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Title: Recurrent but not single report of fear of falling predicts cognitive decline in community-residing older adults
Authors: Kraut, Rebecca
Holtzer, Roee
Keywords: fear of falling (FOF)
age-related cognitive decline
global cognitive function (GCF)
Issue Date: 2022
Publisher: Taylor & Francis
Citation: Kraut, R., & Holtzer, R. (2022). Recurrent but not single report of fear of falling predicts cognitive decline in community-residing older adults. Aging & Mental Health, 26(1), 100–106.
Series/Report no.: Aging & Mental Health;26(1)
Abstract: _Abstract_ _Objectives_ Literature regarding the association of fear of falling (FOF), a common concern in aging, and cognition is scarce. Moreover, whether frequency of FOF endorsement influences age-related cognitive decline has not been reported. Here we determined whether FOF status (no FOF, single-report FOF, recurrent FOF), predicted decline in global cognitive function (GCF), memory, and attention/executive functions. _Methods_ Participants were community-residing older adults (n = 421; mean age = 76.29 ± 6.48; %female = 56.06). FOF was assessed bimonthly through yes/no responses to “do you have a fear of falling?” during the first year of the study. Recurrent status required two or more FOF endorsements. GCF was assessed using Repeatable Battery for the Assessment of Neuropsychological Status (RBANS); composite scores were used to assess memory as well as attention/executive functions. Cognitive measures were administered annually for up to six years. _Results_ Stratification of the cohort by FOF status showed that 81 participants reported recurrent FOF, 60 participants endorsed FOF once and 280 participants reported no FOF. Linear mixed effects models revealed that compared to no FOF, recurrent FOF was associated with worse declines in GCF (estimate=-0.03, p=.006), memory (estimate=-0.04, p=.012) and attention/executive functions (estimate=-0.04, p=.006). Comparisons between single-report FOF and no FOF, however, were not significant. _Conclusions_ These findings demonstrate that recurrent but not single-report FOF is a risk factor for cognitive decline in community-residing older adults.
Description: Scholarly article
ISSN: 1364-6915 .
Appears in Collections:Ferkauf Graduate School of Psychology: Faculty Publications

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