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Association between everyday walking activity, objective and perceived risk of falling in older adults

Association between everyday walking activity, objective and perceived risk of falling in older adults

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JANSEN, Carl-Philipp, Jochen KLENK, Corinna NERZ, Chris TODD, Sarah LABUDEK, Franziska KRAMER-GMEINER, Clemens BECKER, Michael SCHWENK, 2021. Association between everyday walking activity, objective and perceived risk of falling in older adults. In: Age and Ageing. Oxford University Press (OUP). 50(5), pp. 1586-1592. ISSN 0002-0729. eISSN 1468-2834. Available under: doi: 10.1093/ageing/afab037

@article{Jansen2021-03-12Assoc-54911, title={Association between everyday walking activity, objective and perceived risk of falling in older adults}, year={2021}, doi={10.1093/ageing/afab037}, number={5}, volume={50}, issn={0002-0729}, journal={Age and Ageing}, pages={1586--1592}, author={Jansen, Carl-Philipp and Klenk, Jochen and Nerz, Corinna and Todd, Chris and Labudek, Sarah and Kramer-Gmeiner, Franziska and Becker, Clemens and Schwenk, Michael} }

Todd, Chris Kramer-Gmeiner, Franziska Association between everyday walking activity, objective and perceived risk of falling in older adults Jansen, Carl-Philipp Background:<br />older persons can be grouped according to their objective risk of falling (ORF) and perceived risk of falling (PRF) into ‘vigorous’ (low ORF/PRF), ‘anxious’ (low ORF/high PRF), ‘stoic’ (high ORF/low PRF) and ‘aware’ (high ORF/PRF). Sensor-assessed daily walking activity of these four groups has not been investigated, yet.<br /><br />Objective:<br />we examined everyday walking activity in those four groups and its association with ORF and PRF.<br /><br />Design:<br />cross-sectional<br /><br />Setting:<br />community<br /><br />Subjects:<br />N = 294 participants aged 70 years and older.<br /><br />Methods:<br />ORF was determined based on multiple independent risk factors; PRF was determined based on the Short Falls Efficacy Scale-International. Subjects were allocated to the four groups accordingly. Linear regression was used to quantify the associations of these groups with the mean number of accelerometer-assessed steps per day over 1 week as the dependent variable. ‘Vigorous’ was used as the reference group.<br /><br />Results:<br />average number of steps per day in the four groups were 6,339 (‘vigorous’), 5,781 (‘anxious’), 4,555 (‘stoic’) and 4,528 (‘aware’). Compared with the ‘vigorous’, ‘stoic’ (−1,482; confidence interval (CI): −2,473; −491) and ‘aware’ (−1,481; CI: −2,504; −458) participants took significantly less steps, but not the ‘anxious’ (−580 steps; CI: −1,440; 280).<br /><br />Conclusion:<br />we have integrated a digital mobility outcome into a fall risk categorisation based on ORF and PRF. Steps per day in this sample of community-dwelling older persons were in accordance with their ORF rather than their PRF. Whether this grouping approach can be used for the specification of participants’ needs when taking part in programmes to prevent falls and simultaneously promote physical activity remains to be answered in intervention studies. Kramer-Gmeiner, Franziska Schwenk, Michael Schwenk, Michael Becker, Clemens Klenk, Jochen Nerz, Corinna eng Nerz, Corinna Attribution-NonCommercial 4.0 International Becker, Clemens 2021-03-12 Todd, Chris Labudek, Sarah Klenk, Jochen 2021-09-21T08:09:42Z Labudek, Sarah 2021-09-21T08:09:42Z Jansen, Carl-Philipp

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