Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review
Larissa Franciny de Souza,1 Jaquelini Betta Canever,1 Bruno de Souza Moreira,2 Ana Lúcia Danielewicz,1 Núbia Carelli Pereira de Avelar1 1Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Santa Catarina, Brazil; 2René Rach...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2022-02-01
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| Series: | Clinical Interventions in Aging |
| Subjects: | |
| Online Access: | https://www.dovepress.com/association-between-fear-of-falling-and-frailty-in-community-dwelling--peer-reviewed-fulltext-article-CIA |
| _version_ | 1818689641026420736 |
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| author | de Souza LF Canever JB Moreira BS Danielewicz AL de Avelar NCP |
| author_facet | de Souza LF Canever JB Moreira BS Danielewicz AL de Avelar NCP |
| author_sort | de Souza LF |
| collection | DOAJ |
| description | Larissa Franciny de Souza,1 Jaquelini Betta Canever,1 Bruno de Souza Moreira,2 Ana Lúcia Danielewicz,1 Núbia Carelli Pereira de Avelar1 1Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Santa Catarina, Brazil; 2René Rachou Institute, Oswaldo Cruz Foundation (Fiocruz Minas), Belo Horizonte, Minas Gerais, BrazilCorrespondence: Bruno de Souza MoreiraRené Rachou Institute, Oswaldo Cruz Foundation (Fiocruz Minas), Augusto de Lima Avenue 1715, Barro Preto, Belo Horizonte, Minas Gerais, 30190-002, Brazil, Tel +55 31 3349-7707, Email brunosouzamoreira@gmail.comBackground/Objective: Fear of falling (FoF) and frailty are common problems in older adults. FoF can lead to self-imposed restriction of activities and then further decline in physical capacities that predispose older adults to frailty. Evaluating the association of these two geriatric syndromes may be the first step for understanding their complex relationship and might ultimately lead to establishing therapeutic goals and guiding treatments for older adults with frailty. This systematic review was conducted to provide evidence regarding the association between FoF and frailty.Methods: All the articles that provided information on the association between FoF and frailty were selected from PubMed, Scopus, CINAHL, and EMBASE in search of relevant papers. Articles reporting information on the association between FoF (exposure) and frailty (outcome), with older adults (age ≥ 60 years) living in the community (ie, living either at home or in places of residence that do not provide nursing care or rehabilitation) were included. Only original articles with observational design (cross-sectional or longitudinal/cohort) were included. The methodological quality of included articles was evaluated independently by the two assessors through the Newcastle-Ottawa Scale (NOS) and the Joanna Briggs Institute (JBI) critical appraisal checklist for longitudinal and cross-sectional studies, respectively.Results: The initial searches found 4,342 articles, of which 10 articles were included in this review: 7 cross-sectional and 2 longitudinal studies, and 1 study with cross-sectional and longitudinal analyses. The total sample was composed of 6,294 community-dwelling older adults (61.8% women). Among the longitudinal studies, adjusted odds ratios ranged from 1.18 (95% CI = 1.02; 1.36) to 9.87 (95% CI = 5.22; 18.68), while the adjusted odds ratios of the cross-sectional studies ranged from 1.04 (95% CI = 1.02; 1.07) to 7.16 (95% CI = 2.34; 21.89).Conclusion: FoF increases the risk of frailty in community-dwelling older adults. The knowledge of this association is of utmost importance in clinical practice, since it can help health professionals in the development of rehabilitation, prevention, and health promotion protocols. In addition, these findings can contribute to the development of public health policies and actions aimed at reducing the FoF and consequently the frailty.Prospero: CRD42021276775.Keywords: fear of falling, frailty, older adults, systematic review, geriatric syndromes |
| first_indexed | 2024-12-17T12:13:20Z |
| format | Article |
| id | doaj.art-737e648c5b0d4e2187dbae6da25e738c |
| institution | Directory Open Access Journal |
| issn | 1178-1998 |
| language | English |
| last_indexed | 2024-12-17T12:13:20Z |
| publishDate | 2022-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj.art-737e648c5b0d4e2187dbae6da25e738c2022-12-21T21:49:19ZengDove Medical PressClinical Interventions in Aging1178-19982022-02-01Volume 1712914072753Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Reviewde Souza LFCanever JBMoreira BSDanielewicz ALde Avelar NCPLarissa Franciny de Souza,1 Jaquelini Betta Canever,1 Bruno de Souza Moreira,2 Ana Lúcia Danielewicz,1 Núbia Carelli Pereira de Avelar1 1Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Santa Catarina, Brazil; 2René Rachou Institute, Oswaldo Cruz Foundation (Fiocruz Minas), Belo Horizonte, Minas Gerais, BrazilCorrespondence: Bruno de Souza MoreiraRené Rachou Institute, Oswaldo Cruz Foundation (Fiocruz Minas), Augusto de Lima Avenue 1715, Barro Preto, Belo Horizonte, Minas Gerais, 30190-002, Brazil, Tel +55 31 3349-7707, Email brunosouzamoreira@gmail.comBackground/Objective: Fear of falling (FoF) and frailty are common problems in older adults. FoF can lead to self-imposed restriction of activities and then further decline in physical capacities that predispose older adults to frailty. Evaluating the association of these two geriatric syndromes may be the first step for understanding their complex relationship and might ultimately lead to establishing therapeutic goals and guiding treatments for older adults with frailty. This systematic review was conducted to provide evidence regarding the association between FoF and frailty.Methods: All the articles that provided information on the association between FoF and frailty were selected from PubMed, Scopus, CINAHL, and EMBASE in search of relevant papers. Articles reporting information on the association between FoF (exposure) and frailty (outcome), with older adults (age ≥ 60 years) living in the community (ie, living either at home or in places of residence that do not provide nursing care or rehabilitation) were included. Only original articles with observational design (cross-sectional or longitudinal/cohort) were included. The methodological quality of included articles was evaluated independently by the two assessors through the Newcastle-Ottawa Scale (NOS) and the Joanna Briggs Institute (JBI) critical appraisal checklist for longitudinal and cross-sectional studies, respectively.Results: The initial searches found 4,342 articles, of which 10 articles were included in this review: 7 cross-sectional and 2 longitudinal studies, and 1 study with cross-sectional and longitudinal analyses. The total sample was composed of 6,294 community-dwelling older adults (61.8% women). Among the longitudinal studies, adjusted odds ratios ranged from 1.18 (95% CI = 1.02; 1.36) to 9.87 (95% CI = 5.22; 18.68), while the adjusted odds ratios of the cross-sectional studies ranged from 1.04 (95% CI = 1.02; 1.07) to 7.16 (95% CI = 2.34; 21.89).Conclusion: FoF increases the risk of frailty in community-dwelling older adults. The knowledge of this association is of utmost importance in clinical practice, since it can help health professionals in the development of rehabilitation, prevention, and health promotion protocols. In addition, these findings can contribute to the development of public health policies and actions aimed at reducing the FoF and consequently the frailty.Prospero: CRD42021276775.Keywords: fear of falling, frailty, older adults, systematic review, geriatric syndromeshttps://www.dovepress.com/association-between-fear-of-falling-and-frailty-in-community-dwelling--peer-reviewed-fulltext-article-CIAfear of fallingfrailtyolder adultssystematic reviewgeriatric syndromes |
| spellingShingle | de Souza LF Canever JB Moreira BS Danielewicz AL de Avelar NCP Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review Clinical Interventions in Aging fear of falling frailty older adults systematic review geriatric syndromes |
| title | Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review |
| title_full | Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review |
| title_fullStr | Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review |
| title_full_unstemmed | Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review |
| title_short | Association Between Fear of Falling and Frailty in Community-Dwelling Older Adults: A Systematic Review |
| title_sort | association between fear of falling and frailty in community dwelling older adults a systematic review |
| topic | fear of falling frailty older adults systematic review geriatric syndromes |
| url | https://www.dovepress.com/association-between-fear-of-falling-and-frailty-in-community-dwelling--peer-reviewed-fulltext-article-CIA |
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