Effects of early mental state changes on physical functions in elderly patients with a history of falls

BMC Geriatrics

Research Article

Ming-Zhao Qin¹  Qian Liu¹  Jian Zhou¹  Hui Ye¹  Yao Cui¹  Bo Liu² 

[1] Department of Geriatrics, Beijing Tongren Hospital, Capital Medical University, No.1 of Dong Jiao Min Xiang, Dongcheng District, 100730, Beijing, China;Department of Geriatrics, Beijing Tongren Hospital, Capital Medical University, No.1 of Dong Jiao Min Xiang, Dongcheng District, 100730, Beijing, China;Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Dongcheng District, Capital Medical University, Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, No.1 of Dong Jiao Min Xiang, 100730, Beijing, China;

关键词: Elderly;    Mental state;    SAS/SDS scores;    Physical function;    Falls;   

DOI  :  10.1186/s12877-023-04274-6

 received in 2022-09-13, accepted in 2023-09-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundFear of falling is a potential consequence for older adults who have experienced a fall. Whether such psychological concerns related to falls, in turn, affect physical function? Especially those who have a history of falling but have not been diagnosed with anxiety, depression, or both. This study aimed to clarify the effects of early psychological changes on the physical function of older patients.MethodsThe 111 participants with falling history were divided into the poor physical function (PPF) group with the Short Physical Performance Battery (SPPB) ≤ 9 and the good physical function (GPF) group with SPPB > 9. Their physical function was assessed through 4-m gait speed (4MGS), five times sit-to-stand test (FTSST), grip strength, and Timed Up and Go tests TUGT. Their mental state was assessed by the self-rating anxiety/depression scale (SAS/SDS).Results(1) SAS/SDS scores were negatively correlated with the SPPB score, gait speed, and maximum grip strength (males). (2) Multivariate logistic regression analysis showed that the SPPB score was subject to such independent influence factors: cerebrovascular disease (OR = 11.805; P = 0.005), normal ratio of grip strength (OR = 0.046; P = 0.016), TUGT (OR = 1.717; P < 0.001), and SDS score (OR = 1.154; P = 0.008). (3) The area under the ROC curve was 0.699 (0.601, 0.797) for SAS score, with a sensitivity of 0.776 and a specificity of 0.547; the AUC was 0.694 (0.596, 0.792) for SDS score, with a sensitivity of 0.586 and a specificity of 0.755.ConclusionsIn older adults with a history of falls without a diagnosis of anxiety or depression, higher SAS/SDS scores were associated with worse fall-related physical function, and there was a statistically significant correlation between the two. This may indicate a risk of falling again in the future.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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Fig. 4