Association between Fear of Falling (FOF) and all-cause mortality |
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| Institution: | 1. Department of Health Administration, College of Health Science, Dankook University, Cheonan, Republic of Korea;2. Institute of Health Promotion and Policy, Dankook University, Cheonan, Republic of Korea;3. Department of Psychology and Psychotherapy, College of Health Science, Dankook University, Cheonan, Republic of Korea;1. Research Department, Institute for Health Economics and Policy, Association for Health Economics Research and Social Insurance and Welfare, Tokyo, Japan;2. Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan;3. Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan;4. Yokohama Aobanosato Geriatric Health Services Facility, Yokohama, Japan;5. Tatsumanosato Geriatric Health Services Facility, Daito, Japan;1. Aging and Health Research Center, National Yang Ming University, Taipei, Taiwan;2. Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan;1. Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do, Republic of Korea;2. Department of Family Medicine, Kangnam Sacred Heart Hospital, Seoul, Republic of Korea;3. Department of Family Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Gangwon-do, Republic of Korea;1. Institute of Innovation for Future Society, Nagoya University, Nagoya, Japan;2. Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Japan;3. Research Fellow of the Japan Society for the Promotion of Science, Tokyo, Japan;4. Department of Community Healthcare and Geriatrics, Graduate School of Medicine, Nagoya University, Nagoya, Japan;5. National Center for Geriatrics and Gerontology, Obu, Japan;1. Department of Preventive Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea;2. Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea;1. Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA;2. Department of Health Policy and Management, School of Public Health, Texas A&M University, College Station, TX 77843, USA;3. Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX 77843, USA;4. Department of Health Promotion and Behavior, College of Public Health, The University of Georgia, Athens, GA 30602, USA |
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| Abstract: | ObjectiveTo longitudinally investigate the effect of fear of falling on all-cause mortality.MethodsData from the KLoSA from 2006 to 2016 was used and 10,219 middle aged and older adults were included for analysis. The association between fear of falling and all-cause mortality was analyzed by Cox proportional hazard model with controlling for demographic characteristics, number of chronic conditions, depressive symptoms and fall experience.ResultsOf the 10,219 individuals at baseline 2006, those with fall experience for 2 years were 411 participants (4.2 %) and about 18.5 % of these participants (n: 76) died. In terms of FOF, 14.83 % of participants (1,515/10,219) reported serious fear for falling. Adjusted hazard ratio (HR) of all-cause mortality shows those who are very afraid of falling had a significantly increased risk of mortality compared with those without a FOF (HR 1.861, 95 % CI 1.589–2.179, P-value:.0001).ConclusionThis study shows a statistically significant association between fear of falling and all-cause mortality in a Korean middle aged and aged population. |
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| Keywords: | Elderly Mortality Fear Falling |
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