF can predict changes in PA, therefore, it is possible to improve the PA of older adults by performing appropriate interventions on these issues.
Full-Text [PDF 329 kb]   (267 Downloads) |   |   Full-Text (HTML)  (191 Views)  
Type of Study: Research | Subject: Special
Received: 2023/02/25 | Accepted: 2023/06/18 | Published: 2023/06/20

References
1. Rezaei M, Jaddi Arani MS, Dianati M, Atoof F. Fear of falling and static and dynamic balance in elderly with type 2 diabetes: an analytical cross-sectional study. Journal of Diabetes Nursing. 2021; 9(3): 1674-88. [Persian]
2. Blyth FM, Cumming R, Mitchell P, Wang JJ. Pain and falls in older people. European Journal of Pain. 2007; 11(5): 564-71.
3. Hoang OTT, Jullamate P, Piphatvanitcha N, Rosenberg E. Factors related to fear of falling among community-dwelling older adults. Journal of Clinical Nursing. 2017; 26(1-2): 68-76.
4. Tinetti ME, Powell L. Fear of falling and low self-efficacy: a cause of dependence in elderly persons. Journal of Gerontology. 1993; 48: 35-8.
5. Kruisbrink M, Delbaere K, Kempen GI, Crutzen R, Ambergen T, Cheung K-L, et al. Intervention characteristics associated with a reduction in fear of falling among community-dwelling older people: a systematic review and meta-analysis of randomized controlled trials. The Gerontologist. 2021; 61(6): 269-82.
6. Lopes K, Costa D, Santos L, Castro D, Bastone A. Prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls. Brazilian Journal of Physical Therapy. 2009; 13(3): 223-9.
7. Tajvar M. Health of the elderly and a review of various aspects of their lives. Tehran: Nasl-e-Farda; 2004. 140 p. [Persian]
8. da Costa EM, Pepersack T, Godin I, Bantuelle M, Petit B, Levêque A. Fear of falling and associated activity restriction in older people. Results of a cross-sectional study conducted in a Belgian town. Archives of Public Health. 2012; 70(1): 1-8.
9. Curcio C-L, Gomez F, Reyes-Ortiz CA. Activity restriction related to fear of falling among older people in the Colombian Andes mountains: are functional or psychosocial risk factors more important?. Journal of Aging and Health. 2009; 21(3): 460-79.
10. Scheffer AC, Schuurmans MJ, Van Dijk N, Van Der Hooft T, De Rooij SE. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing. 2008; 37(1): 19-24.
11. Wilber ST, Blanda M, Gerson LW, Allen KR. Short-term functional decline and service use in older emergency department patients with blunt injuries. Academic Emergency Medicine. 2010; 17(7): 679-86.
12. Stewart KJ. Physical activity and aging. Annals of the New York Academy of Sciences. 2005; 1055(1): 193-206.
13. Khajavi D, Farrokhi A, Jaberi Moghadam A, Kazemnajad A. The effect of a training intervention program on fall- related motor performance in the male elderly without regular physical activity. Journal of Motor Development and Learning. 2014; 5(2): 49-66.
14. Kooshiar H, Najafi Z, Mazlom S, Azhari A. Comparison of the effects of exhilarating and normal physical activities on the balance and fear of falling in the elderly residing in nursing homes of Mashhad. Evidence Based Care. 2015; 5(1): 35-46.
15. World Health Organization. Physical inactivity a leading cause of disease and disability, warns WHO [Internet]. 2002 [cited 2022 Oct 12]; Available from: https://www.who.int/news/item/04-04-2002-physical-inactivity-a-leading-cause-of-disease-and-disability-warns-who
16. Colpani V, Oppermann K, Spritzer PM. Association between habitual physical activity and lower cardiovascular risk in premenopausal, perimenopausal, and postmenopausal women: a population-based study. Menopause. 2013; 20(5): 525-31.
17. Marques EA, Baptista F, Santos DA, Silva AM, Mota J, Sardinha LB. Risk for losing physical independence in older adults: the role of sedentary time, light, and moderate to vigorous physical activity. Maturitas. 2014; 79(1): 91-5.
18. Nejati V, Kordi R, Shoaee F. Evaluation of effective motivators and barriers of physical activity in the elderly. Iranian Journal of Ageing. 2010; 4(4): 52-58. [Persian]
19. Sarani H, Aghayi N, Saffari M, Akbari Yazdi H. Factors affecting the participation of Iranian elderly people in sporting activities from the perspective of the experts: a qualitative study. Iranian Journal of Health Education and Health Promotion. 2018; 6(2): 147-58. [Persian]
20. 2Borhaninejad V, Rashedi V, Tabe R, Delbari A, Ghasemzadeh H. Relationship between fear of falling and physical activity in older adults. Medical Journal of Mashhad University of Medical Sciences. 2015; 58(8): 446-52. [Persian]
21. Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age and Ageing. 2005; 34(6): 614-9.
22. Khajavi D. Validation and reliability of Persian version of Fall Efficacy Scale-International (FES-I) in community-dwelling older adults. Iranian Journal of Ageing. 2013; 8(2): 39-47. [Persian]
23. Washburn RA, Smith KW, Jette AM, Janney CA. The Physical Activity Scale for the Elderly (PASE): development and evaluation. Journal of Clinical Epidemiology. 1993; 46(2): 153-62.
24. Hatami O, Aghabagheri M, Kahdouei S, Nasiriani K. Psychometric properties of the Persian version of the Physical Activity Scale for the Elderly (PASE). BMC Geriatrics. 2021; 21(1): 1-9.
25. Najafi Ghezlcheh T, Ariapour S, Jafari Oori M. Epidemiology and relationship of fall and fear of falling in the elderly residing at Kamrani nursing home, Tehran, Iran. Iranian Journal of Aging. 2016; 10(4): 152-61. [Persian]
26. Kouchaki E, Sedaghati P, Daneshmandi H. Comparing the fear of falling and quality of life outcomes following a functional movement protocol among the experimental and control idiopathic Parkinson cases. Journal of Kashan University of Medical Sciences (FEYZ). 2016; 20(3): 252-9. [Persian]
27. Najafi Z, Barghi M, Kooshyar H, Karimi-Mounaghi H, Rodi MZ. A comparison of the effect of education through video versus demonstration on fear of falling in nursing home residents of Mashhad, Iran. Iranian Journal of Nursing and Midwifery Research. 2017; 22(3): 195-200.
28. Torkaman Gholami J, Mohamadi Shahbolaghi F, Norouzi K, Soltani PR. The relationship between fear of falling and activity limitations among seniors of Ghaem Shahr city in 2013. Iranian Journal of Rehabilitation Research. 2015; 2(1): 45-52. [Persian]
29. Hosseini S, Zabihi A, Jafarian Amiri S, Bijani A. The relationship between chronic diseases and disability in daily activities and instrumental activities of daily living in the elderly. Journal of Babol University of Medical Sciences. 2018; 20(5): 23-9. [Persian]
30. Ishaghi R, Mahmoudian SA, Asgarian R, Sohrabi A. Effect of faith-based education on physical activity on the elderly. Iranian Journal of Medical Education. 2011; 10(5): 1281-8. [Persian]
31. Motefaker M, Sadrbafghi S, Rafiee M, Bahadorzadeh L, Namayandeh S, Karimi M, et al. Epidemiology of physical activity: a population based study in Yazd city. Tehran University Medical Journal. 2007; 65(4): 77-81. [Persian]
32. Dias-da-Costa JS, Hallal PC, Wells JCK, Daltoé T, Fuchs SC, Menezes AMB, et al. Epidemiology of leisure-time physical activity: a population-based study in southern Brazil. Cadernos de Saude Publica. 2005; 21: 275-82.
33. Burton NW, Turrell G. Occupation, hours worked, and leisure-time physical activity. Preventive Medicine. 2000; 31(6): 673-81.
34. Scholes S, Neave A. Health Survey for England 2016: Physical activity in adults. Leeds: Health and Social Care Information Centre. 2017.
35. Watson KB, Carlson SA, Gunn JP, Galuska DA, O’Connor A, Greenlund KJ, et al. Physical inactivity among adults aged 50 years and older—United States, 2014. Morbidity and Mortality Weekly Report. 2016; 65(36): 954-8.
36. Hornyak V, Brach J, Wert D, Hile E, Studenski S, VanSwearingen J. What is the relation between fear of falling and physical activity in older adults?. Archives of Physical Medicine and Rehabilitation. 2013; 94(12): 2529-34.
37. Sawa R, Asai T, Doi T, Misu S, Murata S, Ono R. The association between physical activity, including physical activity intensity, and fear of falling differs by fear severity in older adults living in the community. The Journals of Gerontology. 2020; 75(5): 953-60.
38. Guthrie DM, Fletcher PC, Berg K, Williams E, Boumans N, Hirdes JP. The role of medications in predicting activity restriction due to a fear of falling. Journal of Aging and Health. 2012; 24(2): 269-86.
39. Biernat E, Tomaszewski P. Socio-demographic and leisure activity determinants of physical activity of working Warsaw residents aged 60 to 69 years. Journal of Human Kinetics. 2011; 30: 173-81.
40. Hughes JP, McDowell MA, Brody DJ. Leisure-time physical activity among US adults 60 or more years of age: results from NHANES 1999–2004. Journal of Physical Activity and Health. 2008; 5(3): 347-58.
41. Rowinski R, Dabrowski A, Kostka T. Gardening as the dominant leisure time physical activity (LTPA) of older adults from a post-communist country. The results of the population-based PolSenior Project from Poland. Archives of Gerontology and Geriatrics. 2015; 60(3): 486-91.
42. Peterson EW, Cho CC, Finlayson ML. Fear of falling and associated activity curtailment among middle aged and older adults with multiple sclerosis. Multiple Sclerosis Journal. 2007; 13(9): 1168-75.
43. Casado-Pérez C, Hernández-Barrera V, Jiménez-García R, Fernández-de-las-Peñas C, Carrasco-Garrido P, López-de-Andrés A, et al. Time trends in leisure time physical activity and physical fitness in the elderly: Five-year follow-up of the Spanish National Health Survey (2006–2011). Maturitas. 2015; 80(4): 391-8.
44. Gao J, Fu H, Li J, Jia Y. Association between social and built environments and leisure-time physical activity among Chinese older adults-a multilevel analysis. BMC Public Health. 2015; 15(1): 1-11.
45. Giuli C, Papa R, Mocchegiani E, Marcellini F. Predictors of participation in physical activity for community-dwelling elderly Italians. Archives of Gerontology and Geriatrics. 2012; 54(1): 50-4.
46. Murphy SL, Williams CS, Gill TM. Characteristics associated with fear of falling and activity restriction in community-living older persons. Journal of the American Geriatrics Society. 2002; 50(3): 516-20.
47. Delbaere K, Crombez G, Vanderstraeten G, Willems T, Cambier D. Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age and Ageing. 2004; 33(4): 368-73.
48. Bertera EM, Bertera RL. Fear of falling and activity avoidance in a national sample of older adults in the United States. Health & Social Work. 2008; 33(1): 54-62.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Elderly Health Journal

Designed & Developed by : Yektaweb