Perceived Physical Functioning and Gait Speed as Mediators in the Association Between Fear of Falling and Quality of Life in Old Age

被引：12

作者：

Steckhan, Greta M. A. ^{[1
]}

Fleig, Lena ^{[1
]}

Schwarzer, Ralf ^{[2
,3
]}

Warner, Lisa M. ^{[1
]}

机构：

[1] Med Sch Berlin, D-14197 Berlin, Germany

[2] Free Univ Berlin, Berlin, Germany

[3] SWPS Univ Social Sci & Humanities, Warsaw, Poland

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2022年 / 41卷 / 02期

关键词：

quality of life; fear of falling; physical functioning; gait speed; older adults; RISK-FACTORS; SELF-EFFICACY; ADULTS; PEOPLE; INTERVENTION; CONSEQUENCES;

D O I：

10.1177/0733464820979188

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Preserving Quality of Life (QoL) in old age gains in importance, but Fear of Falling (FoF) considerably limits QoL. The aim of our study was to understand how physical mediators may translate FoF to QoL. At Time 1, FoF, subjective leg strength, balance, QoL, and objective gait speed were assessed. QoL was reassessed after 6 months, at Time 2 (n = 125). A sequential mediation analysis examined whether the relationship between FoF and QoL could be mediated by leg strength, balance, and gait speed. FoF was directly associated with QoL (beta = -.27; 95% CI [-0.007, -0.001]) as well as indirectly via leg strength, balance, and gait speed (specific sequential indirect effect: beta = -.03; 95% CI [-0.06, -0.001]; R-2 = .40 in QoL; controlled for age, QoL at Time 1). An intervention approach could be to address FoF and foster physical functioning and gait speed to maintain QoL.

引用

页码：421 / 429

页数：9

共 55 条

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