The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.

<h4>Background and aim</h4>The reciprocal relation between falling and concern about falling is complex and not well understood. We aimed to determine whether concern about falling increases after a fall and whether concern about falling increases the odds of future falls in community-dw...

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Autores principales:	Roel H A Weijer, Marco J M Hoozemans, Onno G Meijer, Jaap H van Dieën, Mirjam Pijnappels
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/815f290bf1684d21aa5f24f9067846ef
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spelling	oai:doaj.org-article:815f290bf1684d21aa5f24f9067846ef2021-12-02T20:05:09ZThe short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.1932-620310.1371/journal.pone.0253374https://doaj.org/article/815f290bf1684d21aa5f24f9067846ef2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253374https://doaj.org/toc/1932-6203<h4>Background and aim</h4>The reciprocal relation between falling and concern about falling is complex and not well understood. We aimed to determine whether concern about falling increases after a fall and whether concern about falling increases the odds of future falls in community-dwelling older adults without a recent fall history.<h4>Methods</h4>We selected 118 community-dwelling older adults (mean age: 71.4 (SD: 5.3) years) without a self-reported history of falling, one year prior to baseline assessment, from the one-year VIBE cohort for analyses. On a monthly basis, we recorded concern about falling (using the Falls Efficacy Scale-International, FES-I), as well as the occurrence of falls (through questionnaires and telephone calls). We determined 1) whether falling predicts an increase in concern about falling and 2) whether a high concern about falling is predictive of falling. Standard linear (fixed-effects) regression and mixed effects regression analyses were performed over long-term, i.e. one year, and short-term, i.e. one-month, intervals, respectively and were adjusted for gender, age and physical activity (quantified as the average total walking duration per day). Analyses were performed separately for all reported falls and for injurious falls only.<h4>Results</h4>High concern about falling at baseline did not predict falls over the course of one year, nor over the course of one month. Furthermore, falls in between baseline assessment and one year thereafter did not predict increased concern about falling from baseline to one year later, independent of whether all falls or only injurious falls were considered. However, falls, either all or injurious only, happening somewhere over the course of a one-month interval, significantly predicted small increases in concern about falling (1.49 FES-I points, 95% CI [0.74, 2.25], p<0.001 for all falls; 2.60 FES-I points, 95% CI [1.55, 3.64], p<0.001 for injurious falls) from the start to the end of that one-month interval.<h4>Conclusion</h4>Older adults without a recent history of falling seem to be resilient against developing concern about falling after having fallen, resulting in a short-term temporary effect of falling on concern about falling. Furthermore, we found no evidence that a high concern about falling predicts future falls over a one-month or a one-year follow-up period, suggesting that concern is not a primary cause for falls in older adults without a recent history of falling.Roel H A WeijerMarco J M HoozemansOnno G MeijerJaap H van DieënMirjam PijnappelsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0253374 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Roel H A Weijer Marco J M Hoozemans Onno G Meijer Jaap H van Dieën Mirjam Pijnappels The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.
description	<h4>Background and aim</h4>The reciprocal relation between falling and concern about falling is complex and not well understood. We aimed to determine whether concern about falling increases after a fall and whether concern about falling increases the odds of future falls in community-dwelling older adults without a recent fall history.<h4>Methods</h4>We selected 118 community-dwelling older adults (mean age: 71.4 (SD: 5.3) years) without a self-reported history of falling, one year prior to baseline assessment, from the one-year VIBE cohort for analyses. On a monthly basis, we recorded concern about falling (using the Falls Efficacy Scale-International, FES-I), as well as the occurrence of falls (through questionnaires and telephone calls). We determined 1) whether falling predicts an increase in concern about falling and 2) whether a high concern about falling is predictive of falling. Standard linear (fixed-effects) regression and mixed effects regression analyses were performed over long-term, i.e. one year, and short-term, i.e. one-month, intervals, respectively and were adjusted for gender, age and physical activity (quantified as the average total walking duration per day). Analyses were performed separately for all reported falls and for injurious falls only.<h4>Results</h4>High concern about falling at baseline did not predict falls over the course of one year, nor over the course of one month. Furthermore, falls in between baseline assessment and one year thereafter did not predict increased concern about falling from baseline to one year later, independent of whether all falls or only injurious falls were considered. However, falls, either all or injurious only, happening somewhere over the course of a one-month interval, significantly predicted small increases in concern about falling (1.49 FES-I points, 95% CI [0.74, 2.25], p<0.001 for all falls; 2.60 FES-I points, 95% CI [1.55, 3.64], p<0.001 for injurious falls) from the start to the end of that one-month interval.<h4>Conclusion</h4>Older adults without a recent history of falling seem to be resilient against developing concern about falling after having fallen, resulting in a short-term temporary effect of falling on concern about falling. Furthermore, we found no evidence that a high concern about falling predicts future falls over a one-month or a one-year follow-up period, suggesting that concern is not a primary cause for falls in older adults without a recent history of falling.
format	article
author	Roel H A Weijer Marco J M Hoozemans Onno G Meijer Jaap H van Dieën Mirjam Pijnappels
author_facet	Roel H A Weijer Marco J M Hoozemans Onno G Meijer Jaap H van Dieën Mirjam Pijnappels
author_sort	Roel H A Weijer
title	The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.
title_short	The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.
title_full	The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.
title_fullStr	The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.
title_full_unstemmed	The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.
title_sort	short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/815f290bf1684d21aa5f24f9067846ef
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The short- and long-term temporal relation between falls and concern about falling in older adults without a recent history of falling.

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