Bmc Public Health the Relationship between Risk Factors for Falling and the Quality of Life in Older Adults

BackgroundFalls are one of the major health problems that effect the quality of life among older adults. The aim of this study was to explore the relationship between quality of life (Short Form-12) and the risk factors of falls (balance, functional mobility, proprioception, muscle strength, flexibility and fear of falling) in older adults.MethodsOne hundred sixteen people aged 65 or older and living in the T.C. Emekli Sandigi Narlidere nursing home participated in the study. Balance (Berg Balance test), functional mobility (Timed Up and Go), proprioception (joint position sense), muscle strength (back/leg dynamometer), flexibility (sit and reach) and fear of falling (Visual Analogue Scale) were assessed as risk factors for falls. The quality of life was measured by Short Form-12 (SF-12).ResultsA strong positive correlation was observed between Physical Health Component Summary of SF-12, General Health Perception and balance, muscle strength. Proprioception and flexibility did not correlated with SF-12 (p > 0.05). There was negative correlation between Physical Health Component Summary of SF-12, General Health Perception and fear of falling, functional mobility (p < 0.05).ConclusionWe concluded that the risk factors for falls (balance, functional mobility, muscle strength, fear of falling) in older adults are associated with quality of life while flexibility and proprioception are not.

[1]  G. Gehlsen,et al.  Falls in the elderly: Part II, Balance, strength, and flexibility. , 1990, Archives of physical medicine and rehabilitation.

[2]  Diane Podsiadlo,et al.  The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons , 1991, Journal of the American Geriatrics Society.

[3]  B. E. Maki,et al.  Measuring balance in the elderly: validation of an instrument. , 1992, Canadian journal of public health = Revue canadienne de sante publique.

[4]  B. E. Maki,et al.  A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. , 1994, Journal of gerontology.

[5]  J. Judge,et al.  Strength is a major factor in balance, gait, and the occurrence of falls. , 1995, The journals of gerontology. Series A, Biological sciences and medical sciences.

[6]  J. Ware,et al.  A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. , 1996, Medical care.

[7]  R. Newton,et al.  Use of the Berg Balance Test to predict falls in elderly persons. , 1996, Physical therapy.

[8]  A. Shumway-cook,et al.  Predicting the probability for falls in community-dwelling older adults. , 1997, Physical therapy.

[9]  G. Noffal,et al.  The reliability and validity of a chair sit-and-reach test as a measure of hamstring flexibility in older adults. , 1998, Research quarterly for exercise and sport.

[10]  P. Gerdhem,et al.  Is there a relationship between balance, gait performance and muscular strength in 75-year-old women? , 1999, Age and ageing.

[11]  M Dijkers,et al.  Measuring quality of life: methodological issues. , 1999, American journal of physical medicine & rehabilitation.

[12]  Hilde Feys,et al.  Effect of a physical therapeutic intervention for balance problems in the elderly: A single-blind, randomized, controlled multicentre trial , 2001, Clinical rehabilitation.

[13]  Ruey-Hsia Wang,et al.  Quality of life and related factors among elderly nursing home residents in Southern Taiwan. , 2001, Public health nursing.

[14]  Masao Kanamori,et al.  The relationship between fear of falling, activities of daily living and quality of life among elderly individuals. , 2002, Nursing & health sciences.

[15]  B. Munoz,et al.  Falls and Fear of Falling: Which Comes First? A Longitudinal Prediction Model Suggests Strategies for Primary and Secondary Prevention , 2002, Journal of the American Geriatrics Society.

[16]  K. Ericsson,et al.  Different meanings of quality of life: a comparison between what elderly persons and geriatric staff believe is of importance. , 2003, International journal of nursing practice.

[17]  K. Gill-Body,et al.  Determinants of balance confidence in community-dwelling elderly people. , 2003, Physical therapy.

[18]  H. Kemper,et al.  The Validity of the Sit-and-Reach Test and the Modified Sit-and-Reach Test in Middle-Aged to Older Men and Women , 2003, Research quarterly for exercise and sport.

[19]  R. Allman,et al.  Measuring Life‐Space Mobility in Community‐Dwelling Older Adults , 2003, Journal of the American Geriatrics Society.

[20]  H. Menz,et al.  A physiological profile approach to falls risk assessment and prevention. , 2003, Physical therapy.