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Associations between Muscle Strength, Physical Performance and Cognitive Impairment with Fear of Falling among Older Adults Aged ≥ 60 Years: A Cross-Sectional Study

Author

Listed:
  • Antonio Orihuela-Espejo

    (Faculty of Sport Sciences, EADE-University of Wales, Trinity Saint David, 29018 Málaga, Spain
    Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • Francisco Álvarez-Salvago

    (Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
    Department of Physiotherapy, Faculty of Health Sciences, European University of Valencia, 46112 Valencia, Spain)

  • Antonio Martínez-Amat

    (Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • Carmen Boquete-Pumar

    (Faculty of Sport Sciences, EADE-University of Wales, Trinity Saint David, 29018 Málaga, Spain
    Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • Manuel De Diego-Moreno

    (Faculty of Sport Sciences, EADE-University of Wales, Trinity Saint David, 29018 Málaga, Spain
    Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • Manuel García-Sillero

    (Faculty of Sport Sciences, EADE-University of Wales, Trinity Saint David, 29018 Málaga, Spain
    Laboratory FiveStars, 29018 Málaga, Spain)

  • Agustín Aibar-Almazán

    (Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

  • José Daniel Jiménez-García

    (Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

Abstract

(1) Background: Fear of falling has become a significant health problem in older adults and is already considered as important as falling because of its long-term detrimental effects on older adults’ physical and psychosocial functioning. The aim of this study was to analyze the associations between both upper and lower limb strength, gait parameters and cognitive impairment with fear of falling in older adults. (2) Methods: A cross-sectional study involving 115 older-adult participants was used to assess the impact of both upper (Handgrip dynamometer, TKK 5401 Grip-D, Takey, Tokyo, Japan) and lower limb strength (Chair stand test), gait parameters (OptoGait-System Bolzano, Bolzano, Italy) and cognitive impairment (COWAT word association test) with fear of falling in older adults (Falls Efficacy Scale-International FES-I). (3) Results: Multivariate linear regression analysis showed several independent associations with the fear of falling. A higher time to perform the Chair Stand test was associated with higher scores in FES-I (R 2 = 0.231), while a lower score in both Semantic Fluency (S COWA) and Phonologic Fluency (P COWA) was associated with a decreased score in FES-I (R 2 = 0.052 and 0.035). (4) Conclusions: Both higher step and stride length (OptoGait), lower body strength (Chair test) and both poorer semantic (S COWA) and phonologic (P COWA) fluency were all associated with fear of falling.

Suggested Citation

  • Antonio Orihuela-Espejo & Francisco Álvarez-Salvago & Antonio Martínez-Amat & Carmen Boquete-Pumar & Manuel De Diego-Moreno & Manuel García-Sillero & Agustín Aibar-Almazán & José Daniel Jiménez-García, 2022. "Associations between Muscle Strength, Physical Performance and Cognitive Impairment with Fear of Falling among Older Adults Aged ≥ 60 Years: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(17), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10504-:d:895614
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    References listed on IDEAS

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    1. Ana Lavedán & Maria Viladrosa & Pilar Jürschik & Teresa Botigué & Carmen Nuín & Olga Masot & Raquel Lavedán, 2018. "Fear of falling in community-dwelling older adults: A cause of falls, a consequence, or both?," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-14, March.
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    Cited by:

    1. Jorge D. Cardenas & Carlos A. Gutierrez & Ruth Aguilar-Ponce, 2023. "Deep Learning Multi-Class Approach for Human Fall Detection Based on Doppler Signatures," IJERPH, MDPI, vol. 20(2), pages 1-16, January.

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