Fear of falling and falls in older adults with mild cognitive impairment and Alzheimer's disease

被引:63
作者
Borges, Sheila de Melo [1 ]
Radanovic, Marcia [1 ]
Forlenza, Orestes Vicente [1 ]
机构
[1] Univ Sao Paulo, Fac Med, Dept & Inst Psychiat, Lab Neurosci LIM 27, Sao Paulo, Brazil
关键词
mild cognitive impairment; falls; fear of falling; Alzheimer's disease; MINI-MENTAL-STATE; RISK-FACTORS; EFFICACY SCALE; SELF-EFFICACY; DEMENTIA; PEOPLE; ANOSOGNOSIA; PREVENTION; BALANCE; GO;
D O I
10.1080/13825585.2014.933770
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040206 [发展心理学];
摘要
Cognitive impairment and fear of falling are risk factors for falls in older adults. Recurrent falls are more prevalent in older adults with cognitive impairment. We examined the number of previous falls, self-reported fear of falling, and the Falls Efficacy Scale-International (FES-I) in 104 older adults [26 with mild Alzheimer's disease (AD), 42 with mild cognitive impairment (MCI) and 36 cognitively healthy]. Older adults with AD and MCI had a higher number of falls (1.1 +/- 1.2 and 1.5 +/- 1.5, respectively) compared to the control group (0.3 +/- 0.5, P<.001). Older adults with MCI more often reported fear of falling (74%) than patients with AD (31%) (P <=.002) and scored higher on the FES-I (29.7 and 23.8, respectively, P <=.01). The prevalence of falls in older adults with MCI and AD is higher than in subjects cognitively healthy. Older adults with MCI and AD differ in terms of reported fear of falling and falls self-efficacy.
引用
收藏
页码:312 / 321
页数:10
相关论文
共 65 条
[1]
Incidence and Prediction of Falls in Dementia: A Prospective Study in Older People [J].
Allan, Louise M. ;
Ballard, Clive G. ;
Rowan, Elise N. ;
Kenny, Rose Anne .
PLOS ONE, 2009, 4 (05)
[2]
[Anonymous], 2010, FALLS
[3]
[Anonymous], DEMENTIA MOL METHODS
[4]
THE PREVALENCE AND CORRELATES OF FEAR OF FALLING IN ELDERLY PERSONS LIVING IN THE COMMUNITY [J].
ARFKEN, CL ;
LACH, HW ;
BIRGE, SJ ;
MILLER, JP .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (04) :565-570
[5]
SELF-EFFICACY MECHANISM IN HUMAN AGENCY [J].
BANDURA, A .
AMERICAN PSYCHOLOGIST, 1982, 37 (02) :122-147
[6]
TIMED UP AND GO TEST AND RISK OF FALLS IN OLDER ADULTS: A SYSTEMATIC REVIEW [J].
Beauchet, O. ;
Fantino, B. ;
Allali, G. ;
Muir, S. W. ;
Montero-Odasso, M. ;
Annweiler, C. .
JOURNAL OF NUTRITION HEALTH & AGING, 2011, 15 (10) :933-938
[7]
Suggestions for utilization of the mini-mental state examination in Brazil [J].
Brucki, SMD ;
Nitrini, R ;
Caramelli, P ;
Bertolucci, PHF ;
Okamoto, IH .
ARQUIVOS DE NEURO-PSIQUIATRIA, 2003, 61 (3B) :777-781
[8]
FALLS AND FRACTURES IN PATIENTS WITH ALZHEIMER-TYPE DEMENTIA [J].
BUCHNER, DM ;
LARSON, EB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1987, 257 (11) :1492-1495
[9]
Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale - International Among Elderly Brazilians (FES-I-BRAZIL) [J].
Camargos, Flavia F. O. ;
Dias, Rosangela C. ;
Dias, Joao M. D. ;
Freire, Maria T. F. .
BRAZILIAN JOURNAL OF PHYSICAL THERAPY, 2010, 14 (03) :237-243
[10]
Hip protectors improve falls self-efficacy [J].
Cameron, ID ;
Stafford, B ;
Cumming, RG ;
Birks, C ;
Kurrle, SE ;
Lockwood, K ;
Quine, S ;
Finnegan, T ;
Salkeld, G .
AGE AND AGEING, 2000, 29 (01) :57-62