Evidence map›Paper›PMID 33407211›Full record

ArticleBMC geriatrics2021

Physical activity level, fear of falling and quality of life: a comparison between community-dwelling and assisted-living older adults.

Christopher Olusanjo Akosile, Charles Kenechukwu Igwemmadu, Emmanuel Chiebuka Okoye, Adesola Christiana Odole, Ukamaka Gloria Mgbeojedo, Ayodeji Ayodele Fabunmi, Ifeoma Uchenna Onwuakagba

Abstract read
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Interventions to reduce sedentary behaviour in community-dwelling older adults: a mixed-method review.The international journal of behavioral nutrition and physical activity · 2025
    Pooled it
  2. Pooled it
  3. Cluster randomized trial of reablement strategies targeting sarcopenia (ReStart-S) in long-term care settings.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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  11. Fear of falling is a top issue for older adults with a history of falling: multidimensional perspective.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025
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  19. 'Can do' versus 'Do do' in nursing home residents: identification of contextual factors discriminating groups with aligned or misaligned physical activity and physical capacity.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christopher Olusanjo AkosileDepartment of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria. coakosile@yahoo.com.ORCID 0000-0002-3379-2134
Charles Kenechukwu IgwemmaduDepartment of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria.
Emmanuel Chiebuka OkoyeDepartment of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria.
Adesola Christiana OdoleDepartment of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Ukamaka Gloria MgbeojedoDepartment of Medical Rehabilitation, Faculty of Health Sciences and Technology, University of Nigeria, Enugu Campus, Enugu, Nigeria.
Ayodeji Ayodele FabunmiDepartment of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Ifeoma Uchenna OnwuakagbaDepartment of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity (PA), fear of falling (FOF) and quality of life (QOL) are very important constructs in geriatrics. The interplay among these constructs may vary between community-dwelling and assisted-living older adults. However, studies comparing the wellbeing of community-dwelling older adults with those residing in the assisted-living facilities (ALFs) are rather rare especially from developing countries. This study was aimed at comparing PA, FOF and QOL between assisted-living and community-dwelling older adults and also determining the correlations amongst the constructs for each group.

methodsThis cross-sectional survey involved consecutively sampled 114 older adults (≥65 years, ambulant and well-oriented in time, place and person) residing in conveniently selected ALFs (11.3% males) and adjoining communities (54.1% males). PA, FOF and QOL were evaluated using the Physical Activity Scale for the Elderly, the Modified Fall Efficacy Scale and the Short-form Health Survey (SF-36) questionnaire respectively. Data was analysed using descriptive statistics, analysis of covariance and Spearman rank-order correlation test at 0.05 level of significance.

resultsParticipants from the ALFs had significantly lower domain and overall PA (F=5.6-103.34; p< 0.05) and QOL (F=11.12-118.05; p< 0,05) scores than community-dwelling groups. FOF was significantly more prevalent in assisted-living group (p< 0.05). There were significant positive correlations (p< 0.05) between each pair of PA, FOF and QOL for both assisted-living and community-dwelling groups.

conclusionsOlder adults in the ALFs had lower PA and QOL scores with higher prevalence of FOF than their community-dwelling counterparts. Significant relationships existed between PA, FOF and QOL for participants in either group. Present results may be suggesting that ageing in place ensures better health outcomes than institutionalised ageing. Whenever possible, older adults should therefore be encouraged to age in place rather than moving into ALFs.

Indexed as

Accidental FallsQuality of LifeAgedCross-Sectional StudiesExerciseFearFemaleHumansIndependent LivingMaleAssisted-living facilitiesCommunity-dwellingComparisonFear of falling and quality of lifeOlder adultsPhysical activity

Identifiers

PMID33407211
PMCPMC7788713

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.