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Fernandes VDO, Moreira BDS, de Melo GASC, de Avelar NCP, Costa HS, Bastone ADC. Factors associated with fear of falling in older women with knee osteoarthritis: A cross-sectional study. Geriatr Nurs 2024; 55:333-338. [PMID: 38154414 DOI: 10.1016/j.gerinurse.2023.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 12/20/2023] [Accepted: 12/21/2023] [Indexed: 12/30/2023]
Abstract
Knee instability in patients with knee osteoarthritis (KOA) is associated with fear of falling (FoF). This study aimed to investigate the prevalence and the factors associated with FoF in older women with KOA. A cross-sectional study was conducted with 93 older women with KOA. Sociodemographic variables, medical conditions, handgrip strength, and anthropometric and body composition measurements were assessed. The Short Physical Performance Battery was used to measure functional performance. The Western Ontario and McMaster Universities Osteoarthritis Index was applied to assess pain, stiffness, and disability. FoF was assessed by the Falls Efficacy Scale-International. The prevalence of FoF was high (88.2 %). Disability, history of falls, handgrip strength, obesity, number of medications, and pain were independently associated with FoF. Our findings suggest that health professionals should investigate FoF when evaluating older women with KOA and address these risk factors when developing strategies to prevent or minimize FoF in this population.
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Affiliation(s)
- Vanessa de Oliveira Fernandes
- Department of Physical Therapy, Postgraduate Program in Rehabilitation and Functional Performance - Universidade Federal dos Vales do Jequitinhonha e Mucuri/UFVJM, Campus JK, Rodovia MGT 367, Km 583, Nº 5000, Bairro Alto da Jacuba, Diamantina, MG CEP 39100-000, Brazil
| | - Bruno de Souza Moreira
- Center for Studies in Public Health and Aging, Federal University of Minas Gerais, Av. Prof. Alfredo Balena, Nº 190 - Santa Efigênia, Belo Horizonte, MG 30130-100, Brazil
| | - Gisele Aparecida Santos Correia de Melo
- Department of Physical Therapy, Postgraduate Program in Rehabilitation and Functional Performance - Universidade Federal dos Vales do Jequitinhonha e Mucuri/UFVJM, Campus JK, Rodovia MGT 367, Km 583, Nº 5000, Bairro Alto da Jacuba, Diamantina, MG CEP 39100-000, Brazil
| | - Núbia Carelli Pereira de Avelar
- Laboratory of Aging, Resources and Rheumatology, Department of Health Sciences, Federal University of Santa Catarina, Campus Araranguá, Rod. Governador Jorge Lacerda, Araranguá, SC 88040-900, Brazil
| | - Henrique Silveira Costa
- Department of Physical Therapy, Postgraduate Program in Rehabilitation and Functional Performance - Universidade Federal dos Vales do Jequitinhonha e Mucuri/UFVJM, Campus JK, Rodovia MGT 367, Km 583, Nº 5000, Bairro Alto da Jacuba, Diamantina, MG CEP 39100-000, Brazil
| | - Alessandra de Carvalho Bastone
- Department of Physical Therapy, Postgraduate Program in Rehabilitation and Functional Performance - Universidade Federal dos Vales do Jequitinhonha e Mucuri/UFVJM, Campus JK, Rodovia MGT 367, Km 583, Nº 5000, Bairro Alto da Jacuba, Diamantina, MG CEP 39100-000, Brazil.
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