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J Aging Health. 2012 Mar;24(2):269-86. doi: 10.1177/0898264311422598. Epub 2011 Oct 20.

The role of medications in predicting activity restriction due to a fear of falling.

Author information

1
Wilfrid Laurier University, Waterloo, Ontario, Canada. dguthrie@wlu.ca

Abstract

OBJECTIVE:

To examine the role of medication use and other factors in predicting activity restriction due to a fear of falling (AR/FF).

METHODS:

Older adults were assessed twice with the interRAI Community Health Assessment and the Berg Balance Scale (BBS). The main outcome was limiting going outdoors due to an AR/FF. Medications were recorded by trained assessors.

RESULTS:

Participants (n = 441) had a mean age of 80.3 (SD = 7.1) years, most were aged 65+ (96.8%) and 29.3% reported activity restriction. Taking nervous system active or cardiovascular medications was associated with AR/FF. In a multivariate model, the main predictors were having 3+ comorbid health conditions, lower (i.e., worse) scores on the BBS, having difficulty with climbing stairs, and having a visual impairment.

DISCUSSION:

Modifiable risk factors, related to functional impairments, such as difficulties with balance and vision, appear to be more important predictors than medications.

PMID:
22019612
DOI:
10.1177/0898264311422598
[Indexed for MEDLINE]

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