ArticleBMC public health2024
The impact of fear of falling on health-related quality of life in community-dwelling older adults: mediating effects of depression and moderated mediation effects of physical activity.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Latent profiles of kinesiophobia and their associations with exercise self-efficacy, diabetes distress, and fall risk in older adults with type 2 diabetes: a cross-sectional study.BMC geriatrics · 2026Article
- The relationship between depression, falls, dizziness, and physical activity in geriatric individuals with BPPV.BMC geriatrics · 2026Article
- Fear of Falling, Balance Disturbances, and Health-Related Quality of Life in Post-Stroke Inpatients: A Preliminary Cross-Sectional Study.Journal of clinical medicine · 2026Article
- Article
- Fear of Falling, Anxiety, and Depressive Symptoms Among Older Adults in Bangladesh: Prevalence, Correlates, and Mediation Pathways.Depression and anxiety · 2026Article
- Fear of falling among housebound older adults: a quantitative study.BMC geriatrics · 2025Article
- Moderating effects of social capital on the relationship between fear of falling and depressive symptoms among community-dwelling older adults.Archives of public health = Archives belges de sante publique · 2025Article
- Effect of a Multi-Faceted Training Program on Falls in Senior Pickleball Players.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Association between life satisfaction and fall severity among hospitalized stroke patients.Scientific reports · 2025Article
- How socioeconomic status shapes health outcomes following severe falls: a cross-sectional analysis.BMC geriatrics · 2025Article
- Predictors of Quality of Life Among Older Residents in Rural and Urban Areas in Indonesia: An Approach Using the International Classification of Functioning, Disability, and Health.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025Article
- Nationwide assessment of fall risk and protective factors among older adults in Saudi Arabia.PloS one · 2025Article
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Abstract
backgroundThe fear of falling is a common issue among older adults that negatively affects physical and psychological aspects of health-related quality of life, regardless of actual fall events. Interventions aimed at reducing fear of falling, independent of falls, may improve older adults' quality of life. This study examined the moderated mediation effect of physical activity in how fear of falling affects health-related quality of life through depression in community-dwelling older adults.
methodsThis study used secondary data from the Korea Centers for Disease Control and Prevention's 2019 Community Health Survey. The study included 73,738 adults aged 65 years or older. The researchers used the fear of falling scale, International Physical Activity Questionnaire, Patient Health Questionnaire-9, and EuroQol 5 Dimension as research tools, and performed descriptive statistics, Pearson's correlation coefficient, and SPSS PROCESS macro analysis. The study used the bootstrapping method to assess the adjusted mediating effect by resampling 5,000 times, and determined statistical significance with a 95% confidence interval.
resultsIn the model in which fear of falling affects health-related quality of life by mediating depression, the moderated mediation effect of physical activity was statistically significant, as the bootstrapping result did not include 0 in the 95% confidence interval (Index of moderated mediation [95% CI] = 0.006 [0.004-0.007], 0.008 [0.006-0.009]). Depression and health-related quality of life impairment decreased as the level of physical activity increased through inactivity, minimal activity, and health promotion activities, as the negative mediating effects decreased.
conclusionPhysical activity reduces depression and improves health-related quality of life by influencing older adults' fear of falling. Community-based programs are needed to encourage and support older adults in maintaining moderate physical activity to manage the depression caused by fear of falling, which is common among older adults, and to improve their health-related quality of life.
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