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Association between Domains of the Clinical-Functional Vulnerability Index and Falls History in Older Adults: A Cross-Sectional Study

Author

Listed:
  • Natália B. Moreira

    (Departamento de Prevenção e Reabilitação em Fisioterapia, Rua Coronel H dos Santos, Jardim das Américas, 100-Centro Politécnico, Universidade Federal do Paraná, Curitiba 81530-000, Paraná, Brazil)

  • Paulo C. B. Bento

    (Departamento de Educação Física, Rua Coronel H dos Santos, Jardim das Américas, 100-Centro Politécnico, Universidade Federal do Paraná, Curitiba 81530-000, Paraná, Brazil)

  • Edgar Ramos Vieira

    (Department of Physical Therapy, Nicole Wertheim College of Nursing and Health Sciences, International University, Miami, FL 33199, USA)

  • José L. P. da Silva

    (Departamento de Estatística, Rua Coronel H dos Santos, Jardim das Américas, 100-Centro Politécnico, Universidade Federal do Paraná, Curitiba 81530-000, Paraná, Brazil)

  • André L. F. Rodacki

    (Departamento de Educação Física, Rua Coronel H dos Santos, Jardim das Américas, 100-Centro Politécnico, Universidade Federal do Paraná, Curitiba 81530-000, Paraná, Brazil)

Abstract

Objectives: The study aimed to determine which domains, sets, and isolated or combined questions of the Clinical-Functional Vulnerability Index (CFVI-20) are associated with falls history in older adults. Methods: Instruments used were the CFVI-20 assessment and reported falls during the last year. The receiver operating characteristics (ROC) curves identified the performance of the CFVI-20 domains and questions in identifying older adults with and without falls history, while logistic regression identified relevant questions to identify fall history. Results: This study included 1725 individuals (71.9 ± 7.3 years). The area under the curve (AUC) between the CFVI-20 and fall history was 0.69. The mobility domain presented the largest AUC (0.71; p < 0.01), and most isolated domains showed low AUCs (0.51 to 0.58). Isolated questions were limited to identifying fallers. The regression analysis identified 7 questions of the CFVI-20 with falls. Conclusions: The CFVI-20 general score identified older adults with a fall history. When considered in isolation, most domains were limited to identifying falls, except for the mobility domain. Combining the CFVI-20 questions enabled identification of fallers.

Suggested Citation

  • Natália B. Moreira & Paulo C. B. Bento & Edgar Ramos Vieira & José L. P. da Silva & André L. F. Rodacki, 2022. "Association between Domains of the Clinical-Functional Vulnerability Index and Falls History in Older Adults: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(13), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:7949-:d:851032
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    References listed on IDEAS

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    1. Hoffman, Geoffrey J. & Hays, Ron D. & Wallace, Steven P. & Shapiro, Martin F. & Ettner, Susan L., 2017. "Depressive symptomatology and fall risk among community-dwelling older adults," Social Science & Medicine, Elsevier, vol. 178(C), pages 206-213.
    2. Qiwei Li & Elias Mpofu & Cheng Yin & Keith W. Turner, 2019. "Perception of Falls and Confidence in Self-Management of Falls among Older Adults," IJERPH, MDPI, vol. 16(24), pages 1-13, December.
    3. Charlotte Moser & Jacques Spagnoli & Brigitte Santos-Eggimann, 2011. "Self-Perception of Aging and Vulnerability to Adverse Outcomes at the Age of 65--70 Years," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(6), pages 675-680.
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    1. Letícia Pophal da Silva & Natália Boneti Moreira & Renata Zacharias Grando & Paulo César Baraúce Bento & André Luiz Felix Rodacki, 2022. "Clinical-Functional Vulnerability, Functional Capacity, and Falls in Octogenarians with Different Physical Activity Levels—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-9, September.

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