Fall Risk Index predicts functional decline regardless of fall experiences among community-dwelling elderly

Yasuko Ishimoto, Taizo Wada, Yoriko Kasahara, Yumi Kimura, Eriko Fukutomi, Wenling Chen, Mayumi Hirosaki, Masahiro Nakatsuka, Michiko Fujisawa, Ryota Sakamoto, Masayuki Ishine, Kiyohito Okumiya, Kuniaki Otsuka, Kozo Matsubayashi

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Aim: The 21-item Fall Risk Index (FRI-21) has been used to detect elderly persons at risk for falls. The aim of this longitudinal study was to evaluate the FRI-21 as a predictor of decline in basic activities of daily living (BADL) among Japanese community-dwelling elderly persons independent of fall risk. Methods: The study population consisted of 518 elderly participants aged 65years and older who were BADL independent at baseline in Tosa, Japan. We examined risk factors for BADL decline from 2008 to 2009 by multiple logistic regression analysis on the FRI-21 and other functional status measures in all participants. We carried out the same analysis in selected participants who had no experience of falls to remove the effect of falls. Results: A total of 45 of 518 participants showed decline in BADL within 1year. Multivariate logistic regression analysis showed that age (odds ratio [OR] 1.13, 95% confidence interval [CI] 1.05-1.20), FRI-21≥10 (OR 3.81, 95% CI 1.49-9.27), intellectual activity dependence (OR 3.25, 95% CI 1.42-7.44) and history of osteoarthropathy (OR 3.17, 95% CI 1.40-7.21) were significant independent risk factors for BADL decline within 1year. FRI-21≥10 and intellectual activity dependence (≤3) remained significant predictors, even in selected non-fallers. Conclusion: FRI-21≥10 and intellectual activity dependence were significant predictive factors of BADL decline, regardless of fall experience, after adjustment for confounding variables. The FRI-21 is a brief, useful tool not only for predicting falls, but also future decline in functional ability in community-dwelling elderly persons.

Original languageEnglish
Pages (from-to)659-666
Number of pages8
JournalGeriatrics and Gerontology International
Issue number4
Publication statusPublished - 2012 Oct
Externally publishedYes


  • 21-item Fall Risk Index
  • Basic activities of daily living
  • Community-dwelling elderly
  • Falls
  • Japan

ASJC Scopus subject areas

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology


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