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Gait Ability and Muscle Strength in Institutionalized Older Persons with and without Cognitive Decline and Association with Falls

2021Journal article Open access
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dc.contributor.authorDixe, Maria dos Anjos
dc.contributor.authorMadeira, Carla
dc.contributor.authorAlves, Silvia
dc.contributor.authorHenriques, Maria Adriana
dc.contributor.authorBaixinho, Cristina Lavareda
dc.date.accessioned2022-02-15T11:49:39Z
dc.date.available2022-02-15T11:49:39Z
dc.date.issued2021
dc.description.abstractFalls are a complex problem, given their multifactorial nature, the comorbidities involved, and due to the dependency of older persons living in nursing homes. Risk, fear of falling, falls themselves, and their recurrence are the main factors behind fragility fractures, lack of independence, and increases in pain prevalence, and other comorbidities in older populations. The objectives of the present quantitative and longitudinal study were: (a) to characterize the cognitive state and fall frequency of older persons living in nursing homes; (b) to analyze the relationship between cognitive status and some fall risk factors; and (c) to associate cognitive decline, gait ability, and muscle strength of the examined institutionalized older persons with fall occurrence and recurrence over 12 months. The participants were 204 older persons who lived in Portuguese nursing homes, and data were collected from January 2019 to February 2020 by consulting medical records and applying the following instruments: the Mini-Mental State Examination, Timed Up and Go Test, and Medical Research Council Manual Muscle Testing Scale. Fall prevalence, assessed in two periods, 12 months apart, was similar in both samples (with and without cognitive decline) and close to 42%, and the annual recurrence rate was 38.3%. Older persons with no cognitive decline showed an association between gait speed and occurrence of first fall and recurrent fall (p < 0.05). Muscle strength and use of gait aid devices were not related to falls and their recurrence, regardless of mental state.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDixe, M.d.A.; Madeira, C.; Alves, S.; Henriques, M.A.; Baixinho, C.L. Gait Ability and Muscle Strength in Institutionalized Older Persons with and without Cognitive Decline and Association with Falls. Int. J. Environ. Res. Public Health 2021, 18, 11543. https://doi.org/10.3390/ ijerph182111543pt_PT
dc.identifier.doi10.3390/ijerph182111543pt_PT
dc.identifier.eissn1660-4601
dc.identifier.urihttp://hdl.handle.net/10400.8/6674
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation(CIDNUR, PLess#Falls_2021)pt_PT
dc.relation.ispartofseries21;
dc.relation.publisherversionhttps://www.mdpi.com/1660-4601/18/21/11543/htmpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAging populationpt_PT
dc.subjectFallspt_PT
dc.subjectGaitpt_PT
dc.subjectMuscle strengthpt_PT
dc.subjectNursing homept_PT
dc.titleGait Ability and Muscle Strength in Institutionalized Older Persons with and without Cognitive Decline and Association with Fallspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage11pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume18pt_PT
person.familyNameDixe
person.familyNamemadeira
person.familyNameAlves
person.familyNameHenriques
person.familyNameLavareda Baixinho
person.givenNameMaria dos Anjos
person.givenNameCarla
person.givenNameSilvia
person.givenNameMaria Adriana
person.givenNameCristina
person.identifier794059
person.identifier57203119057
person.identifier.ciencia-idDB15-BD76-2B75
person.identifier.ciencia-idAF1D-BBCE-1E5D
person.identifier.ciencia-idBF1A-C950-8BEE
person.identifier.orcid0000-0001-9035-8548
person.identifier.orcid0000-0002-8911-3495
person.identifier.orcid0000-0002-8525-2068
person.identifier.orcid0000-0003-0288-6653
person.identifier.orcid0000-0001-7417-1732
person.identifier.ridB-9257-2018
person.identifier.scopus-author-id55885797900
person.identifier.scopus-author-id55439305900
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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