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Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people : a cross-sectional study

Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people : a cross-sectional study

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GOTTSCHALK, Sophie, Hans-Helmut KÖNIG, Michael SCHWENK, Carl-Philipp JANSEN, Corinna NERZ, Clemens BECKER, Jochen KLENK, Judith DAMS, 2020. Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people : a cross-sectional study. In: BMC geriatrics. BioMed Central. 20, 401. eISSN 1471-2318. Available under: doi: 10.1186/s12877-020-01802-6

@article{Gottschalk2020Media-55125, title={Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people : a cross-sectional study}, year={2020}, doi={10.1186/s12877-020-01802-6}, volume={20}, journal={BMC geriatrics}, author={Gottschalk, Sophie and König, Hans-Helmut and Schwenk, Michael and Jansen, Carl-Philipp and Nerz, Corinna and Becker, Clemens and Klenk, Jochen and Dams, Judith}, note={Article Number: 401} }

Schwenk, Michael Gottschalk, Sophie König, Hans-Helmut Attribution 4.0 International Becker, Clemens eng Schwenk, Michael Dams, Judith Nerz, Corinna Klenk, Jochen König, Hans-Helmut 2021-10-04T07:43:40Z 2020 Mediating factors on the association between fear of falling and health-related quality of life in community-dwelling German older people : a cross-sectional study Nerz, Corinna Becker, Clemens Klenk, Jochen Dams, Judith Background:<br />Previous research has shown that not only falls, but also fear of falling (FoF) influences health-related quality of life (HrQoL) negatively. The EQ-5D (consisting of an index and a visual analogue scale [EQ-VAS]) is a frequently used instrument to determine HrQoL in clinical studies and economic evaluations, but no previous study compared the association between FoF and the EQ-5D index with the association between FoF and the EQ-VAS. Moreover, factors that influence the association between FoF and HrQoL are rarely examined. Thus, this study aimed to examine the association between FoF and HrQoL and to examine factors that mediate the association.<br /><br />Methods:<br />FoF (Short Falls Efficacy Scale International) and HrQoL (EQ-5D descriptive system, EQ-5D index, and EQ-VAS) were assessed in a sample of community-dwelling older persons (≥70 years) participating in the baseline assessment of a randomized controlled trial (N = 309). Linear and logistic regression analyses were performed, adjusting for sociodemographic variables, frequency of falls, number of chronic conditions, functional mobility (Timed up-and-go test), and subjective functional capacity (LLFDI function and disability scales). Multiple regression models were used to test the mediating effects.<br /><br />Results:<br />Moderate or high FoF was prevalent in 66% of the sample. After adjusting for covariates, FoF was negatively associated with the EQ-5D index, but not with the descriptive system or the EQ-VAS. Subjective functional capacity partly mediated the association between FoF and the EQ-5D index and completely mediated the association between FoF and the EQ-VAS.<br /><br />Conclusion:<br />FoF was negatively associated with the EQ-5D index. As subjective functional capacity mediated the association between FoF and HrQoL, future interventions should account for subjective functional capacity in their design. Jansen, Carl-Philipp Jansen, Carl-Philipp 2021-10-04T07:43:40Z Gottschalk, Sophie

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