+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: a systematic review



Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: a systematic review



American Journal of Geriatric Psychiatry 23(1): 72-86



Fear of falling (FOF) is an important threat to autonomy. Current interventions to reduce FOF have yielded conflicting results. A possible reason for this discrepancy could be its multicausality. Some risk factors may not have been identified and addressed in recent studies. The last systematic review included studies until 2006. To identify additional risk factors for FOF and to test those mentioned previously, we conducted a systematic literature review. Studies examining FOF in community-dwelling older adults between 2006 and October 2013 were screened. Outcomes are summarized with respect to different constructs such as FOF, fall-related self-efficacy/balance confidence, and FOF-related activity restriction. Odds ratios and p values are reported. There is no clear pattern with regard to the different FOF-related constructs studied. The only parameters robustly associated across all constructs were female gender, performance-based and questionnaire-based physical function, the use of a walking aid, and, less robust, a history of falls and poor self-rated health. Conflicting results were identified for depression and anxiety, multiple drugs, and psychotropic drugs. Other potentially modifiable risk factors were only mentioned in one or two studies and warrant further investigation. Parameters with mainly negative results are also presented. Only few risk factors identified were robustly associated across all FOF-related constructs and should be included in future studies on FOF. Some newer factors have to be tested again in different cohorts. The comprehensive overview might assist in the conceptualization of future studies.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053193125

Download citation: RISBibTeXText

PMID: 24745560

DOI: 10.1016/j.jagp.2014.03.002


Related references

Effects of fear of falling and activity restriction on normal and dual task walking in community dwelling older adults. Gait and Posture 38(1): 120-124, 2013

A longitudinal investigation of fear of falling, fear of pain, and activity avoidance in community-dwelling older adults. Journal of Aging and Health 19(6): 965-984, 2007

Factors related to fear of falling among community-dwelling older adults. Journal of Clinical Nursing 26(1-2): 68-76, 2017

Participation restriction, not fear of falling, predicts actual balance and mobility abilities in rural community-dwelling older adults. Journal of Geriatric Physical Therapy 36(1): 13-23, 2013

Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults. Medicine 97(4): E9721, 2018

Physical Activity Level and Risk of Falling in Community-Dwelling Older Adults: Systematic Review and Meta-Analysis. Journal of Aging and Physical Activity 2018: 1-10, 2018

Factors Associated with Fear of Falling among Community-Dwelling Older Adults in the Shih-Pai Study in Taiwan. Plos one 11(3): E0150612, 2016

Factors associated with fear of falling in community-dwelling older adults with and without diabetes mellitus: Findings from the Frailty in Brazilian Older People Study (FIBRA-BR). Experimental Gerontology 89: 103-111, 2017

Transient versus persistent fear of falling in community-dwelling older adults: incidence and risk factors. Journal of the American Geriatrics Society 59(7): 1225-1231, 2011

Fear of falling and its relationship with anxiety, depression, and activity engagement among community-dwelling older adults. American Journal of Occupational Therapy 66(2): 169-176, 2013

Characteristics of walking, activity, fear of falling, and falls in community-dwelling older adults by residence. Journal of Geriatric Physical Therapy 33(1): 41-45, 2010

Fear of falling among community-dwelling older adults: A scoping review to identify effective evidence-based interventions. Geriatric Nursing 39(2): 170-177, 2017

Is there a relationship between pain and psychological concerns related to falling in community dwelling older adults? A systematic review. Disability and Rehabilitation 36(23): 1931-1942, 2014

Development of predictive models for the estimation of the probability of suffering fear of falling and other fall risk factors based on posturography parameters in community-dwelling older adults. International Journal of Industrial Ergonomics 54: 131-138, 2016

Fear of Falling: A Qualitative Study Among Community-Dwelling Older Adults. Physical & Occupational Therapy in Geriatrics 23(4): 37-53, 2005