Do muscle strength, functioning, and behavioral factors have the same association with the history of falls?
DOI:
https://doi.org/10.1590/Keywords:
Accidental Falls, Aged, Physical Functional PerformanceAbstract
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 (rb
) and by a binomial regression analysis. The biological, handgrip strength (rb
=−0.282, p<0.001),
gait speed test (rb
=−0.082, p=0.151) and TUG (rb
=0.167, p=0.018) and
behavioral factors, fear of falling (rb
=0.098, p=0.162), physical activity
(rb
=−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
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