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Association of Health-related Quality of Life with Fracture History and Fear of Falling in Elderly Women: A 24-year Follow-up Study Masami HAMADA 1 , Etsuko KAJITA 1 1Department of Nursing, Nagoya University Graduate School of Medicine Keyword: Fracture , Fear of falling , Quality of Life pp.1-11
Published Date 2015/12/31
DOI https://doi.org/10.11477/mf.7009200125
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 Purpose: To clarify whether fracture and fear of falling are associated with decreased quality of life (QOL) among community-dwelling elderly women.

 Methods: Community-dwelling elderly Japanese women (n=131) were followed up for 24 years. The subjects were examined for history of fracture, fear of falling, and health-related QOL. Data were collected through interviews by using the 36-item short-form health survey (SF-36) questionnaire, and responses concerning falling were scored in a scale corresponding to three response options (“always,” “sometimes,” and “never”). Of the 131 subjects, 82 were still alive at the end of the follow-up period. Complete responses for both QOL- and concern-related questions at baseline and at the end of the follow-up period were obtained for 61 women.

 Result: The mean age of the participants (n=61) at baseline was 72.3±8.5 years. Of the patients, 41.5% reported a history of fracture during the follow-up period. Fear of falling was “always” present in 16 women (26.2%), “sometimes” present in 28 women (45.9%), and “never” present in 17 women (27.9%). Women with fall-related concerns at baseline showed significantly weaker grip strength and more frequent history of fracture, diabetes, and hypertension than those without such concerns. In the comparison of SF-36 subscale scores between 2005 and 2014, no significant differences in vitality (VT), social functioning (SF), and bodily pain (BP) scores were observed, whereas a significant decrease was observed in the other subscales. Women with a history of fracture had a significantly lower score in the role-physical (RP) subscale at follow-up than those without a history of fracture. No significant differences in any of the other SF-36 subscales were observed between these subjects. Meanwhile, women with fall-related concerns showed markedly lower scores in physical function (PF), RP, BP, general health, and role-emotional scales at follow-up than those without fall-related concerns, whereas no significant differences were observed in any of these items at baseline.

 Conclusion: Decreased health-related QOL was significantly associated with fear of falling rather than with history of fractures. Fall prevention seems to be important not only in preventing fractures but also in maintaining QOL in elderly women.


Copyright © 2015, Japan Society of Nursing and Health Care All rights reserved.

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電子版ISSN 印刷版ISSN 1345-2606 日本看護医療学会

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