Evidence map›Paper›PMID 34098904›Full record

ArticleBMC geriatrics2021

Fear of falling is as important as multiple previous falls in terms of limiting daily activities: a longitudinal study.

Minhui Liu, Tianxue Hou, Yuxiao Li, Xiaocao Sun, Sarah L Szanton, Lindy Clemson, Patricia M Davidson

2 registry-linked trialsOpen access · goldAbstract 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. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
25.8field-weighted citation impact, top 1% of its field
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.

NCT06514872 completednot on this map

Prevalence and Determinants of Home Accidents Among Turkish Older Men and Women

Typeobservational_patient_registrySponsorAtaturk UniversityRan2019 to 2023Enrolled8,225ConditionsAge ProblemArmsprevalance and determinants of home accidents
NCT06545539 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Does Participation in a Fall Preparedness Program Improve Fall Efficacy Among Older Adults

TypeinterventionalSponsorYoungstown State UniversityRan2024 to 2026Enrolled30ConditionsFall Injury, Fall, Falls (Accidents) in Old AgeArmsFall Preparedness Exercise Class
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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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 at 3 institutions in 3 countries.

Minhui LiuCentral South University Xiangya School of Nursing, 172 Tongzipo Road of Yuelu District, Hunan, 410013, Changsha, China. mliu62@jhu.edu.ORCID 0000-0002-4554-3135
Tianxue HouCentral South University Xiangya School of Nursing, 172 Tongzipo Road of Yuelu District, Hunan, 410013, Changsha, China.
Yuxiao LiCentral South University Xiangya School of Nursing, 172 Tongzipo Road of Yuelu District, Hunan, 410013, Changsha, China.
Xiaocao SunCentral South University Xiangya School of Nursing, 172 Tongzipo Road of Yuelu District, Hunan, 410013, Changsha, China.
Sarah L SzantonJohns Hopkins University School of Nursing, MD, Baltimore, USA.
Lindy ClemsonThe University of Sydney, New South Wales, Camperdown, Australia.
Patricia M DavidsonJohns Hopkins University School of Nursing, MD, Baltimore, USA.
Central South University · CNJohns Hopkins University · USThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFear of falling and previous falls are both risk factors that affect daily activities of older adults. However, it remains unclear whether they independently limit daily activities accounting for each other.

methodsWe used the data from Round 1 (Year 1) to Round 5 (Year 5) of the National Health and Aging Trends Study. We included a total of 864 community-dwelling participants who provided data on previous falls, fear of falling and limited activities from Year 1 to Year 5 and had no limited daily activities at Year 1 in this study. Previous falls and fear of falling were ascertained by asking participants how many falls they had in the past year and whether they had worried about falling in the last month. Limited daily activities included any difficulties with mobility (e.g., going outside), self-care (e.g., eating), and household activities (e.g., laundering). Generalized estimation equation models were used to examine whether previous falls and fear of falling independently predicted development of limited daily activities adjusting covariates.

resultsParticipants were mainly between 65 and 79 years old (83 %), male (57 %), and non-Hispanic White (79 %). Among participants who had multiple falls in Year 1, 19.1-31 %, 21.4-52.4 %, and 11.9-35.7 % developed limitations in mobility, self-care, and household activities during Year 2 to Year 5, respectively. Among those who had fear of falling in Year 1, 22.5-41.3 %, 30.0-55.0 %, and 18.8-36.3 % developed limitations in mobility, self-care, and household activities during Year 2 to Year 4, respectively. Fear of falling independently predicted limitations in mobility (Incidence rate ratio [IRR]: 1.79, 95 % CI: 1.44, 2.24), self-care (IRR: 1.25, 95 % CI: 1.08, 1.44) and household activities (IRR: 1.39, 95 % CI: 1.08, 1.78) after adjusting for previous falls and covariates. Multiple previous falls independently predicted limitations in mobility (IRR: 1.72, 1.30, 2.27), self-care (IRR: 1.40, 95 % CI: 1.19, 1.66) and household activities (IRR: 1.36, 95 % CI: 1.01, 1.83) after adjusting fear of falling and covariates.

conclusionsFear of falling seems to be as important as multiple previous falls in terms of limiting older adults' daily activities.

Indexed as

Activities of Daily LivingFearAgedHumansIndependent LivingLongitudinal StudiesMaleFear of fallingLimited daily activitiesOlder adultsPrevious falls

Identifiers

PMID34098904
PMCPMC8185919
OpenAlexW3170681285

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.