Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.
Age Ageing. 2024 Oct 1;53(10). doi: 10.1093/ageing/afae224.
Concerns about falling (CaF) are common in older people and can lead to avoidance of activities, social isolation and reduced physical function. However, there is limited knowledge about CaF in people with osteoarthritis (OA); yet, symptoms may increase CaF. We aimed to evaluate the prevalence of CaF and associated factors in people with knee or hip OA.
This cross-sectional study used data from the Good Life with osteoArthritis in Denmark registry including patients with OA treated in primary care. CaF was assessed with the Short Falls Efficacy Scale International (Short FES-I, range 7-28, low to high). Associations between CaF and pain, function and psychological factors were evaluated using multivariable linear Tobit regression.
In total, 7442 patients were included [mean age 67 years (SD: 9.6), 67% females]. Mean Short FES-I was 9.8 [95% confidence interval (CI): 9.7; 9.8]. Moderate CaF was observed in 48.1% (95% CI: 46.7; 48.9) of participants, whilst 11.3% (95% CI: 10.7; 12.1) had a high level of CaF. CaF was more prevalent in the oldest participants and in females. Pain intensity [β-value (95% CI): 0.52 (0.48; 0.55)], chair stand test [-0.21 (-0.22; -0.19)] and fear of movement [1.38 (1.19; 1.56)] were significantly associated with increased CaF across age groups and sex.
CaF is common in people with OA, especially in the oldest participants and in females. Higher pain, lower function and psychological distress are associated with CaF; yet, the causality of the associations remain to be determined. Integrating CaF assessments and interventions into OA management in primary care seems highly relevant.
老年人普遍存在跌倒顾虑（CaF），这可能导致他们避免活动、社交孤立和身体功能下降。然而，对于骨关节炎（OA）患者的 CaF 知之甚少；但症状可能会增加 CaF。我们旨在评估膝或髋 OA 患者中 CaF 的患病率及其相关因素。
这项横断面研究使用了丹麦骨关节炎生活质量登记处的数据，该登记处包括在初级保健中接受 OA 治疗的患者。使用国际短跌倒效能量表（Short FES-I，范围 7-28，低到高）评估 CaF。使用多变量线性 Tobit 回归评估 CaF 与疼痛、功能和心理因素之间的关系。
共纳入 7442 例患者[平均年龄 67 岁（标准差：9.6），67%为女性]。平均 Short FES-I 为 9.8 [95%置信区间（CI）：9.7；9.8]。48.1%（95% CI：46.7；48.9）的参与者存在中度 CaF，11.3%（95% CI：10.7；12.1）存在高度 CaF。最年长的参与者和女性中 CaF 的患病率更高。疼痛强度[β 值（95% CI）：0.52（0.48；0.55）]、椅子站立试验[-0.21（-0.22；-0.19）]和运动恐惧[1.38（1.19；1.56）]与各年龄段和性别的 CaF 增加显著相关。
OA 患者中 CaF 很常见，尤其是最年长的参与者和女性。较高的疼痛、较低的功能和心理困扰与 CaF 相关；然而，关联的因果关系仍有待确定。将 CaF 评估和干预纳入 OA 初级保健管理似乎非常重要。
