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RESEARCH PRODUCT

Accumulation of sensory difficulties predicts fear of falling in older women

Anne ViljanenMerja RantakokkoTaina RantanenMarkku KoskenvuoJaakko KaprioJaakko KaprioJenni Kulmala

subject

medicine.medical_specialtyVision DisordersPoison controlSensory systemAudiologyFear of fallingSuicide preventionOccupational safety and health03 medical and health sciences0302 clinical medicineSurveys and QuestionnairesInjury preventionHumansMedicine030212 general & internal medicine10. No inequalityHearing DisordersPostural BalanceAgedBalance (ability)Community and Home Carebusiness.industryHuman factors and ergonomicsta3141FearMiddle AgedSensation DisordersPhysical therapyAccidental FallsFemaleGeriatrics and Gerontologymedicine.symptombusinessGerontology030217 neurology & neurosurgeryFollow-Up Studies

description

Objectives: To explore whether the accumulation of sensory difficulties predicts fear of falling (FOF), and whether the traits correlate with each other regardless of familial factors. Methods: Self-reported hearing, vision and balance difficulties, and FOF were assessed using structured questionnaires at the baseline and after a 3-year follow-up in 63- to 76-year-old women ( n = 434). Results: Among the women without FOF at baseline ( n = 245), 41% reported FOF at follow-up. Increasing numbers of sensory difficulties at baseline predicted higher incidence of FOF. The relationship between accumulated sensory difficulties and FOF was not mediated by familial factors. Discussion: The accumulation of multiple sensory difficulties may hinder older people from receiving compensatory information about body position and environment, thus jeopardizing a person’s confidence in maintaining a balanced position. Regular screening of sensory functions followed by appropriate actions may prevent the development of FOF, and thus contribute to prevention of falls and promotion of healthy aging.

10.1177/0898264313494412https://doi.org/10.1177/0898264313494412