Association between patient-reported functional measures and incident falls

Abstract Lower extremity muscle strength, and functional limitations are important modifiable predictors of falls, but are often examined using performance based measures. We examined the association between self-reported physical function limitations, determined using Late-Life Function and Disabil...

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Main Authors: Wanfen Yip, Lixia Ge, Bee Hoon Heng, Woan Shin Tan
Format: Article
Language:English
Published: Nature Publishing Group 2021-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-84557-3
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spelling doaj-1a97549932bc4998a824c6a6037d16f52021-03-11T12:13:31ZengNature Publishing GroupScientific Reports2045-23222021-03-011111810.1038/s41598-021-84557-3Association between patient-reported functional measures and incident fallsWanfen Yip0Lixia Ge1Bee Hoon Heng2Woan Shin Tan3Health Services and Outcomes Research, National Healthcare GroupHealth Services and Outcomes Research, National Healthcare GroupHealth Services and Outcomes Research, National Healthcare GroupHealth Services and Outcomes Research, National Healthcare GroupAbstract Lower extremity muscle strength, and functional limitations are important modifiable predictors of falls, but are often examined using performance based measures. We examined the association between self-reported physical function limitations, determined using Late-Life Function and Disability Instrument(LLFDI) and incident falls in community-dwelling elderly individuals. 283 older adults participants were included in this analysis. Physical function limitations were defined as a person’s difficulty in completing items of the lower extremity function domain and composite scores of the LLFDI. Information on falls was obtained through a standardised questionnaire. At one-year follow-up, 15.2% (43) of the participants experienced their first fall. In the multivariable analysis, individuals who reported difficulties in items of lower extremity function domain were more likely to experience a fall (incidence rate ratio[IRR]: ranging between 2.43 and 7.01; all P ≤ 0.046). In addition, decreasing advanced lower extremity function scores (IRR: 1.70, 95% confidence interval[CI]): 1.04, 2.78) and overall function component score (IRR: 2.05, 95% CI: 1.22, 3.44) were associated with higher risk of incident falls. Physical function limitations, determined using LLFDI, were associated with incident falls. Our findings provide further evidence that the LLFDI function component has the potential to be used as a self-assessment tool for fall risk.https://doi.org/10.1038/s41598-021-84557-3
collection DOAJ
language English
format Article
sources DOAJ
author Wanfen Yip
Lixia Ge
Bee Hoon Heng
Woan Shin Tan
spellingShingle Wanfen Yip
Lixia Ge
Bee Hoon Heng
Woan Shin Tan
Association between patient-reported functional measures and incident falls
Scientific Reports
author_facet Wanfen Yip
Lixia Ge
Bee Hoon Heng
Woan Shin Tan
author_sort Wanfen Yip
title Association between patient-reported functional measures and incident falls
title_short Association between patient-reported functional measures and incident falls
title_full Association between patient-reported functional measures and incident falls
title_fullStr Association between patient-reported functional measures and incident falls
title_full_unstemmed Association between patient-reported functional measures and incident falls
title_sort association between patient-reported functional measures and incident falls
publisher Nature Publishing Group
series Scientific Reports
issn 2045-2322
publishDate 2021-03-01
description Abstract Lower extremity muscle strength, and functional limitations are important modifiable predictors of falls, but are often examined using performance based measures. We examined the association between self-reported physical function limitations, determined using Late-Life Function and Disability Instrument(LLFDI) and incident falls in community-dwelling elderly individuals. 283 older adults participants were included in this analysis. Physical function limitations were defined as a person’s difficulty in completing items of the lower extremity function domain and composite scores of the LLFDI. Information on falls was obtained through a standardised questionnaire. At one-year follow-up, 15.2% (43) of the participants experienced their first fall. In the multivariable analysis, individuals who reported difficulties in items of lower extremity function domain were more likely to experience a fall (incidence rate ratio[IRR]: ranging between 2.43 and 7.01; all P ≤ 0.046). In addition, decreasing advanced lower extremity function scores (IRR: 1.70, 95% confidence interval[CI]): 1.04, 2.78) and overall function component score (IRR: 2.05, 95% CI: 1.22, 3.44) were associated with higher risk of incident falls. Physical function limitations, determined using LLFDI, were associated with incident falls. Our findings provide further evidence that the LLFDI function component has the potential to be used as a self-assessment tool for fall risk.
url https://doi.org/10.1038/s41598-021-84557-3
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