Dolan Hanne R, Pohl Janet, Pituch Keenan, Coon David W
Arizona State University Edson College of Nursing and Health Innovation, Phoenix, AZ, USA.
J Aging Health. 2025 Mar;37(3-4):233-242. doi: 10.1177/08982643241242518. Epub 2024 Mar 28.
To examine the extent to which older adults' perceived balance, a balance performance test, and fear of falling (FOF) were associated with falls in the last month. The Health Belief Model served as the theoretical framework. A retrospective, cross-sectional, secondary analysis using data from the National Health and Aging Trends Study was conducted ( = 7499). Multiple logistic regression analysis revealed that the odds of reporting a fall in the past month were 3.3 times ( < .001) greater for participants who self-reported having a balance problem compared to those who did not. The Short Physical Performance Battery and FOF were not uniquely associated with falls. Our findings support limited evidence suggesting that older adults' perceived balance is a better predictor of falls than balance performance. Assessing older adults' perceived balance may be a new way to assess older adults' fall risk to prevent future falls.
为了研究老年人的自我感知平衡、平衡能力测试表现以及跌倒恐惧（FOF）与过去一个月内跌倒之间的关联程度。健康信念模型作为理论框架。利用来自国家健康与老龄化趋势研究的数据进行了一项回顾性、横断面的二次分析（n = 7499）。多元逻辑回归分析显示，与未自我报告有平衡问题的参与者相比，自我报告有平衡问题的参与者在过去一个月内报告跌倒的几率高出3.3倍（p <.001）。简短体能测试电池和跌倒恐惧与跌倒并无独特关联。我们的研究结果支持了有限的证据，表明老年人的自我感知平衡比平衡能力测试表现更能预测跌倒。评估老年人的自我感知平衡可能是评估老年人跌倒风险以预防未来跌倒的一种新方法。
