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

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 Medica...

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Main Author: Apolicena Dantas, Aelem Cristina (author)
Other Authors: Nunes Pires, Maria Luiza (author), Silva, Dayane Tays da (author), Fidelix, Yara Lucy (author), Quadros da Silva, Eduardo (author), França Garcia, Lucas (author), Andrade do Nascimento Júnior, José Roberto (author), Vicentini de Oliveira, Daniel (author)
Format: article
Language:English
Spanish
Published: 2025
Subjects:
aging
hypertension
falls
fear of falling
envejecimiento
hipertensión
caídas
temor a caídas
envelhecimento
hipertensão
quedas
medo de cair
Online Access:https://revistas.ucu.edu.uy/index.php/enfermeriacuidadoshumanizados/article/view/4672
https://hdl.handle.net/10895/6396
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Summary: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.

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