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Association between fear of falling and spatial and temporal parameters of gait in older adults: the FIBRA-RJ study.
Drummond, Flávia M Malini; Lourenço, Roberto Alves; Lopes, Claudia S.
Afiliación
  • Drummond FMM; Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro (UERJ), Rua São Francisco Xavier, 524, Pavilhão João Lyra Filho, 7º andar/bloco E, UERJ, Maracanã, Rio de Janeiro, 20550-013, Brazil. flavia.malini@gmail.com.
  • Lourenço RA; Department of Internal Medicine, Faculty of Medical Sciences, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.
  • Lopes CS; Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro (UERJ), Rua São Francisco Xavier, 524, Pavilhão João Lyra Filho, 7º andar/bloco E, UERJ, Maracanã, Rio de Janeiro, 20550-013, Brazil.
Eur Geriatr Med ; 13(2): 407-413, 2022 04.
Article en En | MEDLINE | ID: mdl-35067908
PURPOSE: To evaluate the association between fear of falling (FoF) and spatial and temporal parameters of gait in older adults. METHODS: This cross-sectional study evaluated 291 clients of a private health care insurance who were over 65 years of age and living in the North Zone of Rio de Janeiro City in 2013. FoF was assessed by the Falls Efficacy Scale-International (FES-I-BR), and gait parameters, such as gait speed, cadence, step time, step length, stride length, and variability (standard deviation of stride length), were assessed using GAITRite®. The covariates were age, sex, history of falls, number of medications, cognitive decline, body mass index, and sight impairment. The association between FoF and gait parameters was assessed by linear regression, and the respective 95% confidence intervals (95% CIs) were calculated. RESULTS: The prevalence of FoF was 51.9%. The adjusted analyses showed an association between FoF and the following gait parameters: decreased gait speed, decreased cadence, increased step time, and decreased step and stride length. No association was found between FoF and stride lenght variability. CONCLUSION: This study suggests that FoF is associated with changes in gait parameters, with the exception of stride length variability. These findings show a need for interventions to reduce FoF in older adults, which is a modifiable factor that is related to gait changes. More studies are needed to elucidate the relationship between FoF and motor control of gait in older adults.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Miedo / Marcha Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Eur Geriatr Med Año: 2022 Tipo del documento: Article País de afiliación: Brasil

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Miedo / Marcha Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Aged / Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Eur Geriatr Med Año: 2022 Tipo del documento: Article País de afiliación: Brasil