Observational studyJournal of the American Geriatrics Society2020
Characterizing the Impact of Fear of Falling on Activity and Falls in Older Adults with Glaucoma.
Observational study in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Environmental and behavioural interventions for reducing physical activity limitation and preventing falls in older people with visual impairment.The Cochrane database of systematic reviews · 2020Pooled it
- Glaucoma rehabilitation with action video games and exercise: study protocol of an active-controlled trial (GRADE).BMJ open · 2025Article
- Gait Metrics in Elderly Fallers and Non-Fallers with Varying Levels of Glaucoma: A Longitudinal Prospective Cohort Study.Sensors (Basel, Switzerland) · 2025Article
- Navigation Training for Persons With Visual Disability Through Multisensory Assistive Technology: Mixed Methods Experimental Study.JMIR rehabilitation and assistive technologies · 2024Article
- Article
- A Multidimensional Approach for Nurse Practitioners to Screen Fall Risk and Fear of Falling in Community-Dwelling Older Adults.The journal for nurse practitioners : JNP · 2023Article
- Evaluation of away-from-home excursion patterns after falling among individuals with glaucoma: a longitudinal study.BMC geriatrics · 2022Article
- Visual Impairment and Objectively Measured Physical Activity in Middle-Aged and Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021Article
- Importance and Severity Dependence of Physical Activity by GPS-Tracked Location in Glaucoma Patients.American journal of ophthalmology · 2021Article
- Characterizing Longitudinal Changes in Physical Activity and Fear of Falling after Falls in Glaucoma.Journal of the American Geriatrics Society · 2021Article
- Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults.BMC geriatrics · 2021Article
- Diurnal patterns of sedentary behavior and changes in physical function over time among older women: a prospective cohort study.The international journal of behavioral nutrition and physical activity · 2020Article
- Characterizing Longitudinal Changes in Fear of Falling and Quality of Life in Patients with Varying Levels of Visual Field Damage.Ophthalmology. GlaucomaArticle
- The Quantitative Impact of Visual Function on Accelerometer-measured Physical Activity in Older United States Adults: A Nationwide Cross-sectional Analysis.Ophthalmology scienceArticle
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveFear of falling (FoF) may alter mobility in older adults, especially among those with visual impairment. Using a longitudinal prospective cohort of older glaucoma patients, we investigated whether and how FoF is associated with future falls and physical activity.
designProspective observational cohort study.
settingHospital-based single-center recruitment.
participantsIndividuals with glaucoma or suspected glaucoma. MEASUREMENTS: FoF was measured annually over a 3-year period using the University of Illinois at Chicago FoF Questionnaire, with lower Rasch-analyzed FoF scores (in logit units) indicating less fear. Participants recorded falls prospectively over the 3-year period using monthly mail-in calendars. Daily steps were collected annually over 7 days using an accelerometer. Visual field (VF) sensitivity was derived by combining sensitivities from monocular VF results. Participants completed questionnaires to determine other demographic/health characteristics. Multivariate random effects models evaluated within-participant changes in fall rates and physical activity across study years.
resultsAt lower FoF levels (FoF≤0), each one-unit worsening in FoF score across study years was associated with 2.73 times higher odds of reporting at least one fall in the next year (95% confidence interval [CI] = 1.55-4.81) but was not associated with average daily steps (P = .44). Similar results were seen when fall rates were normalized by number of steps taken (P = .97). At higher FoF levels (FoF > 0), inter-year changes in FoF scores were not significantly associated with reporting a fall in the following year (P = .78) but were associated with 407 fewer average daily steps per one-unit change in FoF (95% CI = -743 to -71).
conclusionFoF is an important psychological factor associated with mobility in glaucoma patients, although specific aspects of mobility (fall rates vs activity levels) affected vary by the degree of FoF. Our findings suggest that customizing behavioral interventions for older adults based on their levels of FoF may be an important strategy for fall prevention and activity promotion. J Am Geriatr Soc 68:1847-1851, 2020.
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