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The Association Between Anxiety and Falls: A Meta-Analysis
David John Hallford1, Geoff Nicholson1, Kerrie Sanders1
1Institute for Health and Ageing, Australian Catholic University, Melbourne, Victoria.
Summary
Clinical anxiety significantly increases the risk of falls in older adults. This meta-analysis found a 53% higher likelihood of falls among individuals with elevated anxiety levels.
Area of Science:
- Gerontology
- Psychiatry
- Epidemiology
Background:
- Falls are a common and serious issue for older adults.
- Clinical anxiety is suspected to be a risk factor for falls, but evidence is inconsistent.
Purpose of the Study:
- To quantitatively review existing studies on the association between anxiety and falls.
- To establish an empirical consensus on this relationship.
Main Methods:
- A systematic literature search identified 18 relevant studies.
- A random-effects meta-analysis was performed on the selected studies.
Main Results:
- Elevated anxiety was associated with a 53% increased odds of falls (OR = 1.53, p < .001).
- Significant variance was noted among study effect sizes.
- Age moderated the anxiety-fall relationship in some samples.
Conclusions:
- Clinical anxiety is empirically linked to an increased risk of falls in older adults.
- Further research is needed to explore moderating/mediating factors and causal pathways.
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