Deakin University
Browse

File(s) under permanent embargo

The association between anxiety and falls: a meta-analysis

journal contribution
posted on 2017-09-01, 00:00 authored by David HallfordDavid Hallford, G Nicholson, K Sanders, M P McCabe
Objectives: Falls occur frequently among older adults and can lead to a range of adverse and debilitating outcomes. Although symptoms of clinical anxiety have been implicated as risk factors for falls, there is no current consensus on the empirical association between anxiety and falls. The current study aimed to address this gap in the literature by conducting a quantitative, meta-analytic review of findings from previous studies. Method: A systematic literature search of bibliographic databases was conducted, yielding 18 studies that fit the criteria for inclusion in the meta-analysis. Results: A random-effects model of all 18 studies showed a significant overall odds ratio of 1.53 (95% CI 1.28-1.83, p < .001), indicating that elevated levels of anxiety were associated with a 53% increased likelihood of falls. A high amount of variance among effect sizes was observed. Only age was identified as a moderator of this relationship in a subgroup of the samples. Conclusions: Clinical anxiety is associated with falls, however, further research is required to elucidate the factors that might moderate or mediate this relationship, the casual pathways through which they are related, and the associations between different types of anxiety and falls.

History

Journal

Journals of gerontology: series B

Volume

72

Issue

5

Pagination

729 - 741

Publisher

Oxford University Press

Location

Oxford, Eng.

ISSN

1079-5014

eISSN

1758-5368

Language

eng

Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2016, The Author