Tridirectional association between probable depression, fear of falling and falls among middle-aged and older adults in Thailand
Issued Date
2023-06-01
Resource Type
ISSN
01674943
eISSN
18726976
Scopus ID
2-s2.0-85147565619
Pubmed ID
36758485
Journal Title
Archives of Gerontology and Geriatrics
Volume
109
Rights Holder(s)
SCOPUS
Bibliographic Citation
Archives of Gerontology and Geriatrics Vol.109 (2023)
Suggested Citation
Pengpid S., Peltzer K. Tridirectional association between probable depression, fear of falling and falls among middle-aged and older adults in Thailand. Archives of Gerontology and Geriatrics Vol.109 (2023). doi:10.1016/j.archger.2023.104955 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/81412
Title
Tridirectional association between probable depression, fear of falling and falls among middle-aged and older adults in Thailand
Author(s)
Other Contributor(s)
Abstract
Purpose: Depression is a major issue in the aging population, which may be related to fear of falling (FOF) and falls contributing to increased morbidity and mortality. The aim of the study was to assess the tridirectional associations between probable depression (PD), FOF and falls in a longitudinal study in Thailand. Methods: Longitudinal data of participants (≥45 years; N = 3708) from two consecutive waves (in 2015 and 2017) of the Health, Aging and Retirement in Thailand (HART) study were analysed. PD was assessed with the Center for Epidemiologic Studies Depression Scale, self-reported FOF and history of falls. Results: Having no PD in 2015 and PD in 2017 (aOR: 2.35, 95% CI: 1.67 to 3.30), and having both PD in 2015 and 2017 (aOR: 3.46, 95% CI: 1.92 to 6.23) were positively associated with incident FOF with activity avoidance, and no FOF in 2015 and FOF in 2017 (aOR: 2.29, 95% CI: 1.77 to 2.95), and both FOF in 2015 and 2017 (aOR: 2.38, 95% CI: 1.69 to 3.36) were positively associated with incident PD. Two or more falls in 2015 (aOR: 2.03, 95% CI: 1.29 to 3.19) was positively associated with incident PD, and both PD in 2015 and 2017 (aOR: 3.10, 95% CI: 1.40 to 6.48) were positively associated with incident multiple (≥2) falls. Conclusions: We found tridirectional associations between PD, FOF and falls. It is suggested to screen and manage older adults for PD, FOF and fall history simultaneously.