Frailty, Fear of Falling, and Quality of Life Among Community-Dwelling Older People

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เผยแพร่แล้ว: เม.ย. 24, 2025
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frailty fear of falling quality of life community dwelling older adults

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Sukwida Manorangsan
Human Movement Performance Enhancement Research Unit, Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University
Pawan Chaiparinya
Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University
Sirima Mongkolsomlit
Faculty of Public Health, Thammasat University
Sujitra Boonyong
Human Movement Performance Enhancement Research Unit, Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University

บทคัดย่อ

Background: Frailty and fear of falling (FOF) are significant concerns for older people, and potentially impact their quality of life (QOL). However, the effects of FOF in frailty on each domain of QOL remain unclear.


Objective: To compare sociodemographic, physical frailty, falls, FOF, and QOL between frailty and non-frailty (NF) and to determine whether FOF correlates with specific QOL domains bases on frailty status.


Methods: Three hundred community-dwelling people aged ≥ 65 years were stratified into frailty and NF (n = 150/group) based on Fried criteria. Falls and FOF were assessed by Falls Efficacy Scale-International. Health-related QOL was assessed by Thai version of World Health Organization QOL-Brief.


Results: The mean ages of frailty and NF groups were 78.4±7.1 and 70.6±4.2 years, respectively. The falls prevalence was significantly higher in frailty (43.3%) than in NF (29.3%). The FOF scale was significantly higher in frailty (45.0±13.4) compared with the NF (26.9±8.5). The mean of overall QOL in frailty (63.3±13.3) was significantly lower than in the NF (82.8±14.5). FOF significantly correlated with social (ρ = 0.276, p<0.001) and environmental (ρ = 0.170, p=0.038) QOL in the frailty, while FOF did not correlate with any QOL domain in the NF group.   


Conclusion: Frailty with FOF may impact older people’ interactions with the surrounding society and their living environment, such as safety house’s environment, public health services, and transportation. These may provide useful information to health profession for improving the QOL of frail older people.

Article Details

รูปแบบการอ้างอิง
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Manorangsan S, Chaiparinya P, Mongkolsomlit S, Boonyong S. Frailty, Fear of Falling, and Quality of Life Among Community-Dwelling Older People. Thai J Phys Ther [อินเทอร์เน็ต]. 24 เมษายน 2025 [อ้างถึง 27 ธันวาคม 2025];47(1):44-56. available at: https://he02.tci-thaijo.org/index.php/tjpt/article/view/272538
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ปีที่ 47 ฉบับที่ 1 (2025): มกราคม - เมษายน 2568
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