哥伦比亚 SABE 调查显示，哥伦比亚人在未摔倒的情况下害怕摔倒与只在家中生活之间存在关联。

Q3 Medicine

Revista Colombiana de Psiquiatria Pub Date : 2025-03-01 DOI:10.1016/j.rcp.2023.11.002

Maria Manuela Moreno , Diego Andrés Chavarro-Carvajal , María Zuluaga , Andrés Peralta , Felipe Marín , Samir Aruachan , Carlos Alberto Cano-Gutiérrez

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Asociación entre el temor a caer sin haber caído y la vida exclusiva en el hogar en población colombiana a partir de la encuesta SABE, Colombia

Introduction

The fear of falling syndrome is usually associated with functional impairment, depression, anxiety, poorer quality of life, and it has also been seen to have a higher prevalence in multimorbid people, those with polypharmacy, cardiovascular disease, and affective symptoms. Our study aims to evaluate the relationship between fear of falling in absence of a history of falls and exclusive life at home on a representative sample of older people in Colombia.

Materials and methods

This is a secondary study of the Health, Well-being, and Aging Survey in Colombia. The dependent variable considered in this study was the fear of falling without having fallen, while the exposure variable was exclusive homebound living. We conducted a descriptive and bivariate analysis of the sample, followed by a multivariate analysis adjusting for confounding variables.

Results

Among the 16,006 older adults included in the analysis, the mean age was 71.4 years, 53.84% were women; 35.44% reported a fear of falling without having experienced a fall, and 6.3% had an exclusive homebound lifestyle. Three regression models were conducted to examine the relationship between the fear of falling without prior falls and exclusive homebound living. The first model was adjusted for age, the second included adjustments for age, malnutrition, self-perceived health status, sarcopenia, and polypharmacy, and the third model incorporated the first 2 adjustments along with cardiovascular and musculoskeletal diseases. Model 1 revealed an OR of 1.27 (95% CI 1.28-1.45) with p < 0.001, while Models 2 and 3 both yielded an OR of 1.26 (95% CI 1.10-1.44), independently of the other variables (p < 0.001).

Conclusion

There is an association between fear of falling without having fallen and exclusive life at home. The foregoing provides evidence to include this characteristic as a complementary parameter in the evaluation of older adults suffering from fear of falling.

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来源期刊

Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.