Article

OBJECTIVE: To determine the factors that predict change in well-being over time
in older men and women presenting to the falls prevention clinic. DESIGN:
Prospective cohort study. SETTING: Falls prevention clinic. PARTICIPANTS:
Community-dwelling older adults who were referred to the clinic after sustaining
a fall (between N=244 and N=255, depending on the analysis). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: The ICEpop CAPability measure for Older
people, a measure of well-being or quality of life, was administered at baseline,
6 months, and 12 months. We constructed linear mixed models to determine whether
baseline predictor variables were related to baseline well-being and/or changes
in well-being over time. In addition, we included interactions with sex to
investigate the difference between men and women. Baseline predictors included 2
measures of mobility - Short Performance Physical Battery and timed Up and Go
test--and a measure of global cognitive function--Montreal Cognitive Assessment.
RESULTS: All 3 predictors were associated with well-being at baseline (P<.05).
Furthermore, both the Short Performance Physical Battery and the timed Up and Go
test interacted with sex (P<.05) to predict changes in well-being over time.
Follow-up analyses suggested that better mobility was protective against decline
in well-being in men but was generally unrelated to changes in well-being in
women. CONCLUSIONS: We found that 2 valid and reliable measures of mobility
interacted with sex to predict changes in well-being over time. This is a
critical research area to develop in order to appropriately tailor future
intervention strategies targeting well-being in older fallers, a population at
high risk of functional decline.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS