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Association between Falls, Fear of Falling and Depressive Symptoms in Community-Dwelling Older Adults.
Pereira, Maria Eduarda Armando; Santos, Gerson de Souza; Almeida, Clara Rabite de; Nunes, Kethlyn Cristina Santos; Silva, Monalisa Claudia Maria da; José, Helena; Sousa, Luís; Vitorino, Luciano Magalhães.
Afiliação
  • Pereira MEA; Faculty of Medicine of Itajubá, Itajubá 37502-138, MG, Brazil.
  • Santos GS; Department of Medicine, Centro Universitário Ages, Paripiranga 48430-000, BA, Brazil.
  • Almeida CR; Department of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, MG, Brazil.
  • Nunes KCS; Department of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, MG, Brazil.
  • Silva MCMD; Department of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, MG, Brazil.
  • José H; Atlântica School of Health, 2730-036 Barcarena, Portugal.
  • Sousa L; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra, 3004-011 Coimbra, Portugal.
  • Vitorino LM; Atlântica School of Health, 2730-036 Barcarena, Portugal.
Healthcare (Basel) ; 12(16)2024 Aug 16.
Article em En | MEDLINE | ID: mdl-39201196
ABSTRACT

BACKGROUND:

Longevity increases pose public health challenges, especially in managing falls and their psychological impacts on older adults. Limited evidence exists on the relationship between a fear of falling (FOF), previous falls, and depressive symptoms among community-dwelling older adults.

OBJECTIVE:

To evaluate the association between falls, FOF, and depressive symptoms in community-dwelling older adults.

METHODS:

This cross-sectional study, conducted in 2018, included 400 older adults from a Basic Health Unit in São Paulo, Brazil. The Geriatric Depression Scale (GDS-15) and the International Falls Efficacy Scale (FES-I) were used, along with self-report questionnaires on fall history. Linear and logistic regression were used to analyze the relationships between variables.

RESULTS:

The mean age was 75.2 (SD = 8.53) years, with 63.2% being female. Depressive symptoms were observed in 18.3% of the participants, while 90.5% reported a fear of falling (FOF). More than half (63.0%) experienced falls, with 49.5% occurring in the last year. Factors such as the female gender, negative health perceptions, and functional dependence were associated with depressive symptoms. Adjusted analyses indicated that both a fear of falling (FOF) (B = 0.043; p = 0.012) and a history of falls (B = 0.725; p = 0.015) were associated with depressive symptoms.

CONCLUSIONS:

Falls, FOF, and depressive symptoms are interlinked among older adults, underscoring the need for targeted interventions to improve their mental and physical health.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Healthcare (Basel) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Healthcare (Basel) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça