Factors Associated with the Risk and Fear of Falling in Older Adults with Hypertension

Factores asociados al riesgo y miedo a caer en personas mayores con hipertensión

Fatores associados ao risco e ao medo de cair em pessoas idosas com hipertensão

Apolicena Dantas, Aelem Cristina - Nunes Pires, Maria Luiza - Silva, Dayane Tays da - Fidelix, Yara Lucy - Quadros da Silva, Eduardo - França Garcia, Lucas - Andrade do Nascimento Júnior, José Roberto - Vicentini de Oliveira, Daniel
Detalles Bibliográficos
2025
aging
hypertension
falls
fear of falling
envejecimiento
hipertensión
caídas
temor a caídas
envelhecimento
hipertensão
quedas
medo de cair
Inglés
Universidad Católica del Uruguay
LIBERI
https://revistas.ucu.edu.uy/index.php/enfermeriacuidadoshumanizados/article/view/4672
https://hdl.handle.net/10895/6396
Acceso abierto
Resumen:
Sumario:Objective: To investigate the association between sociodemographic and health variables and the risk and fear of falling in the presence of systemic arterial hypertension among older adults. Methods: This cross-sectional study was conducted with 110 older individuals of both sexes, users of a Medical Specialty Center in Sapezal, Mato Grosso, Brazil, including 70 hypertensive patients on antihypertensive medication and 40 non-hypertensive individuals. A sociodemographic and health questionnaire, the Timed Up and Go (TUG) test, and the Falls Efficacy Scale-International (FES-I) were administered. Data were analyzed using the Chi-square test, binary logistic regression, and the Hosmer-Lemeshow test. A significance level of p < 0.05 was considered. Results: A significant difference was found when comparing proportions of hypertensive and non-hypertensive older individuals in terms of fall risk (p < 0.001) and fear of falling (p < 0.001), showing a higher proportion of individuals with fall risk and fear of falling associated with recurrent falls who are hypertensive. Additionally, older adults with a fear of falling associated with sporadic falls are 9.036 times more likely [95 % CI = 1.003-87.472] to be hypertensive compared to those with a fear of falling without associated falls. Conclusion: The findings highlight a significant association between multiple sociodemographic, health, and behavioral factors and hypertension in older adults.