ArticleComputer methods and programs in biomedicine2024
Fear of falling in community-dwelling older adults: What their gait acceleration pattern reveals.
Article in Computer methods and programs in biomedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- A Cortical Stress Signature of Fear-Induced Walking: Mobile Electroencephalography Theta Suppression in Older Women With Fear of Falling.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Article
- Incident Falls Across Concordant and Discordant Profiles of Concerns About Falling and Functional Mobility in Older Adults: A Prospective Cohort Study.Clinical interventions in aging · 2026Article
- Examining the Role of Fear of Falling on Gait Parameters and Short-Term Gait Adaptation in Older Adults.Journal of clinical medicine · 2025Article
- Article
- Nigrostriatal dopaminergic integrity in relation to prefrontal cortex activity and gait performance during dual-task walking in older adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- Inertial sensor-based gait classification for frailty status in older adults: A cross-sectional study.Computational and structural biotechnology journal · 2025Article
- Cognition, fear, and falls: psychological predictors of balance impairment in community-dwelling older adults.Frontiers in psychiatry · 2025Article
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Authors and funding
8 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundFear of Falling (FOF) is common among community-dwelling older adults and is associated with increased fall-risk, reduced activity, and gait modifications.
objectiveIn this cross-sectional study, we examined the relationships between FOF and gait quality.
methodsOlder adults (N=232; age 77±6; 65 % females) reported FOF by a single yes/no question. Gait quality was quantified as (1) harmonic ratio (smoothness) and other time-frequency spatiotemporal variables from triaxial accelerometry (Vertical-V, Mediolateral-ML, Anterior-Posterior -AP) during six-minute walk; (2) gait speed, step-time CoV (variability), and walk-ratio (step-length/cadence) on a 4-m instrumented walkway. Mann Whitney U-tests and Random forest classifier compared gait between those with and without FOF. Selected gait variables were used to build Support Vector Machine (SVM) classifier and performance was evaluated using AUC-ROC.
resultsIndividuals with FOF had slower gait speed (103.66 ± 17.09 vs. 110.07 ± 14.83 cm/s), greater step time CoV (4.17 ± 1.66 vs. 3.72 ± 1.24 %), smaller walk-ratio (0.53 ± 0.08 vs. 0.56 ± 0.07 cm/steps/minute), smaller standard deviation V (0.15 ± 0.06 vs. 0.18 ± 0.09 m/s
conclusionOlder adults with FOF have reduced gait speed, acceleration adaptability, walk-ratio, and smoothness. Disrupted gait patterns during fear of falling could provide insights into psychosocial distress in older adults. Longitudinal studies are warranted.
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