[Fear of falling among community-living older adults]. / Az eleséstol való félelem otthon élo idosek körében.

INTRODUCTION: Due to fear of falling, older people may restrict their activities, causing muscle weakness and impaired balance and, consequently, admission to an institute. Accordingly, fear of falling is a common and serious health problem among older individuals. The prevalence of the fear of falling and its associated factors as well as possible preventive and therapeutic methods have been widely investigated in geriatrics. AIM: The aim of our study was to describe the prevalence of the fear of falling and its associations with demographic (age, gender) and health factors (age-related chronic diseases, functional mobility, falling in the previous year, medications) among community-living older adults. METHOD: Two-hundred individuals participated in the study. The fear of falling was diagnosed based on the cut-off value of the short Falls Efficacy Scale - International (FES-I). Logistic regression analysis was used to assess associations. In total, 61 participants were diagnosed with fear of falling. RESULTS: In our sample, the fear of falling was associated with age, the number of diseases and functional mobility. CONCLUSION: The short FES-I is simple, easy to fill-out and has a validated Hungarian version as well. By its use, people of higher age affected by multiple chronic illnesses are primarily worth of screening in order to identify those who are in need for further more detailed examinations and, if needed, more targeted interventions. Orv Hetil. 2019; 160(5): 191-197.

Gait parameters in physically active and inactive elderly as well as young community-living people.

BACKGROUND: This study aimed to reveal the effects of a complex exercise program on gait among older people through analyzing the gait parameters in three groups: 1) older individuals participating in complex exercise program called 60+; 2) older individuals who were physically inactive; and 3) young individuals. METHODS: Fifty-seven community-living individuals were enrolled in this study. Variability of step length, step time, step width, and double support ratio as well as automaticity were measured. RESULTS: We found that the variability of step length, step time, and double support ratio, as well as the cognitive automaticity index of physically inactive elderly individuals were significantly worse compared to both physically active elderly (step length P=0.007; step time P=0.002; double support ratio P=0.036; cognitive automaticity index P=0.006) and young individuals (step length P<0.001; step time P<0.001; double support ratio P=0.001; cognitive automaticity index P=0.003). However, the variability of gait step width did not differ among the three groups. CONCLUSIONS: This study demonstrated that 60+ program has beneficial effects on gait parameters. Thus, the 60+ program can enrich the range of geriatric exercise programs aiming to improve gait safety.

Cross-cultural validation of the Falls Efficacy Scale-International to assess concerns about falls among Hungarian community-living older people.

PURPOSE: The Falls Efficacy Scale-International (FES-I) is a reliable and valid tool for assessing concerns about falling. Our aims were to translate, culturally adapt, and evaluate the main psychometric characteristics (internal consistency, reproducibility, and convergent construct validity) of the Hungarian version of the FES-I on a sample of community-living older adults. METHODS: After translating and culturally adapting the original scale, 165 community-living older adults (aged 60 years or over) participated in the measurements and filled in the questionnaire. After two weeks, a subsample of 64 persons filled in the FES-I again to determine the test-retest reliability. RESULTS: The test-retest analysis showed excellent reliability: Intraclass Correlation Coefficient was 0.831. The FES-I Hungarian consisted of two factors that showed good internal consistency: Cronbach's alpha 0.95 (Factor 1), 0.89 (Factor 2), and 0.93 (whole scale). The FES-I was able to discriminate the participants based on gender and fall history. It showed a significant correlation with the Timed Up and Go test (r = 0.740) and the general health perception (r = -0.713). CONCLUSIONS: Translation and cultural adaptation of the original scale were successful. The Hungarian version proved to be a reliable, valid tool confirming that it can be used in future clinical and scientific work with Hungarian older people. Implications for rehabilitation Excessive concerns about falls may lead to avoidance of activities, decreasing functional abilities, increasing of risk of a future fall, ultimately premature nursing home admission. The Falls Efficacy Scale-International is a widespread tool for assessing concerns about falls. The Hungarian version of Falls Efficacy Scale-International has an excellent test-retest reliability, good internal consistency, and acceptable construct validity. The Hungarian version of Falls Efficacy Scale-International is a valid and reliable tool for measuring the concerns about falls among Hungarian-speaking community-living older people in everyday clinical practice and scientific studies.