Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-11T00:25:15.914Z Has data issue: false hasContentIssue false

Satisfaction with aging results in reduced risk for falling

Published online by Cambridge University Press:  28 December 2015

Liat Ayalon*
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, 52900, Israel
*
Correspondence should be addressed to: Liat Ayalon, PhD, Louis and Gabi Weisfeld School of Social Work, Bar Ilan Universtiy, Ramat Gan, 52900, Israel. Phone: +972-3-531-7910. Email: liat.ayalon@biu.ac.il.

Abstract

Background:

Falls are highly frequent in older adults and are associated with increased morbidity and mortality. The present study was designed to assess the role of satisfaction with one's aging process as a predictor of the risk for falling over a four-year period and to identify potential mediators of this relationship.

Methods:

The Health and Retirement Study (HRS) is a US nationally representative sample of individuals over the age of 50 years and their spouse of any age. The present study was based on the 2008–2012 waves of the HRS. Analyses were restricted to 4,121 respondents over the age of 50 years, who had fall data in 2008 and 2012 and were eligible to complete the satisfaction with aging measure as part of the 2008 psychosocial questionnaire.

Results:

Overall, 38.1% of the sample reported having fallen at least once between 2006 and 2008 and 40.7% reported having fallen at least once between 2010 and 2012. Higher levels of satisfaction with aging in 2008 were found to be protective against falls assessed in 2012 (OR[95%CI] = 0.88[0.79–0.98]) even after adjustment for age, gender, education, ethnicity, medical status, functional status, cognitive functioning, walking speed, balance, vision, depressive symptoms, physical activities, and past falls. Bootstrap procedures have shown that the effect of satisfaction with aging on falls is partially accounted for through its effect on functional decline.

Conclusions:

The findings point to the important role of satisfaction with aging as a potential protective mechanism against falls. The results call for the development of psychosocial interventions to reduce falls in older adults.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ailshire, J. A. and Crimmins, E. M. (2011). Psychosocial factors associated with longevity in the USA: age differences between the old and oldest-old in the health and retirement study. Journal of Aging Research, (online) doi: 10.4061/2011/530534.CrossRefGoogle Scholar
Ambrose, A. F., Paul, G. and Hausdorff, J. M. (2013). Risk factors for falls among older adults: a review of the literature. Maturitas, 75, 5161.Google Scholar
Bryant, C., Bei, B., Gilson, K.-M., Komiti, A., Jackson, H. and Judd, F. (2014). Antecedents of attitudes to aging: a study of the roles of personality and well-being. Gerontologist, (online) doi: 10.1093/geront/gnu041.Google Scholar
Chang, V. C. and Do, M. T. (2015). Risk factors for falls among seniors: implications of gender. American Journal of Epidemiology, 181, 521531.Google Scholar
Chang, J. T. et al. (2004). Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ, 328, 680.CrossRefGoogle ScholarPubMed
Crimmins, E., Guyer, H., Langa, K., Ofstedal, M., Wallace, R. and Weir, D. (2008). Documentation of physical measures, anthropometrics and blood pressure in the health and retirement study. HRS Documentation Report DR-011, 14, 4759.Google Scholar
Fisher, G., Faul, J., Weir, D. and Wallace, R. (2005). Documentation of Chronic Disease Measures in the Health and Retirement Study (HRS/AHEAD). Ann Arbor: University of Michigan.Google Scholar
Gill, T. M., Murphy, T. E., Gahbauer, E. A. and Allore, H. G. (2013). Association of injurious falls with disability outcomes and nursing home admissions in community-living older persons. American Journal of Epidemiology, (online) doi: 10.1093/aje/kws554.Google Scholar
Gillespie, L. D. et al. (2009). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 15, CD007146. doi: 10.1002/14651858.CD007146.pub2.Google Scholar
Grenier, S., Payette, M. C., Langlois, F., Vu, T. T. and Bherer, L. (2014). Depressive symptoms are independently associated with recurrent falls in community-dwelling older adults. International Psychogeriatrics, 26, 15111519.Google Scholar
Hausdorff, J. M., Levy, B. R. and Wei, J. Y. (1999). The power of ageism on physical function of older persons: reversibility of age-related gait changes. Journal of the American Geriatrics Society, 47, 13461349.CrossRefGoogle ScholarPubMed
Hess, T. M., Hinson, J. T. and Statham, J. A. (2004). Explicit and implicit stereotype activation effects on memory: do age and awareness moderate the impact of priming? Psychology and Aging, 19, 495505.Google Scholar
Jenkins, K., Ofstedal, M. and Weir, D. (2008). Documentation of health behaviors and risk factors measured in the health and retirement study (HRS/AHEAD). HRS Documentation Report DR-010.Google Scholar
Juster, F. T. and Suzman, R. (1995). An overview of the health and retirement study. Journal of Human Resources, 30, S7S56.Google Scholar
Kaminska, M. S., Brodowski, J. and Karakiewicz, B. (2015). Fall risk factors in community-dwelling elderly depending on their physical function, cognitive status and symptoms of depression. International Journal of Environmental Research Public Health, 12, 34063416.CrossRefGoogle ScholarPubMed
Kelly, K. D. et al. (2003). Medication use and falls in community-dwelling older persons. Age and Ageing, 32, 503509.Google Scholar
Kenny, D. A. (2013). Mediation with dichotomous outcomes. Available online from: file:///C:/Users/user/Downloads/dichmed.pdf, last accessed 16 November 2015.Google Scholar
Kim, E., Moored, K., Giasson, H. and Smith, J. (2014). Satisfaction with aging and use of preventive health services. Preventive Medicine, 69, 176180.Google Scholar
Lawton, M. P. (1975). The Philadelphia geriatric center morale scale: a revision. Journal of Gerontology, 30, 8589.Google Scholar
Levy, B. (2009). Stereotype embodiment: a psychosocial approach to aging. Current Directions in Psychological Science, 18, 332336.Google Scholar
Levy, B. R. and Myers, L. M. (2004). Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine, 39, 625629.Google Scholar
Levy, B. R., Slade, M. D. and Kasl, S. V. (2002a). Longitudinal benefit of positive self-perceptions of aging on functional health. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 57, P409P417.Google Scholar
Levy, B. R., Slade, M. D., Kunkel, S. R. and Kasl, S. V. (2002b). Longevity increased by positive self-perceptions of aging. Journal of Personality and Social Psychology, 83, 261.Google Scholar
Meisner, B. A. (2012). A meta-analysis of positive and negative age stereotype priming effects on behavior among older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67B, 1317.Google Scholar
Morrison, A., Fan, T., Sen, S. S. and Weisenfluh, L. (2013). Epidemiology of falls and osteoporotic fractures: a systematic review. ClinicoEconomics and Outcomes Research: CEOR, 5, 9.Google Scholar
Moser, C., Spagnoli, J. and Santos-Eggimann, B. (2011). Self-perception of aging and vulnerability to adverse outcomes at the age of 65–70 years. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 66B, 675680.Google Scholar
Ofstedal, M. B., Fisher, G. G. and Herzog, A. R. (2005). Documentation of Cognitive Functioning Measures in the Health and Retirement Study. Ann Arbor, MI: University of Michigan.CrossRefGoogle Scholar
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385401.Google Scholar
Rubenstein, L. Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age and Ageing, 35, ii37ii41.CrossRefGoogle ScholarPubMed
Sargent-Cox, K. A., Anstey, K. J. and Luszcz, M. A. (2012). The relationship between change in self-perceptions of aging and physical functioning in older adults. Psychology and Aging, 27, 750760.Google Scholar
Sarkisian, C. A., Prohaska, T. R., Davis, C. and Weiner, B. (2007). Pilot test of an attribution retraining intervention to raise walking levels in sedentary older adults. Journal of the American Geriatrics Society, 55, 18421846.Google Scholar
StataCorp (2013). Stata Statistical Software: Release 13. College Station, TX: StataCorp LP.Google Scholar
Steffick, D. E. (2000). Documentation of Affective Functioning Measures in the Health and Retirement Study. Ann Arbor, MI: HRS Health Working Group.Google Scholar
Stephan, Y., Sutin, A. R., Caudroit, J. and Terracciano, A. (2015). Subjective age and changes in memory in older adults. Journal of Gerontology B: Psychological Sciences Social Sciences. Epub ahead of print, doi: 10.1093/geronb/gbv010.Google Scholar
Stevens, J. A., Corso, P. S., Finkelstein, E. A. and Miller, T. R. (2006). The costs of fatal and non-fatal falls among older adults. Injury Prevention, 12, 290295.CrossRefGoogle ScholarPubMed
Wolff, J. K., Warner, L. M., Ziegelmann, J. P. and Wurm, S. (2014). What do targeting positive views on ageing add to a physical activity intervention in older adults? Results from a randomised controlled trial. Psychology & Health, 29, 915932.CrossRefGoogle ScholarPubMed
Zijlstra, G. A., van Haastregt, J. C., van Rossum, E., van Eijk, J. T., Yardley, L. and Kempen, G. I. (2007). Interventions to reduce fear of falling in community-living older people: a systematic review. Journal of American Geriatrics Society, 55, 603615.Google Scholar