Physical performance and number of falls in older adult fallers

被引:5
作者
Gomes, Grace A. O. [1 ]
Cintra, Fernanda A. [1 ]
Diogo, Maria Jose D. [1 ]
Neri, Anita L. [1 ]
Guariento, Maria E. [1 ]
Sousa, Maria L. R. [1 ]
机构
[1] Univ Estadual Campinas, UNICAMP, Fac Ciencias Med, Programa Posgrad Gerontol, Campinas, SP, Brazil
关键词
activities of daily living; muscle strength; musculoskeletal equilibrium; gait; exercise; aging; RISK-FACTORS; INTERVENTION; ASSOCIATION; MORTALITY; STRENGTH; COHORT; WOMEN; LIFE;
D O I
10.1590/S1413-35552009005000059
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objectives: The aim of this study was to determine the relationship between sociodemographic, clinical, physical and functional data according to physical performance and number of falls among older falters. Methods: Cross-sectional study carried out among 72 older adults (76.3 +/- 8.3 years) with a history of falls in the past year, 65.3% of which were women. The participants received care at the geriatric outpatient clinic of a university hospital in Campinas, SP. They were divided into the following groups: worst physical performance (WPP) and best physical performance (BPP), one-time falters (1F) and frequent falters (2F). Sociodemographic, clinical, physical and functional characteristics were considered as independent variables. Comparison analysis between the groups was conducted. Results: The WPP group was older and had a higher number of illnesses and less independence in most motor dimension tasks compared to the BPP group. The 2F group had a higher number of illnesses, less handgrip strength and less independence in the bowel management task in the motor dimension of the Functional Independence Measure (FIM) compared to the 1 F group. Conclusions: Among older adults fallers, poor physical performance is associated with more advanced age, more illnesses and less functional independence. Moreover, recurrent falls are associated with more illnesses, less muscle strength and less functional independence in the bowel management task.
引用
收藏
页码:430 / 437
页数:8
相关论文
共 30 条
[21]   Handgrip strength and cause-specific and total mortality in older disabled women: Exploring the mechanism [J].
Rantanen, T ;
Volpato, S ;
Ferrucci, L ;
Heikkinen, E ;
Fried, LP ;
Guralnik, JM .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (05) :636-641
[22]  
Rebelatto José Rubens, 2007, Acta ortop. bras., V15, P151
[23]  
Riberto M., 2001, Acta Fisiatr, V8, P45, DOI DOI 10.5935/0104-7795.20010002
[24]  
Riberto M., 2004, Acta Fisiatrica, V11, P3, DOI [10.5935/0104-7795.20040003, DOI 10.5935/0104-7795.20040003]
[25]   Physical performance measures as predictors of mortality in a cohort of community-dwelling older French women [J].
Rolland, Y ;
Lauwers-Cances, V ;
Cesari, M ;
Vellas, B ;
Pahor, M ;
Grandjean, H .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2006, 21 (02) :113-122
[26]   New intervention program for preventing falls among frail elderly people - The effects of perturbed walking exercise using a bilateral separated treadmill [J].
Shimada, H ;
Obuchi, S ;
Furuna, T ;
Suzuki, T .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2004, 83 (07) :493-499
[27]   Prevalence of falls and associated factors in the elderly [J].
Siqueira, Fernando V. ;
Facchini, Luiz Augusto ;
Piccini, Roberto X. ;
Tomasi, Elaine ;
Thume, Elaine ;
Silveira, Denise S. ;
Vieira, Vera ;
Hallal, Pedro C. .
REVISTA DE SAUDE PUBLICA, 2007, 41 (05) :749-756
[28]   Association of grip strength change with menopausal bone loss and related fractures:: A population-based follow-up study [J].
Sirola, J ;
Rikkonen, T ;
Tuppurainen, M ;
Jurvelin, JS ;
Kröger, H .
CALCIFIED TISSUE INTERNATIONAL, 2006, 78 (04) :218-226
[29]   Risk of falls after withdrawal of fall-risk-increasing drugs: a prospective cohort study [J].
van der Velde, Nathalie ;
Stricker, Bruno H. Ch. ;
Pols, Huib A. P. ;
van der Cammen, Tischa J. M. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2007, 63 (02) :232-237
[30]  
1987, DAN MED B S4, V34, pS1