TY - JOUR
T1 - Fall Risk Index predicts functional decline regardless of fall experiences among community-dwelling elderly
AU - Ishimoto, Yasuko
AU - Wada, Taizo
AU - Kasahara, Yoriko
AU - Kimura, Yumi
AU - Fukutomi, Eriko
AU - Chen, Wenling
AU - Hirosaki, Mayumi
AU - Nakatsuka, Masahiro
AU - Fujisawa, Michiko
AU - Sakamoto, Ryota
AU - Ishine, Masayuki
AU - Okumiya, Kiyohito
AU - Otsuka, Kuniaki
AU - Matsubayashi, Kozo
PY - 2012/10
Y1 - 2012/10
N2 - 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.
AB - 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.
KW - 21-item Fall Risk Index
KW - Basic activities of daily living
KW - Community-dwelling elderly
KW - Falls
KW - Japan
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U2 - 10.1111/j.1447-0594.2012.00837.x
DO - 10.1111/j.1447-0594.2012.00837.x
M3 - Article
C2 - 22360443
AN - SCOPUS:84866758710
VL - 12
SP - 659
EP - 666
JO - Geriatrics and Gerontology International
JF - Geriatrics and Gerontology International
SN - 1447-0594
IS - 4
ER -