The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older People
Objective. To assess the frequency of falls, the relationship between fear of falling and the risk of falls in people aged 60 years and older. Material and methods. The open cross-sectional study included 51 outpatients (49 women, 2 men) aged 61 to 90 [70 (67; 75)] years. A conventional physical exa...
| Hauptverfasser: | , , , |
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| Format: | Artikel |
| Sprache: | Russian |
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SINAPS LLC
2022-12-01
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| Schriftenreihe: | Архивъ внутренней медицины |
| Schlagworte: | |
| Online Zugang: | https://www.medarhive.ru/jour/article/view/1535 |
| _version_ | 1826558720473038848 |
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| author | I. A. Samkova V. N. Larina S. E. Кozyrev N. K. Runihina |
| author_facet | I. A. Samkova V. N. Larina S. E. Кozyrev N. K. Runihina |
| author_sort | I. A. Samkova |
| collection | DOAJ |
| description | Objective. To assess the frequency of falls, the relationship between fear of falling and the risk of falls in people aged 60 years and older. Material and methods. The open cross-sectional study included 51 outpatients (49 women, 2 men) aged 61 to 90 [70 (67; 75)] years. A conventional physical examination, clinical and biochemical blood tests, screening for fragility (the “Age is not a hindrance” questionnaire), the risk of falls (history, the “Get up and go” test), fear of falls (“Short scale for assessing the fear of falls”, “Scale of effectiveness falls”), assessment of cognitive function (CF) — Montreal scale of cognitive assessment — MoCa-test). Results. A high risk of senile asthenia was found in 38 %, preasthenia — in 31 %, a history of falls — in 75 %, fear of falls — in 78 %, impaired CF — in 49 % (MOCA 24.3±2.9 points) of patients. An association was found between fear of falls and history of falls (odds ratio [OR] 9.92, p=0.003, 95 % confidence interval [CI] 2.20-44.63), 2 or more comorbidities (OR 10.86, p=0.013, 95 % CI 1,66- 71,09); between the “Get up and go” test for more than 10 seconds and MOCA less than 25 points (OR 8.57, p=0.001, CI 2.4-30.3); scores less than 25 on the Fall Effectiveness Scale and MOCA (OR 5.6, p=0.018, CI 1.34-23.36). The optimal value of the “Get up and walk” test for predicting falls was 10.5 seconds or more (area under the curve 0.753±0.083, p=0.019), the MOCA test was 24.5 points or less (area under the curve 0.792±0.065, p <0.001); the fall effectiveness scale for predicting fear of falls — 72.5 points or more (area under the curve 0.743±0.092, p=0.014); test “Get up and go” — 9.5 seconds or more (area under the curve 0.708±0.098, p=0.036). Conclusion. Fear of falls was associated with a history of falls, соmorbidity, low functional activity, and a decrease in CF, which confirms the multifactorial origin of the fear of falls in older age and requires consideration in the development of comprehensive treatment and prevention programs. |
| first_indexed | 2024-04-10T03:56:13Z |
| format | Article |
| id | doaj.art-89473af032d4433e9f77c1bcf29f8264 |
| institution | Directory Open Access Journal |
| issn | 2226-6704 2411-6564 |
| language | Russian |
| last_indexed | 2025-03-14T08:48:59Z |
| publishDate | 2022-12-01 |
| publisher | SINAPS LLC |
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| series | Архивъ внутренней медицины |
| spelling | doaj.art-89473af032d4433e9f77c1bcf29f82642025-03-02T12:49:03ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642022-12-0112645946610.20514/2226-6704-2022-12-6-459-466922The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older PeopleI. A. Samkova0V. N. Larina1S. E. Кozyrev2N. K. Runihina3Pirogov Russian National Research Medical University, Department of Outpatient Therapy, Faculty of General MedicinePirogov Russian National Research Medical University, Department of Outpatient Therapy, Faculty of General MedicinePirogov Russian National Research Medical University, Department of Outpatient Therapy, Faculty of General MedicinePirogov Russian National Research Medical University, Department of Diseases of Ageing, Faculty of Additional Professional Education,Objective. To assess the frequency of falls, the relationship between fear of falling and the risk of falls in people aged 60 years and older. Material and methods. The open cross-sectional study included 51 outpatients (49 women, 2 men) aged 61 to 90 [70 (67; 75)] years. A conventional physical examination, clinical and biochemical blood tests, screening for fragility (the “Age is not a hindrance” questionnaire), the risk of falls (history, the “Get up and go” test), fear of falls (“Short scale for assessing the fear of falls”, “Scale of effectiveness falls”), assessment of cognitive function (CF) — Montreal scale of cognitive assessment — MoCa-test). Results. A high risk of senile asthenia was found in 38 %, preasthenia — in 31 %, a history of falls — in 75 %, fear of falls — in 78 %, impaired CF — in 49 % (MOCA 24.3±2.9 points) of patients. An association was found between fear of falls and history of falls (odds ratio [OR] 9.92, p=0.003, 95 % confidence interval [CI] 2.20-44.63), 2 or more comorbidities (OR 10.86, p=0.013, 95 % CI 1,66- 71,09); between the “Get up and go” test for more than 10 seconds and MOCA less than 25 points (OR 8.57, p=0.001, CI 2.4-30.3); scores less than 25 on the Fall Effectiveness Scale and MOCA (OR 5.6, p=0.018, CI 1.34-23.36). The optimal value of the “Get up and walk” test for predicting falls was 10.5 seconds or more (area under the curve 0.753±0.083, p=0.019), the MOCA test was 24.5 points or less (area under the curve 0.792±0.065, p <0.001); the fall effectiveness scale for predicting fear of falls — 72.5 points or more (area under the curve 0.743±0.092, p=0.014); test “Get up and go” — 9.5 seconds or more (area under the curve 0.708±0.098, p=0.036). Conclusion. Fear of falls was associated with a history of falls, соmorbidity, low functional activity, and a decrease in CF, which confirms the multifactorial origin of the fear of falls in older age and requires consideration in the development of comprehensive treatment and prevention programs.https://www.medarhive.ru/jour/article/view/1535elderly patientsfallsrisk factorsfear of fallscognitive functionsсоmorbidity |
| spellingShingle | I. A. Samkova V. N. Larina S. E. Кozyrev N. K. Runihina The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older People Архивъ внутренней медицины elderly patients falls risk factors fear of falls cognitive functions соmorbidity |
| title | The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older People |
| title_full | The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older People |
| title_fullStr | The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older People |
| title_full_unstemmed | The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older People |
| title_short | The Relationship of the Risk of Falls with the Features of Cognitive Function and Emotional Status (Fear of Falls) in Older People |
| title_sort | relationship of the risk of falls with the features of cognitive function and emotional status fear of falls in older people |
| topic | elderly patients falls risk factors fear of falls cognitive functions соmorbidity |
| url | https://www.medarhive.ru/jour/article/view/1535 |
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