https://scholars.lib.ntu.edu.tw/handle/123456789/505064
Title: | Problems and fall risk determinants of quality of life in older adults with increased risk of falling | Authors: | Lin S.-I. Chang K.-C. Lee H.-C. Yang Y.-C. JAU-YIH TSAUO |
Issue Date: | 2015 | Publisher: | Blackwell Publishing | Journal Volume: | 15 | Journal Issue: | 5 | Start page/Pages: | 579-587 | Source: | Geriatrics and Gerontology International | Abstract: | Aims: Determine quality of life and its association with fall risk factors in older adults with increased risk of falling. Methods: A total of 597 community-dwelling Taiwanese older adults who were screened to have increased risk of falling participated in the present study. The fall risk factors included sociodemographics, physical and psychological function, Timed Up and Go, past fall/medical histories, fear of falling and medications. The Euro Qol EQ-5D was used to measure health-related quality of life. Results: Pain/discomfort was the EQ-5D dimension most frequently reported to be impaired (35%), regardless of the level of fall risk or age groups, followed by mobility (25%). Hierarchical regression analysis showed that Geriatric Depression Scale, Mini-Mental State Examination, physiological function, up-and-go, fear of falling and psychotropic medication were independent predictors for total EQ-5D, explaining 68.37% of the variance. Logistic regression analysis showed that for the five EQ-5D dimensions, Geriatric Depression Scale and Up and Go time were the most common determinants. Conclusions: Pain/discomfort was the leading impairment, and greater Geriatric Depression Scale and longer up-and-go time were the main contributing factors in declines in quality of life in older adults with increased risk of falling. These factors are often modifiable, and their management might be considered a priority in falls prevention. ? 2014 Japan Geriatrics Society. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928118613&doi=10.1111%2fggi.12320&partnerID=40&md5=4a2a22d68f590a06721564ab3cb53b84 https://scholars.lib.ntu.edu.tw/handle/123456789/505064 |
ISSN: | 1444-1586 | DOI: | 10.1111/ggi.12320 | SDG/Keyword: | psychotropic agent; aged; Article; cross-sectional study; demography; fall risk assessment; falling; female; Geriatric Depression Scale; groups by age; human; logistic regression analysis; major clinical study; male; medical history; Mini Mental State Examination; outcome assessment; pain; physiology; priority journal; quality of life; Taiwanese; falling; risk assessment; risk factor; statistics and numerical data; Accidental Falls; Aged; Cross-Sectional Studies; Female; Humans; Male; Quality of Life; Risk Assessment; Risk Factors |
Appears in Collections: | 物理治療學系所 |
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