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Association between Fall History and Gait, Balance, Physical Activity, Depression, Fear of Falling, and Motor Capacity: A 6-Month Follow-Up Study

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  • Catherine Park

    (Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
    VA’s Health Services Research and Development Service (HSR&D), Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA
    Big Data Scientist Training Enhancement Program, VA Office of Research and Development, Washington, DC 20420, USA)

  • Md Moin Uddin Atique

    (Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA)

  • Ramkinker Mishra

    (Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA)

  • Bijan Najafi

    (Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA)

Abstract

Maintaining function in older adults is key to the quality of life and longevity. This study examined the potential impact of falls on accelerating further deterioration over time in gait, balance, physical activity, depression, fear of falling, and motor capacity in older adults. 163 ambulatory older adults (age = 76.5 ± 7.7 years) participated and were followed for 6 months. They were classified into fallers or non-fallers based on a history of falling within the past year. At baseline and 6 months, all participants were objectively assessed for gait, balance, and physical activity using wearable sensors. Additional assessments included psychosocial concerns (depression and fear of falling) and motor capacity (Timed Up and Go test). The fallers showed lower gait performance, less physical activity, lower depression level, higher fear of falling, and less motor capacity than non-fallers at baseline and 6-month follow-up. Results also revealed acceleration in physical activity and motor capacity decline compared to non-fallers at a 6-month follow-up. Our findings suggest that falls would accelerate deterioration in both physical activity and motor performance and highlight the need for effective therapy to reduce the consequences of falls in older adults.

Suggested Citation

  • Catherine Park & Md Moin Uddin Atique & Ramkinker Mishra & Bijan Najafi, 2022. "Association between Fall History and Gait, Balance, Physical Activity, Depression, Fear of Falling, and Motor Capacity: A 6-Month Follow-Up Study," IJERPH, MDPI, vol. 19(17), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10785-:d:901412
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    References listed on IDEAS

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    1. Alexander, B.H. & Rivara, F.P. & Wolf, M.E., 1992. "The cost and frequency of hospitalization for fall-related injuries in older adults," American Journal of Public Health, American Public Health Association, vol. 82(7), pages 1020-1023.
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    Cited by:

    1. Simona Hvalič-Touzery & Mojca Šetinc & Vesna Dolničar, 2022. "Benefits of a Wearable Activity Tracker with Safety Features for Older Adults: An Intervention Study," IJERPH, MDPI, vol. 19(23), pages 1-26, November.
    2. Catherine Park & Ram kinker Mishra & Michele K. York & Ana Enriquez & Abigail Lindsay & Gregory Barchard & Ashkan Vaziri & Bijan Najafi, 2022. "Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, an," IJERPH, MDPI, vol. 19(23), pages 1-12, December.

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