ArticleNursing open2026
Sarcopenia, Depression, Fatigue, and Fear of Falling in Middle-Aged and Older Adults With Visual Impairment: Empirical Research Quantitative.
Article in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
aimTo examine whether depression and fatigue mediate the association between sarcopenia and fear of falling in middle-aged and older adults with visual impairment, based on the biopsychosocial model.
designCross-sectional secondary data analysis.
methodsData from 211 community-dwelling adults aged 50 years and older with visual impairment in South Korea, collected between September 2024 and March 2025, were analysed. The risks of sarcopenia, depression, fatigue, and fear of falling were measured. Serial mediation was tested using Hayes' PROCESS macro (Model 6).
resultsSarcopenia was positively associated with depression, fatigue, and fear of falling, and its direct effect on fear of falling was significant. Depression alone did not mediate the association, whereas fatigue showed a significant indirect effect, including a serial pathway through depression and fatigue.
conclusionsFatigue was a key pathway linking sarcopenia to fear of falling, whereas depression alone was not. Screening for sarcopenia risk, fatigue, and depression, along with tailored interventions, is warranted. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: When assessing fall risk in middle-aged and older adults with visual impairment, nurses should screen not only for physical function but also for sarcopenia risk, fatigue, and depression. Nurse-led interventions combining strength and balance training with fatigue and mood management may help reduce fear of falling in this population. IMPACT: This study addressed how, and why, sarcopenia relates to fear of falling in adults with visual impairment. Fatigue emerged as the key pathway. The findings can help nurses and other providers develop integrated fall-prevention care for this population. REPORTING
methodTo strengthen the validity of the research, it was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution, as this study involved a secondary analysis of de-identified data.
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