Age and Ageing Advance Access published online on March 26, 2004
Age and Ageing, doi:10.1093/ageing/afh106
© 2004 by British Geriatrics Society
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1 Department of Rehabilitation Sciences And Physiotherapy, Faculty of Medicine And Health Sciences
* To whom correspondence should be addressed. E-mail: Kim.Delbaere{at}UGent.be.
Objective: to investigate the relationship between fear-related avoidance of activities and physical frailty. Subjects and methods: fear-related avoidance of activities, physical performance, maximal isometric muscle strength and postural control were assessed in 225 community-living elderly (94 men and 131 women), aged between 61 and 92 years of age. Results: bivariate analyses revealed significant correlations between avoidance of activities on the one hand, and physical performance, muscle strength, forward endpoint excursion of the centre of gravity, and previous falls on the other hand. Logistic regression analysis revealed that fear of falling and avoidance of activities in daily life were predictive of falls within a 1-year follow-up, together with general fear of falling, old age and being female. Conclusions: fear-related avoidance of activities may have negative effects on physical abilities and may also be predictive for future falls. Avoidance of activities is therefore an important additional psychological variable in the development of physical frailty and falling in community-living elderly. Keywords:
avoidance of activities, fear of falling, elderly, physical frailty
Accepted January 14, 2004
Article
Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study
2 Faculty of Psychology And Educational Sciences, Ghent University, Belgium
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