Do muscle strength, functioning, and behavioral factors have the same association with the history of falls?

Do muscle strength, functioning, and behavioral factors have the same association with the history of falls?

ABSTRACT This study investigated the association of biological (muscle strength and functioning) and behavioral factors (level of physical activity and fear of falling) with the history of falls in community-dwelling older adults. A cross-sectional study was carried out with 173 older adults. Handg...

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Main Authors: Jéssica Rodrigues de Almeida, Paula Maria Machado Arantes, Giane Amorim Ribeiro-Samora, Adriana Netto Parentoni, Leani Sousa Máximo Pereira, Juliana Melo Ocarino
Format: Article
Language:English
Published: Universidade de São Paulo 2024-12-01
Series:Fisioterapia e Pesquisa
Subjects:
Accidental Falls
Aged
Physical Functional Performance
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-29502024000100209&lng=en&tlng=en
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Summary:ABSTRACT This study investigated the association of biological (muscle strength and functioning) and behavioral factors (level of physical activity and fear of falling) with the history of falls in community-dwelling older adults. A cross-sectional study was carried out with 173 older adults. Handgrip strength and functioning were assessed using the timed up and go (TUG) and gait speed tests. Behavioral factors were assessed by physical activity (Minnesota Leisure Time Activities Questionnaire) and fear of falling (Falls Efficacy Scale-International) instruments. The history of falls was assessed by self-reporting of falls that occurred in the last six months. Data were analyzed by the biserial point correlation test (r b ) and by a binomial regression analysis. The biological, handgrip strength (r b =−0.282, p<0.001), gait speed test (r b =−0.082, p=0.151) and TUG (r b =0.167, p=0.018) and behavioral factors, fear of falling (r b =0.098, p=0.162), physical activity (r b =−0.149, p=0.039), were included in the regression model. Only biological factors, handgrip strength (p<0.001; OR: 0.891; 95% CI: 0.885 – 0.898) and functioning by TUG (p<0.001; OR: 1.031; 95% CI: 1.018 – 1.043) explained the history of falls. Lower values of muscle strength and worse performance in the TUG were associated with a history of falls.
ISSN:2316-9117

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