Association between patient-reported functional measures and incident falls

Abstract Lower extremity muscle strength, and functional limitations are important modifiable predictors of falls, but are often examined using performance based measures. We examined the association between self-reported physical function limitations, determined using Late-Life Function and Disabil...

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Autores principales:	Wanfen Yip, Lixia Ge, Bee Hoon Heng, Woan Shin Tan
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1a97549932bc4998a824c6a6037d16f5
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spelling	oai:doaj.org-article:1a97549932bc4998a824c6a6037d16f52021-12-02T13:30:11ZAssociation between patient-reported functional measures and incident falls10.1038/s41598-021-84557-32045-2322https://doaj.org/article/1a97549932bc4998a824c6a6037d16f52021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84557-3https://doaj.org/toc/2045-2322Abstract Lower extremity muscle strength, and functional limitations are important modifiable predictors of falls, but are often examined using performance based measures. We examined the association between self-reported physical function limitations, determined using Late-Life Function and Disability Instrument(LLFDI) and incident falls in community-dwelling elderly individuals. 283 older adults participants were included in this analysis. Physical function limitations were defined as a person’s difficulty in completing items of the lower extremity function domain and composite scores of the LLFDI. Information on falls was obtained through a standardised questionnaire. At one-year follow-up, 15.2% (43) of the participants experienced their first fall. In the multivariable analysis, individuals who reported difficulties in items of lower extremity function domain were more likely to experience a fall (incidence rate ratio[IRR]: ranging between 2.43 and 7.01; all P ≤ 0.046). In addition, decreasing advanced lower extremity function scores (IRR: 1.70, 95% confidence interval[CI]): 1.04, 2.78) and overall function component score (IRR: 2.05, 95% CI: 1.22, 3.44) were associated with higher risk of incident falls. Physical function limitations, determined using LLFDI, were associated with incident falls. Our findings provide further evidence that the LLFDI function component has the potential to be used as a self-assessment tool for fall risk.Wanfen YipLixia GeBee Hoon HengWoan Shin TanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wanfen Yip Lixia Ge Bee Hoon Heng Woan Shin Tan Association between patient-reported functional measures and incident falls
description	Abstract Lower extremity muscle strength, and functional limitations are important modifiable predictors of falls, but are often examined using performance based measures. We examined the association between self-reported physical function limitations, determined using Late-Life Function and Disability Instrument(LLFDI) and incident falls in community-dwelling elderly individuals. 283 older adults participants were included in this analysis. Physical function limitations were defined as a person’s difficulty in completing items of the lower extremity function domain and composite scores of the LLFDI. Information on falls was obtained through a standardised questionnaire. At one-year follow-up, 15.2% (43) of the participants experienced their first fall. In the multivariable analysis, individuals who reported difficulties in items of lower extremity function domain were more likely to experience a fall (incidence rate ratio[IRR]: ranging between 2.43 and 7.01; all P ≤ 0.046). In addition, decreasing advanced lower extremity function scores (IRR: 1.70, 95% confidence interval[CI]): 1.04, 2.78) and overall function component score (IRR: 2.05, 95% CI: 1.22, 3.44) were associated with higher risk of incident falls. Physical function limitations, determined using LLFDI, were associated with incident falls. Our findings provide further evidence that the LLFDI function component has the potential to be used as a self-assessment tool for fall risk.
format	article
author	Wanfen Yip Lixia Ge Bee Hoon Heng Woan Shin Tan
author_facet	Wanfen Yip Lixia Ge Bee Hoon Heng Woan Shin Tan
author_sort	Wanfen Yip
title	Association between patient-reported functional measures and incident falls
title_short	Association between patient-reported functional measures and incident falls
title_full	Association between patient-reported functional measures and incident falls
title_fullStr	Association between patient-reported functional measures and incident falls
title_full_unstemmed	Association between patient-reported functional measures and incident falls
title_sort	association between patient-reported functional measures and incident falls
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/1a97549932bc4998a824c6a6037d16f5
work_keys_str_mv	AT wanfenyip associationbetweenpatientreportedfunctionalmeasuresandincidentfalls AT lixiage associationbetweenpatientreportedfunctionalmeasuresandincidentfalls AT beehoonheng associationbetweenpatientreportedfunctionalmeasuresandincidentfalls AT woanshintan associationbetweenpatientreportedfunctionalmeasuresandincidentfalls
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Association between patient-reported functional measures and incident falls

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