Journal of frailty, sarcopenia and falls最新文献_第3页

Perspectives on Group-Based Physical Activity Interventions for Fibromyalgia: A Qualitative Study. 基于群体的身体活动干预对纤维肌痛的影响：一项定性研究。

Journal of frailty, sarcopenia and falls Pub Date : 2026-03-01 DOI: 10.22540/JFSF-11-041

Martin Pursley, Fiona Muirhead, Craig Donnachie, Alexandra Mavroeidi

{"title":"Perspectives on Group-Based Physical Activity Interventions for Fibromyalgia: A Qualitative Study.","authors":"Martin Pursley, Fiona Muirhead, Craig Donnachie, Alexandra Mavroeidi","doi":"10.22540/JFSF-11-041","DOIUrl":"10.22540/JFSF-11-041","url":null,"abstract":"Objectives: Fibromyalgia is a chronic condition characterised by persistent pain, fatigue, and poor sleep, with major impacts on quality of life, psychological wellbeing, and disability. Physical activity is a cornerstone of management, and the National Institute for Health and Care Excellence recommends supervised programmes tailored to individual needs. Yet, people with fibromyalgia frequently face barriers to physical activity, and few studies have explored experiences of group-based interventions. This study examined the perspectives of adults with fibromyalgia on group-based physical activity to identify challenges and inform future practice.Methods: Two focus groups were conducted with participants (n=8) recruited from Musculoskeletal and Pain Management Services in NHS Ayrshire and Arran. Discussions were audio-recorded, transcribed, and thematically analysed by three independent researchers.Results: An overarching theme was a lack of understanding of the impact of fibromyalgia and a desire for validation. This was evident across all discussions. Two further themes were identified: the challenges of engaging in physical activity, and priorities for intervention design and delivery. Participants emphasised the need for practitioners who recognise the fluctuating nature of fibromyalgia and who demonstrate empathy, openness, and collaboration.Conclusions: Findings highlight the importance of practitioner understanding and patient-centred design in developing acceptable group-based physical activity interventions for people with fibromyalgia.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"11 1","pages":"41-53"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12951585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk of Sarcopenia, Anxiety and Depression Among Healthcare Professionals in Disability Care Facilities. 残疾护理机构医护人员肌肉减少症、焦虑和抑郁的风险

Journal of frailty, sarcopenia and falls Pub Date : 2026-03-01 DOI: 10.22540/JFSF-11-031

Agapi Kolovou, Charalampos Matzaroglou, Nikolaos Stefanou, Maria Tsekoura, Marianna Vlychou, Asterios N Gkougkoulias, Zoe H Dailiana

{"title":"Risk of Sarcopenia, Anxiety and Depression Among Healthcare Professionals in Disability Care Facilities.","authors":"Agapi Kolovou, Charalampos Matzaroglou, Nikolaos Stefanou, Maria Tsekoura, Marianna Vlychou, Asterios N Gkougkoulias, Zoe H Dailiana","doi":"10.22540/JFSF-11-031","DOIUrl":"10.22540/JFSF-11-031","url":null,"abstract":"Objectives: To assess the risk of sarcopenia, anxiety, and depression among healthcare professionals working in disability care facilities (DCF), and to investigate the contributing occupational and personal factors.Methods: A cross-sectional study was conducted among 138 healthcare professionals. Demographic and occupational factors, including work schedule, health issues, and medication, were recorded. Participants were assessed for sarcopenia using the SARC-F questionnaire and handgrip strength measurements. Anxiety and depression were evaluated using the validated Greek version of the Hospital Anxiety and Depression Scale (HADS).Results: Based on SARC-F scores (≥4), 43.48% of healthcare professionals exhibited a risk of sarcopenia (p<0.001), while 9.42% had probable sarcopenia according to handgrip strength. BMI and gender differed significantly between the groups (p<0.05). The probable sarcopenia group had the highest BMI and the highest percentage of males. The HADS score indicated medium levels of anxiety (6.27±2.39) and depression (6.92±2.65) in healthcare professionals with sarcopenia, without significant differences between the groups.Conclusions: According to the findings of this study, the prevalence of sarcopenia risk was high among Greek healthcare professionals working in DCF, while the levels of anxiety and depression were moderate. Male gender and ΒΜΙ appear to influence rise/establishment of sarcopenia spectrum in these individuals.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"11 1","pages":"31-40"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12951588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dysmobility Syndrome, Osteosarcopenia, and Frailty: An ICF-Based Framework to Differentiate Function, Tissue, and Reserve. 活动障碍综合征、骨骼肌减少症和虚弱：基于icf的功能、组织和储备区分框架。

Journal of frailty, sarcopenia and falls Pub Date : 2026-03-01 DOI: 10.22540/JFSF-11-001

Yannis Dionyssiotis

引用次数: 0

Effects of REAC Neuro Postural Optimization on Gait and Postural Symmetry in Older Adults. REAC神经姿势优化对老年人步态和姿势对称的影响。

Journal of frailty, sarcopenia and falls Pub Date : 2025-12-01 DOI: 10.22540/JFSF-10-263

Alcione Aparecida Vieira de Souza Moscardi, Monalisa Pereira Motta, Jeyce Adrielly André Nogueira, Vanessa Manchim Favaro, Luiz Razzante Júnior, Ana Cláudia Bonilha, Vania Fontani, Salvatore Rinaldi, Luiz Roberto Ramos

{"title":"Effects of REAC Neuro Postural Optimization on Gait and Postural Symmetry in Older Adults.","authors":"Alcione Aparecida Vieira de Souza Moscardi, Monalisa Pereira Motta, Jeyce Adrielly André Nogueira, Vanessa Manchim Favaro, Luiz Razzante Júnior, Ana Cláudia Bonilha, Vania Fontani, Salvatore Rinaldi, Luiz Roberto Ramos","doi":"10.22540/JFSF-10-263","DOIUrl":"10.22540/JFSF-10-263","url":null,"abstract":"Objectives: Functional asymmetry is a hallmark of aging-related motor decline, contributing to impaired gait, balance deficits, and increased fall risk. This study aimed to evaluate the effects of a single session of Neuro Postural Optimization (NPO), a non-invasive neuromodulation protocol based on Radio Electric Asymmetric Conveyer (REAC) technology, on central neurophysiological balance and functional symmetry in older adults.Methods: Eighteen participants (mean age: 72.4 ± 6.1 years) underwent a standardized REAC-NPO session. Assessments were performed immediately before and after treatment using the Timed Up and Go (TUG) test, the Gait Speed test, the Five Times Sit-to-Stand (FTSTS), and Handgrip dynamometry.Results: Statistically significant improvements were found in TUG (p=0.026), Gait Speed (p=0.041), and FTSTS (p=0.003). No significant change was observed in handgrip strength (p=0.530), supporting a central rather than peripheral mechanism of action. Functional dysmetria, a reproducible and quantifiable indicator of maladaptive central motor control, was completely corrected in all participants immediately after the REAC-NPO session.Conclusions: A single REAC-NPO session can restore functional symmetry and improve mobility-related outcomes in older adults. The immediate and complete correction of functional dysmetria supports the potential role of REAC-NPO in fall prevention strategies and functional recovery programs for aging populations.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 4","pages":"263-268"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frailty and Physical Activity: A Compositional Isotemporal Substitution Analysis from the All of Us Research Program. 虚弱和身体活动：来自我们所有人研究计划的成分等时间替代分析。

Journal of frailty, sarcopenia and falls Pub Date : 2025-12-01 DOI: 10.22540/JFSF-10-218

Christian W Schmidt, Lisa Cadmus-Bertram, Amy Cochran, Kristen A Pickett, Sandesh Parajuli, Brad C Astor

{"title":"Frailty and Physical Activity: A Compositional Isotemporal Substitution Analysis from the All of Us Research Program.","authors":"Christian W Schmidt, Lisa Cadmus-Bertram, Amy Cochran, Kristen A Pickett, Sandesh Parajuli, Brad C Astor","doi":"10.22540/JFSF-10-218","DOIUrl":"10.22540/JFSF-10-218","url":null,"abstract":"Objectives: The objective of this study was to quantify the impact of shifting time away from sedentary behavior to physical activity on frailty in older adults.Methods: Participants from the All of Us Research Program with Fitbit data were included in the analysis. Fitbit data was used to measure time spent in sleep, sedentary behavior, light-intensity physical activity, and moderate-to-vigorous physical activity. Frailty was assessed using a 33-item frailty index. A compositional isotemporal substitution model was created to assess the estimated effects of substituting 30 minutes of sedentary behavior with an equal amount of time in physical activity on frailty.Results: Reductions in frailty index were seen by shifting 30 minutes from sedentary behavior to light activity (-0.003 [95% CI: -0.004, -0.002]) and moderate-to-vigorous activity (-0.016 [-0.017, -0.014]). Lower odds of frailty were also seen from shifting time from sedentary behavior to light activity or moderate-to-vigorous activity. Associations between physical activity and frailty were generally more pronounced in those participants who were frail or pre-frail than in those who were robust.Conclusions: Shifting time from sedentary behavior to physical activity is associated with lower odds of frailty, and shifting time to higher intensity activities may have a greater benefit to frailty.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 4","pages":"218-228"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Initial Validation of a Brief Multidimensional Falls Efficacy Scale. 简易多维跌倒效能量表的开发与初步验证。

Journal of frailty, sarcopenia and falls Pub Date : 2025-12-01 DOI: 10.22540/JFSF-10-241

Shawn Leng Hsien Soh, Henry Fee Siang Koh, Dorothy Hong Yu Ng, Jillian Rui Ci Ong, Yew Long Ong, Xin Yi Lim, Mohamad Irfan Syafiq Bin Mohamad Khizar, Jiaying Ho, Hazel Xu Teng Ting, Wenshan Yang, Cheryl Yan Fang Tan

{"title":"Development and Initial Validation of a Brief Multidimensional Falls Efficacy Scale.","authors":"Shawn Leng Hsien Soh, Henry Fee Siang Koh, Dorothy Hong Yu Ng, Jillian Rui Ci Ong, Yew Long Ong, Xin Yi Lim, Mohamad Irfan Syafiq Bin Mohamad Khizar, Jiaying Ho, Hazel Xu Teng Ting, Wenshan Yang, Cheryl Yan Fang Tan","doi":"10.22540/JFSF-10-241","DOIUrl":"10.22540/JFSF-10-241","url":null,"abstract":"Objective: To develop and evaluate the initial psychometric properties of the Multidimensional Falls Efficacy Scale (MdFES).Methods: Stage 1 involved content development and validation through literature review and expert consensus. Stage 2 included psychometric testing with 179 older adults. Analyses included exploratory factor analysis (EFA), internal consistency, construct validity, and ROC analysis for clinical cut-offs.Results: EFA supported a two-factor structure, explaining 65.4% of the variance. The MdFES showed good internal consistency (α = 0.84). Construct validity was supported by moderate correlations with the Activities-specific Balance Confidence scale (ρ = 0.51), the Balance Recovery Confidence scale (ρ = 0.67), and a negative correlation with the Short Falls Efficacy Scale-International (ρ = -0.46). ROC analyses demonstrated moderate discriminative ability for identifying fallers (AUC = 0.65), high concerns about falling (AUC = 0.73), and poor balance (AUC = 0.71). A cut-off score of ≤13 balanced sensitivity and specificity.Conclusion: The MdFES is a brief, valid instrument capturing the multidimensional nature of falls efficacy. It may support clinical screening and guide targeted intervention. Further research is needed to elucidate the value of the MdFES.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 4","pages":"241-251"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Group-Based Physical Activity Interventions for Fibromyalgia: A Systematic Scoping Review. 以团体为基础的身体活动干预纤维肌痛：一个系统的范围回顾。

Journal of frailty, sarcopenia and falls Pub Date : 2025-12-01 DOI: 10.22540/JFSF-10-279

Martin Pursley, Fiona Muirhead, Craig Donnachie, David Kennedy, Alexandra Mavroeidi

{"title":"Group-Based Physical Activity Interventions for Fibromyalgia: A Systematic Scoping Review.","authors":"Martin Pursley, Fiona Muirhead, Craig Donnachie, David Kennedy, Alexandra Mavroeidi","doi":"10.22540/JFSF-10-279","DOIUrl":"10.22540/JFSF-10-279","url":null,"abstract":"Group-based physical activity interventions improve symptoms, quality of life and function, and are a cost-effective treatment approach for the management for Fibromyalgia Syndrome. Multiple forms of physical activity have been examined in the Fibromyalgia population; however, a comprehensive review of these approaches is lacking. This review aimed to map the current research and descriptively report on attrition data. A scoping review was undertaken searching Medline, CINAHL, SCOPUS, SPORTDiscus and Web-of-Science for studies meeting the following criteria: English language; peer-reviewed; published January 1, 2000 - February 23, 2023; adults (≥18 years) diagnosed with Fibromyalgia; group-based exercise or group-based physical activity. Study selection and data extraction were performed independently by two reviewers. Data were recorded into spreadsheets, then descriptively analysed and tabulated. 17 studies were included enrolling a total of 893 participants. Most examined multi-component intervention designs. Twelve included resistance exercise, ten included flexibility, eight included aerobic, six included hydrotherapy, four included balance training, three included \"mindful movement\" (e.g. Qi-Gong), one included Pilates, and one included exergames. Mean attrition was 21%. Current literature on group-based physical activity for Fibromyalgia examines mostly multi-component programmes delivered by multi-disciplinary teams in community settings, matching best-practice guidelines. Future studies should explore attrition further, examining influential variables.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 4","pages":"279-294"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Frailty Status and Its Association with Heart Rate Variability and Body Composition Among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study. 评估2型糖尿病患者的虚弱状态及其与心率变异性和身体组成的关系：一项横断面研究

Journal of frailty, sarcopenia and falls Pub Date : 2025-12-01 DOI: 10.22540/JFSF-10-252

Pranav Venkatachaliah Kanamanapalli, Saranya Kuppusamy, Dukhabandhu Naik, Kavitha Natarajan, Senthil Kumar Subramanian

{"title":"Assessment of Frailty Status and Its Association with Heart Rate Variability and Body Composition Among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study.","authors":"Pranav Venkatachaliah Kanamanapalli, Saranya Kuppusamy, Dukhabandhu Naik, Kavitha Natarajan, Senthil Kumar Subramanian","doi":"10.22540/JFSF-10-252","DOIUrl":"10.22540/JFSF-10-252","url":null,"abstract":"Objective: To evaluate frailty status and its association with heart rate variability (HRV), body composition, and metabolic profile in patients with Type 2 Diabetes Mellitus (T2DM).Methods: In this cross-sectional study, 139 T2DM patients (age 50-65 years) were recruited. Frailty status was classified as non-frail, pre-frail, or frail using the Physical Frailty Phenotype (PFP) criteria. Outcome measures included HRV from a 5-minute ECG, body composition via bioelectrical impedance analysis, and a full metabolic profile.Results: The prevalence of pre-frailty or frailty was 95%. Increasing frailty status was significantly associated with autonomic dysfunction, characterized by reduced parasympathetic and increased sympathetic HRV indices (e.g., higher LF:HF ratio, p=0.003). Frail patients had a significantly higher fat percentage (p=0.015) and lower lean percentage (p=0.015) compared to non-frail participants. Poorer glycemic control (HbA1c: p=0.003) and a more adverse lipid profile were also significantly associated with worsening frailty.Conclusion: Frailty is highly prevalent in this T2DM cohort and is associated with significant adverse changes in autonomic function, body composition, and cardiometabolic health, highlighting the need for a multifaceted management approach.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 4","pages":"252-262"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Use of Electrical Stimulation for Older Adults at Risk for Developing Sarcopenia: A Systematic Review. 电刺激对有肌少症风险的老年人的应用：一项系统综述。

Journal of frailty, sarcopenia and falls Pub Date : 2025-12-01 DOI: 10.22540/JFSF-10-269

Swaranka M Deshmukh, Gillian A McLean, Rudri M Purohit, Ross Arena, Tanvi S Bhatt

{"title":"The Use of Electrical Stimulation for Older Adults at Risk for Developing Sarcopenia: A Systematic Review.","authors":"Swaranka M Deshmukh, Gillian A McLean, Rudri M Purohit, Ross Arena, Tanvi S Bhatt","doi":"10.22540/JFSF-10-269","DOIUrl":"10.22540/JFSF-10-269","url":null,"abstract":"This study aimed to compile evidence on the effectiveness of neuromuscular electrical stimulation (NMES) for improving muscle strength in older adults, with or without systemic pathologies. A systematic search of PubMed, Cochrane Library, and Scopus databases was conducted for randomized controlled trials (RCTs) published between 2017 and 2023. Eligible studies included: older adults over 55 years, the use of either static stimulation (neuromuscular electrical stimulation NMES) in a stationary position or dynamic stimulation (functional electrical stimulation - FES applied during single or multi-joint movement), examined at least one muscle strength outcome, reported stimulation parameters (e.g., frequency, duration, amplitude), and involved participants with or at risk for sarcopenia. This review included 12 RCTs with Physiotherapy Evidence Database (PEDro) scores ranging from 5-9 (good quality). 9 studies reported significant increase in isometric muscle strength following electrical stimulation. Common parameters were 50-100 Hz with variable intensity and pulse duration. The findings suggest that both dynamic stimulation, or static stimulation delivered prior to strength or endurance training, respectively, proved more effective than static stimulation alone. However, parameter selection varied widely and was often unjustified, highlighting the need for standardization to optimize outcomes in community-dwelling older adults.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 4","pages":"269-278"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examination of the Characteristics and Relevant Physical Factors Associated with Persistent Falls in Community-Dwelling Older Adults: An Exploratory Prospective Cohort Study. 社区居住老年人持续跌倒的特征和相关身体因素的检查：一项探索性前瞻性队列研究。

Journal of frailty, sarcopenia and falls Pub Date : 2025-12-01 DOI: 10.22540/JFSF-10-229

Yosuke Morimoto, Daisuke Tashiro, Tohmi Osaki, Ran Uchitomi, Mizuki Kobashi, Tomoki Yanase, Hironobu Kakihana

{"title":"Examination of the Characteristics and Relevant Physical Factors Associated with Persistent Falls in Community-Dwelling Older Adults: An Exploratory Prospective Cohort Study.","authors":"Yosuke Morimoto, Daisuke Tashiro, Tohmi Osaki, Ran Uchitomi, Mizuki Kobashi, Tomoki Yanase, Hironobu Kakihana","doi":"10.22540/JFSF-10-229","DOIUrl":"10.22540/JFSF-10-229","url":null,"abstract":"Objectives: This exploratory cohort study aimed to identify the physical factors associated with persistent falls, defined as falls occurring over two consecutive years, in the older population.Methods: We conducted a 1-year prospective cohort of community-dwelling adults aged ≥65 years who were living independently at enrolment. Baseline assessments included gait speed, handgrip strength, and muscle-specific strength (MSS). The participants were classified as persistent falls if they reported ≥1 fall in both periods.Results: Persistent fallers exhibited significantly decreased gait speed (0.88 [0.59-1.10] m/s vs. 1.15 [1.00-1.27]; p = 0.006, r = 0.337), handgrip strength (19.9 [17.0-27.8] kg vs. 25.0 [21.5-30.0] kg; p = 0.041, r = 0.253), and MSS (64.6 [58.2-69.2] % vs. 73.0 [66.6-79.2] %; p = 0.008, r = 0.327) compared to non-persistent fallers. Slower gait speed was most strongly associated with persistent falls (OR = 0.01, p=0.035), while handgrip strength (OR = 0.84, p = 0.096) and MSS (OR = 0.91, p = 0.066) were only mildly associated.Conclusions: These exploratory findings suggest slow gait speed exhibited a significant association and MSS and handgrip strength exhibited potential associations with persistent falls in community-dwelling older adults.","PeriodicalId":73754,"journal":{"name":"Journal of frailty, sarcopenia and falls","volume":"10 4","pages":"229-240"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12670218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145672597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0