Publication Date
8-30-2022
Journal
International Journal of Environmental Research and Public Health
DOI
10.3390/ijerph191710785
PMID
36078500
PMCID
PMC9517805
PubMedCentral® Posted Date
8-30-2022
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Accidental Falls, Aged, Aged, 80 and over, Depression, Exercise, Fear, Follow-Up Studies, Gait, Humans, Postural Balance, Quality of Life, Time and Motion Studies, fall history, consequences of falls, wearables, older adults, gait, balance, physical activity, depression, fear of falling, motor capacity
Abstract
Maintaining function in older adults is key to the quality of life and longevity. This study examined the potential impact of falls on accelerating further deterioration over time in gait, balance, physical activity, depression, fear of falling, and motor capacity in older adults. 163 ambulatory older adults (age = 76.5 ± 7.7 years) participated and were followed for 6 months. They were classified into fallers or non-fallers based on a history of falling within the past year. At baseline and 6 months, all participants were objectively assessed for gait, balance, and physical activity using wearable sensors. Additional assessments included psychosocial concerns (depression and fear of falling) and motor capacity (Timed Up and Go test). The fallers showed lower gait performance, less physical activity, lower depression level, higher fear of falling, and less motor capacity than non-fallers at baseline and 6-month follow-up. Results also revealed acceleration in physical activity and motor capacity decline compared to non-fallers at a 6-month follow-up. Our findings suggest that falls would accelerate deterioration in both physical activity and motor performance and highlight the need for effective therapy to reduce the consequences of falls in older adults.