Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.
CINTESIS, University of Porto, Porto, Portugal.
Psychogeriatrics. 2019 Sep;19(5):457-464. doi: 10.1111/psyg.12423. Epub 2019 Feb 19.
To explore the recent history of falls and the existence of fear of falling in a sample of centenarians, and to identify factors associated with both conditions.
The sample included 109 centenarians from two Portuguese studies. The two main outcomes of this study are fear of falling and history of fall(s).
Results revealed that more than a half (51.4%) of the participants had fallen in the last 5 years and that the percentage of fear of falling was 78.9%. No association was found between the two conditions. The factors associated with each one were found to be different: number of health conditions for history of falls, and pain frequency and anxiety for fear of falling.
The relationship between anxiety and fear of falling reinforces the importance of screening both conditions as it can improve their detection and treatment. The established relationship between a high number of health conditions (common at very advanced ages) and falls demands greater attention in fall prevention initiatives specifically targeted to the extremely elderly.
本研究旨在探索百岁老人样本中近期跌倒史和跌倒恐惧的发生情况，并确定与这两种情况相关的因素。
该样本包括来自葡萄牙的两项研究中的 109 名百岁老人。本研究的两个主要结果是跌倒恐惧和跌倒史。
结果显示，超过一半（51.4%）的参与者在过去 5 年内跌倒过，跌倒恐惧的比例为 78.9%。这两种情况之间没有关联。与每种情况相关的因素不同：跌倒史与健康状况的数量有关，而跌倒恐惧与疼痛频率和焦虑有关。
焦虑与跌倒恐惧之间的关系强调了筛查这两种情况的重要性，因为这可以提高它们的检出率和治疗效果。大量健康状况（在非常高龄时很常见）与跌倒之间的既定关系需要在专门针对超高龄人群的跌倒预防措施中引起更多关注。
