ArticleBMC geriatrics2025
Physical activity six months after a severe fall - moderating factors in older individuals.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Tailored interventions to prevent functional decline after a Sentinel Fall presenting to the Emergency Department (iSeFallED) - protocol for a pragmatic mixed-methods implementation study.BMC geriatrics · 2026Article
- Neighbourhood-level age-friendliness in urban environments: associations with functional independence and physical activity in older adults after a fall.Frontiers in public health · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSevere falls in older individuals are a leading cause of emergency department (ED) visits and often result in long-term impairments that reduce physical activity (PA). Limited information exists on the characteristics of individuals who suffer from physical inactivity after such falls and the factors that influence it. This study investigates the association between potential moderators and changes in PA in older adults six months after a severe fall.
methodsParticipants were recruited from the SeFallED study (German Clinical Trials Register ID: 00025949). Moderators were evaluated through a home-based geriatric assessment conducted within four weeks of a severe fall with presentation to the ED. PA was quantified using both sensor-based (n = 72 men (75 years), n = 106 women (74 years) and self-reported (n = 105 men (74 years), n = 174 women (73 years) assessments. A Linear Mixed Model was used for analysis.
resultsSensor-based PA revealed a significant time effect for step count (p = 0.006), indicating an increase in PA six months after a severe fall. Fall history (95% CI: -1,009.5 - (-207.4), p = 0.003) and age (95% CI: -315.8 - (-82.5), p < 0.01) were significant negative moderators for changes in PA, only in women. No significant changes in self-reported PA were observed after six months (p = 0.109).
conclusionParticipants showed an increase in sensor-based PA six months after a severe fall, though this was negatively associated with age and fall history. Early identification of factors that affect PA recovery may help stratify individuals by risk and target those in need of secondary prevention.
trial registrationDRKS (Deutsches Register für klinische Studien, DRKS0 00259 49). Prospectively registered on 4th November, 2021.
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