Fear of falling avoidance behavior affects the inter-relationship between vision impairment and diminished mobility in community-dwelling older adults

doi:10.1080/09593985.2020.1780656

Chia Nan University of Pharmacy & Science Institutional Repository > 智慧生活學院 > 醫務管理系(所) > 期刊論文 > Item 310902800/34151

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標題:	Fear of falling avoidance behavior affects the inter-relationship between vision impairment and diminished mobility in community-dwelling older adults
作者:	Lee, Szu-Ping Hsu, Ya-Wen Andrew, Lauren Davis, Talia Johnson, Christian
貢獻者:	Univ Nevada, Dept Phys Therapy Asia Univ, Dept Phys Therapy Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm Synergy Phys Therapy, Henderson Boulder City Hosp, Dept Rehabil Serv
關鍵字:	Aging eye disease vision falling fear of falling
日期:	2020
上傳時間:	2022-11-18 11:26:09 (UTC+8)
出版者:	Taylor & Francis Inc
摘要:	Background Age-related decline in vision may contribute to the development of fear of falling (FOF) behavior and reduced mobility, which are related to increased fall risk in older adults. Purpose To investigate the inter-relationship between vision impairment, physical mobility performance, and FOF behavior in community-dwelling older adults. Methods A total of 400 participants from community centers (267 females; age = 74.8 (6.4), range = 65-97 years) participated in this cross-sectional study. Presence of age-related eye diseases (e.g. macular degeneration, cataracts, glaucoma, and retinopathy) and visual acuity (VA) was assessed. Physical mobility and FOF avoidance behavior were assessed using the Timed Up-and-Go (TUG) test and the Fear of Falling Avoidance Behavior Questionnaire (FFABQ). The inter-relationships between parameters were analyzed using mediation model analysis. Results Significant decreases in mobility performance were observed in those with eye disease (eye disease = 9.56 [5.2] sec, no eye disease = 8.54 [2.75] sec;p= .037) and FOF avoidance behavior (avoiders = 12.87 [6.04] sec, non-avoiders = 8.51 [3.56] sec;p< .001). Furthermore, FOF behavior was found to significantly influence the inter-relationship between presence of eye disease and TUG performance (p= .004). VA alone had no significant effect on mobility (p= .69). Conclusion The presence of eye disease and the associated FOF behavior was related to decreased mobility and potentially increased fall risk. We recommend clinicians to inquire about the presence of eye disease and FOF behavior to identify risk factors related to falls in older adults.
關聯:	Physiotherapy Theory and Practice, pp.9
顯示於類別:	[醫務管理系(所)] 期刊論文

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