Association of the Health-related Quality of Life with Falls and Pain among Community-based Elderly Individuals: A Cross-sectional Study

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  • 地域高齢者の転倒・疼痛と健康関連QOL との関連:横断研究
  • チイキ コウレイシャ ノ テントウ ・ トウツウ ト ケンコウ カンレン QOL ト ノ カンレン : オウダン ケンキュウ

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【Purpose】The purpose of this study was to clarify the association of falls and pain with each of the following factors, among community-based elderly individuals: health-related quality of life (QOL), fear of falling, and a wellfunctioning life.【Method】The subjects were high-risk individuals, who participated in a secondary-prevention in a care project; from among the 727 people who participated in the project, which was carried out from October to December 2012, consent was obtained from 495 people (males: 32; females: 463). The response rate was 68.1%. The research items were the falls, the fear of falling, pain, obstacles to walking, and life ability, a health-related QOL.【Results】The participants were divided into four groups based on whether they had experienced a fall (i.e., fall and non-fall group) and pain (pain and non-pain group). The non-fall and non-pain group comprised 15.4% of the participants, the fall and non-pain group 11.5% of the participants, the non-fall and pain group comprised 31.9% of the participants, and the fall and pain group comprised 41.2% of the participants. The proportion with a fear of falling feeling, the non-fall and non-pain group is small compared with the other groups in 82.9%, and the difference between the groups was observed. The results of the Tokyo Metropolitan Institute of Gerontology Index of Competence revealed that compared to the other groups, the fall and pain group obtained significantly higher overall scores on the scale and on the Instrumental Activities of Daily Living Scale. However, the non-fall and pain group and the fall and pain group obtained significantly lower physical summary scores on health-related QOL.【Conclusions】This study involved studying high-risk care individuals, who participated in a secondaryprevention in a care project. Life ability was well maintained even in the case of individuals who had experienced a fall and pain as well as in the case of those who had a fear of falling on account of having experienced a fall or pain, and these individuals also showed a reduction in health-related QOL related to bodily functions. Therefore, it is necessary to implement care prevention measures for the elderly, in the case of certain circumstances and situations.

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