노년전기 여성의 악력 수준에 따른 낙상 두려움의 영향 요인
Factors Influencing Fear of Falling among Women in the Early Phase of Old Age by Assessing Level of Hand Grip Strength
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Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.
Abstract
Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.
참고문헌 (30)
- 홍상모, "Sarcopenia의 최신지견: 근감소증", 대한내과학회지, 83(4), pp.444~454 (2012), 대한내과학회[DOI]
- Di Monaco M, "Handgrip strength is an independent predictor of functional outcome in hip-fracture women: a prospective study with 6-month follow-up", Medicine (Baltimore), 94(6), pp.e542~ (2015)[DOI]
- Li FZ, "Fear of falling in elderly persons: Association with falls, functional ability, and quality of life", Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 58(5), pp.283~290 (2003)[DOI]
- Tromp AM, "Fall risk screening test: A prospective study on predictors for falls in community-dwelling elderly", Journal of Clinical Epidemiology, 54, pp.837~844 (2001)[DOI]
- Wahba H, "Handgrip strength and falls in community-dwelling Egyptian seniors", Advances in Aging Research, 2(4), pp.109~114 (2013)[DOI]
- 김연수, "한국 노인의 근력과 낙상두려움의 연관성", 대한스포츠의학회지, 31(1), pp.13~19 (2013), 대한스포츠의학회[DOI]
- Choi K, "Characteristics associated with fear of falling and activity restriction in South Korean older adults", Journal of Aging and Health, 27(6), pp.1066~1083 (2015)[DOI]
- 신경림, "지역사회 여성노인의 인지기능에 따른 낙상발생빈도, 낙상두려움 및 지각된 건강상태", 한국노년학, 31(4), pp.1155~1167 (2011), 한국노년학회
- Hwang YS, "Factors related with fear of falling in the Korean elderly", Korean Journal of Family Practice, 7(5), pp.640~645 (2017)[DOI]
- 오윤환, "한국 성인에서 악력과 건강 관련 삶의 질과의 연관성", 대한스포츠의학회지, 35(2), pp.103~111 (2017), 대한스포츠의학회[DOI]
- Lim EJ, "Sex differences in fear of falling among older adults with low grip strength", Iranian Journal of Public Health, 45(5), pp.569~577 (2016)
- Dong HJ, "Obese very old women have low relative handgrip strength poor physical function and difficulties in daily living", Journal of Nutritional Health Aging, 19(1), pp.20~25 (2015)[DOI]
- Noh JH, "Factors influencing fearing falling among older women by grip strength", The 14th 2017 International Interdisciplinary Workshop Series, pp.21~26 (2017), Daejeon University
- Bassey EJ, "Normal values for handgrip strength in 920 men and women aged over 65 years, and longitudinal changes over 4 years in 620 survivors", Clinical Science, 84(3), pp.331~337 (1993)[DOI]
- [URL]
- Delbaere K, "Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study", Age and Ageing, 33(4), pp.368~373 (2004)[DOI]
- Alley DE, "Grip strength cutpoints for the identification of clinically relevant weakness", Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 69(5), pp.559~566 (2014)[DOI]
- Radloff LS, "The CES-D scale: A self-report depression scale for research in the general population", Applied Psychological Measurement, 1(3), pp.385~401 (1977)[DOI]
- Irwin M, "Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D)", Archives of Internal Medicine, 159(15), pp.1701~1704 (1999)[DOI]
- Lawton MP, "Assessment of older people: self-maintaining and instrumental activities of daily living", The Gerontologist, 9(3), pp.179~186 (1969)[DOI]
- Won CW, "Korea activities of daily living scale and Korea instrumental activities of daily living scale", Journal of the Korean Geriatrics Society, 6(1), pp.1~10 (2002)
- Folstein MF, ""Mini-mental state": a practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12(3), pp.189~198 (1975)[DOI]
- Kang Y, "A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients", Journal of the Korean Neurological Association, 15(2), pp.300~308 (1997)
- McAuley E, "Self-efficacy and balance correlates of fear of falling in the elderly", Journal of Aging and Physical Activity, 5(4), pp.329~340 (1997)[DOI]
- 박지원, "지역거주 노인의 낙상에 대한 두려움과 일상활동, 신체기능간의 관계", 재활간호학회지, 9(2), pp.117~125 (2006), 한국재활간호학회
- Austin N, "Fear of falling in older women: a longitudinal study of incidence, persistence, and predictors", Journal of the American Geriatrics Society, 55(10), pp.1598~1603 (2007)[DOI]
- 홍귀령, "재가노인의 일상활동 어려움, 악력, 일상생활동작이 주관적 건강에 미치는 영향", 근관절건강학회지, 17(2), pp.192~202 (2010), 대한근관절건강학회
- Prata MG, "Effects of strength and balance training on the mobility, fear of falling and grip strength of elderly female fallers", Journal of Bodywork and Movement Therapies, 19(4), pp.646~650 (2015)[DOI]
- Dodds R, "Physical activity levels across adult life and grip strength in early old age: updating findings from a British birth cohort", Age and Ageing, 42(6), pp.794~798 (2013)[DOI]
- Schoenfelder DP, "A fall prevention educational program for community dwelling seniors", Public Health Nursing, 14(6), pp.383~390 (1997)[DOI]