+ 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

The associations between physical activity, including physical activity intensity, and fear of falling differs by fear severity in older adults living in the community



The associations between physical activity, including physical activity intensity, and fear of falling differs by fear severity in older adults living in the community



Journals of Gerontology. Series B Psychological Sciences and Social Sciences 2018:



Fear of falling (FoF) is common in older adults. Physical activity decreases as FoF increases. However, this association between physical activity and FoF may vary depending on activity intensity. The current study was performed to explore the associations between FoF and step count, light-intensity physical activity (LPA), and moderate/vigorous-intensity physical activity (MVPA), in community-dwelling older adults. This cross-sectional observational study was held at a local community association center, with 242 older adults living independently in the community (mean age: 75.1 5.4 years). FoF was defined using the Falls Efficacy Scale-International and categorized into three levels (low, moderate, and high). Physical activity was measured using a uniaxial accelerometer worn for 7 consecutive days, and by calculating daily step count, LPA, and MVPA, over this period. Step count and physical activity intensity showed significant linear trends across FoF severity (p < 0.01, respectively). High FoF decreased step count by approximately 2000 steps/day. Further, high FoF was significantly associated with short durations of both LPA and MVPA. Additionally, moderate FoF was associated with decreased LPA duration, even after adjustment for confounding variables. Physical activity decreased concomitantly with a rise in FoF severity. Moreover, the association between physical activity and FoF differed by physical activity intensity level in community-dwelling older adults. Further studies are needed to investigate the causal relationship between FoF and objective physical activity in this population.

Please choose payment method:






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

Accession: 065936164

Download citation: RISBibTeXText

PMID: 30219902

DOI: 10.1093/geronb/gby103


Related references

Socio-demographic, health-related and psychosocial correlates of fear of falling and avoidance of activity in community-living older persons who avoid activity due to fear of falling. Bmc Public Health 9: 170, 2009

Relationships between self perceptions and physical activity behaviour, fear of falling, and physical function among older adults. European Review of Aging and Physical Activity 14: 17, 2017

What is the relation between fear of falling and physical activity in older adults?. Archives of Physical Medicine and Rehabilitation 94(12): 2529-2534, 2013

Increased physical activity in older adults is associated with decreased fear of falling. Evidence-BasedNursing21(2):52, 2018

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

The relationship between physical fitness and falling risk and fear of falling in community-dwelling elderly people with different physical activity levels. Turkish Journal of Medical Sciences 47(2): 455-462, 2017

Joint Association of Neighborhood Environment and Fear of Falling on Physical Activity Among Frail Older Adults. Journal of Aging and Physical Activity 25(1): 140-148, 2017

How are falls and fear of falling associated with objectively measured physical activity in a cohort of community-dwelling older men?. Bmc Geriatrics 14: 114, 2014

OP16How is Objectively Measured Physical Activity Associated with Falls and fear of Falling in Older Community Dwelling Men?. Journal of Epidemiology & Community Health 66(Suppl 1): A7.1-A7, 2012

Physical and psychosocial correlates of fear of falling: among older adults in assisted living facilities. Journal of Gerontological Nursing 34(12): 27-35, 2008

Does fear of falling relate to low physical function in frail elderly persons?: associations of fear of falling, balance, and gait. Journal of the Japanese Physical Therapy Association 7(1): 41-47, 2004

Effectiveness of Daily Use of Bilateral Custom-Made Ankle-Foot Orthoses on Balance, Fear of Falling, and Physical Activity in Older Adults: A Randomized Controlled Trial. Gerontology 65(3): 299-307, 2019

Characteristics associated with fear of falling and activity restriction in community-living older persons. Journal of the American Geriatrics Society 50(3): 516-520, 2002

Perceived effort of walking: relationship with gait, physical function and activity, fear of falling, and confidence in walking in older adults with mobility limitations. Physical Therapy 92(10): 1268-1277, 2012

Fear of falling among community-living older adults. Orvosi Hetilap 160(5): 191-197, 2019