Tomita Yoshihito, Arima Kazuhiko, Kanagae Mitsuo, Okabe Takuhiro, Mizukami Satoshi, Nishimura Takayuki, Abe Yasuyo, Goto Hisashi, Horiguchi Itsuko, Aoyagi Kiyoshi
From the Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan (YT, KA, MK, TO, TN, YA, KA); Department of Rehabilitation, Nishi-Isahaya Hospital, Isahaya, Japan (YT, MK, TO, SM); Goto Health Care Office, Nagasaki, Japan (HG); and Center for Public Relations Strategy, Nagasaki University, Nagasaki, Japan (IH).
Medicine (Baltimore). 2015 Sep;94(35):e1449. doi: 10.1097/MD.0000000000001449.
Our aim was to explore the association of physical performance and pain with fear of falling among community-dwelling Japanese women.The subjects were 278 women aged 65 years and over. We collected information on fear of falling, painful joints, comorbidities, falls in the previous year, and cataracts. Walking time (distance of 6 m), chair stand time (5 times), grip strength, the timed up and go test (TUG), and functional reach were measured.The prevalence of fear of falling was 36.3%, and it increased with age, but it was not significant (P = 0.081). Multivariate logistic regression analysis showed that poor physical performance (longer walking time, longer chair stand time, weaker grip strength, and longer TUG) and pain (low back, and upper and lower extremity pain) were significantly associated with fear of falling after adjusting for age, body mass index, comorbidities, falls in the previous year, and cataracts.Maintaining physical functioning and managing pain may be important for elderly women with fear of falling.
我们的目的是探讨身体机能和疼痛与社区居住的日本老年女性跌倒恐惧之间的关联。研究对象为278名65岁及以上的女性。我们收集了有关跌倒恐惧、关节疼痛、合并症、上一年的跌倒情况以及白内障的信息。测量了步行时间（6米距离）、从椅子上站起时间（5次）、握力、定时起立行走测试（TUG）以及功能性伸展距离。跌倒恐惧的患病率为36.3%，且随年龄增加，但差异无统计学意义（P = 0.081）。多因素逻辑回归分析显示，在调整年龄、体重指数、合并症、上一年的跌倒情况和白内障后，身体机能差（步行时间长、从椅子上站起时间长、握力弱以及TUG时间长）和疼痛（腰背痛以及上肢和下肢疼痛）与跌倒恐惧显著相关。维持身体功能和控制疼痛对于有跌倒恐惧的老年女性可能很重要。
