The predictive value of physical fitness for falls in older adults with intellectual disabilities |
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| Affiliation: | 1. Intellectual Disability Medicine, Department of General Practice, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands;2. Abrona, Amersfoortseweg 56, 3712 BE Huis ter Heide, The Netherlands;3. Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, A. Deusinglaan 1, 9713 AV Groningen, The Netherlands;1. Department of Clinical Child and Family Studies and LEARN! Research Institute for Learning and Education, VU University Amsterdam, The Netherlands;3. Tranzo Scientific Center for Care and Welfare and Department of Medical and Clinical Psychology, Tilburg University, The Netherlands;4. De Bascule, Academic Center for Child and Adolescent Psychiatry, Amsterdam, The Netherlands;5. Department of Child and Adolescent Studies, Utrecht University, and Department of Psychiatry, University Medical Center Utrecht, The Netherlands;1. Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa 31905, Israel;2. Pediatric Neurology Unit and the Gilbert Israeli Neurofibromatosis Center (GINFC), Dana Children''s Hospital, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv 64239, Israel;1. Vestibular and Ocular Motor Research Group, Department of Neuroscience, Erasmus MC, PO Box 2040, 3000 CA Rotterdam, The Netherlands;2. Royal Dutch VISIO, Postbus 1180, 1270 BD Huizen, The Netherlands;1. Intellectual Disability Medicine, Department of General Practice, Erasmus University Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands;2. Ipse de Bruggen, P.O. Box 2027, 2470 AA Zwammerdam, The Netherlands |
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| Abstract: | A high incidence of falls is seen in people with intellectual disabilities (ID), along with poor balance, strength, muscular endurance, and slow gait speed, which are well-established risk factors for falls in the general population. The aim of this study was to assess the predictive value of these physical fitness components for falls in 724 older adults with borderline to profound ID (≥50 years). Physical fitness was assessed at baseline and data on falls was collected at baseline and after three years. Gait speed was lowest in participants who fell three times or more at follow-up. Gait speed was the only physical fitness component that significantly predicted falls, but did not remain significant after correcting for confounders. Falls at baseline and not having Down syndrome were significant predictors for falls. Extremely low physical fitness levels of older adults with ID, possible strategies to compensate for these low levels, and the finding that falls did not increase with age may explain the limited predictive value of physical fitness found in this study. |
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| Keywords: | Falls Physical fitness Risk factors Intellectual disabilities Older adults |
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