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All Journal Narra J Unnes Journal of Public Health
Sadjapong, Uratcha
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Study of knee pain, fear of falling, and quality of life among community-dwelling older adults, Northern Thailand Silangirn , Pongsaton; Chaichana, Keng; Thummayot, Sarinthorn; Srisuttha, Phanit; Sadjapong, Uratcha; Chaipin, Eakasit; Sapbamrer, Ratana; Thongtip, Sakesun
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.915

Abstract

Fall is the leading cause of disability and mortality due to unintentional injury in older adults. The aim of this study was to determine the prevalence and risk factors associated with knee pain, fear of falling, and quality of life among community-dwelling older adults in Northern Thailand. A cross-sectional study was conducted among older adults aged 60 and over. A total of 369 participants were enrolled from April to May 2024. Oxford knee score, a short version of the Falls Efficacy Scale International (FES-I) and World Health Organization quality of life-BREF-Thai, was measured. The results showed that the mean age was 69.4 years and 47 (12.7%) had a history of falls in the previous year. The prevalence of fear of falling was 39.3% for low, 22.5% for moderate, and 38.2% for high concern. Age, marital status, alcohol, history of falls, hypertension, arthritis, and osteoporosis were associated with fear of falling. After adjusting to age, gender, body mass index, education, marital status, smoking, alcohol, history of falls, and chronic disease, osteoarthritis of the knee was positively associated with increasing fear of falling (β: 0.361; p<0.001), while quality of life was negatively associated with fear of falling (β: -0.064; p<0.011). In conclusion, the identified determinants of fear of falling among the elderly indicated the need for fear of falling prevention programs targeting not only individual lifestyles but also chronic diseases. This study provides useful information that might help to develop and adopt effective policies for fear of falling control in Thailand.
Prevalence of Fear of Falling and Its Association with Frailty Among Community-Dwelling Older Adults in Northern Thailand Juwa , Somkid; Sadjapong, Uratcha; Silangirn, Pongsaton; Juwa, Busarin; Vongruang, Patipat; Thongtip, Sakesun
Unnes Journal of Public Health Vol. 14 No. 2 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i2.14387

Abstract

Frailty in the elderly population is a known risk factor for common geriatric syndromes, contributing significantly to adverse health outcomes. Therefore, we examined the relationship between prevalence of fear of falling and frailty among older adults. A cross-sectional design was employed, and data were collected through in-person interviews conducted between April and May 2024. Participants were selected through simple random sampling from a total of 409 individuals aged 60 years or older, who were included in the analysis.  The fear of falling (FOF) was evaluated using the Short Falls Efficacy Scale International (Short FES-I). Frailty was evaluated using the Thai version of the Simple Frailty Questionnaire (T-FRAIL). The mean age was 69.5 years, and 58.7% were female. The prevalence rates were 47.4% for non-frailty, 39.1% for pre-frailty, and 13.4% for frailty among older adults. Multinomial logistic regression analysis revealed that pre-frail adults had significantly higher odds of high FOF (OR: 5.27; 95% CI: 3.16-8.80, p-value < 0.001), whereas frail adults had significantly higher odds of moderate FOF (OR: 4.37; 95% CI: 1.55-12.32, p-value = 0.005) and high FOF (OR: 17.36; 95% CI: 6.79-44.39, p-value < 0.001) compared to a reference group of non-frail participants. Preventing frailty and pre-frailty among older adults could involve interventions that target various risk factors, such as demographic characteristics, and FOF.
Co-Authors Chaichana, Keng Chaipin, Eakasit Juwa , Somkid Juwa, Busarin Sapbamrer, Ratana Silangirn , Pongsaton Silangirn, Pongsaton Srisuttha, Phanit Thongtip, Sakesun Thummayot, Sarinthorn Vongruang, Patipat