Prevalence of concerns about falling in people with knee or hip osteoarthritis and the association with pain, function, and psychological factors-a cross-sectional study of 7442 patients treated in primary care

Dorte T Grønne; Jesper Ryg; Katrine H Rubin; Kim Delbaere; Ewa M Roos; Søren T Skou

doi:10.1093/ageing/afae224

Prevalence of concerns about falling in people with knee or hip osteoarthritis and the association with pain, function, and psychological factors-a cross-sectional study of 7442 patients treated in primary care

Dorte T Grønne^*
, Jesper Ryg
, Katrine H Rubin
, Kim Delbaere
, Ewa M Roos
, Søren T Skou

^*Corresponding author for this work

Department of Physiotherapy and Occupational Therapy (PROgrez)

Research output: Contribution to journal › Article › Research › peer-review

Abstract

BACKGROUND: Concerns about falling (CaF) are common in older people and can lead to avoidance of activities, social isolation and reduced physical function. However, there is limited knowledge about CaF in people with osteoarthritis (OA); yet, symptoms may increase CaF. We aimed to evaluate the prevalence of CaF and associated factors in people with knee or hip OA.

METHODS: This cross-sectional study used data from the Good Life with osteoArthritis in Denmark registry including patients with OA treated in primary care. CaF was assessed with the Short Falls Efficacy Scale International (Short FES-I, range 7-28, low to high). Associations between CaF and pain, function and psychological factors were evaluated using multivariable linear Tobit regression.

RESULTS: In total, 7442 patients were included [mean age 67 years (SD: 9.6), 67% females]. Mean Short FES-I was 9.8 [95% confidence interval (CI): 9.7; 9.8]. Moderate CaF was observed in 48.1% (95% CI: 46.7; 48.9) of participants, whilst 11.3% (95% CI: 10.7; 12.1) had a high level of CaF. CaF was more prevalent in the oldest participants and in females. Pain intensity [β-value (95% CI): 0.52 (0.48; 0.55)], chair stand test [-0.21 (-0.22; -0.19)] and fear of movement [1.38 (1.19; 1.56)] were significantly associated with increased CaF across age groups and sex.

CONCLUSIONS: CaF is common in people with OA, especially in the oldest participants and in females. Higher pain, lower function and psychological distress are associated with CaF; yet, the causality of the associations remain to be determined. Integrating CaF assessments and interventions into OA management in primary care seems highly relevant.

Original language	English
Article number	afae224
Number of pages	8
Journal	Age and Ageing
Volume	53
Issue number	10
DOIs	https://doi.org/10.1093/ageing/afae224
Publication status	Published - 15 Oct 2024

Funding

D.T.G. is currently funded by a grant from Danish Regions (no. R232-A5132); a faculty grant from The Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark; and by a grant from Naestved-Slagelse-Ringsted Hospitals (No A1683). K.D. is supported by a National Health and Medical Research Council Investigator grant. S.T.S. is currently funded by a grant from Region Zealand (Exercise First); and two grants from the European Union's Horizon 2020 Research and Innovation Program, one from the European Research Council (MOBILISE, grant agreement no. 801790); and the other under grant agreement no. 945377 (ESCAPE). The initiation of GLA:D was supported by the Danish Physiotherapy Association's fund for research, education and practice development; the Danish Rheumatism Association; and the Physiotherapy Practice Foundation.

Funders	Funder number
Danish Administrative Regions and Bio-and Genome Bank Denmark	R232-A5132
University of Southern Denmark
Naestved-Slagelse-Ringsted Hospitals research fund, Denmark	A1683
National Health and Medical Research Council (NHMRC) Centre of Research Excellence
Region Sjælland
European Research Council under the EU's Horizon 2020 research and innovation program
European Research Council under the European Union	801790, 945377
Danish Physiotherapists
The Danish Rheumatism Association
Physiotherapy Practice Foundation

Keywords

Humans
Female
Male
Cross-Sectional Studies
Aged
Primary Health Care
Osteoarthritis, Hip/psychology
Accidental Falls/statistics & numerical data
Prevalence
Osteoarthritis, Knee/psychology
Middle Aged
Denmark/epidemiology
Risk Factors
Registries
Functional Status
Pain Measurement
Fear of falling
Older people
Exercise therapy
Accidental falls
Osteoarthritis
Concerns about falling

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10.1093/ageing/afae224

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Grønne, D. T., Ryg, J., Rubin, K. H., Delbaere, K., Roos, E. M., & Skou, S. T. (2024). Prevalence of concerns about falling in people with knee or hip osteoarthritis and the association with pain, function, and psychological factors-a cross-sectional study of 7442 patients treated in primary care. Age and Ageing, 53(10), Article afae224. https://doi.org/10.1093/ageing/afae224

@article{653b503df3484fddbf981b41f7b27dc7,

title = "Prevalence of concerns about falling in people with knee or hip osteoarthritis and the association with pain, function, and psychological factors-a cross-sectional study of 7442 patients treated in primary care",

abstract = "BACKGROUND: Concerns about falling (CaF) are common in older people and can lead to avoidance of activities, social isolation and reduced physical function. However, there is limited knowledge about CaF in people with osteoarthritis (OA); yet, symptoms may increase CaF. We aimed to evaluate the prevalence of CaF and associated factors in people with knee or hip OA.METHODS: This cross-sectional study used data from the Good Life with osteoArthritis in Denmark registry including patients with OA treated in primary care. CaF was assessed with the Short Falls Efficacy Scale International (Short FES-I, range 7-28, low to high). Associations between CaF and pain, function and psychological factors were evaluated using multivariable linear Tobit regression.RESULTS: In total, 7442 patients were included [mean age 67 years (SD: 9.6), 67\% females]. Mean Short FES-I was 9.8 [95\% confidence interval (CI): 9.7; 9.8]. Moderate CaF was observed in 48.1\% (95\% CI: 46.7; 48.9) of participants, whilst 11.3\% (95\% CI: 10.7; 12.1) had a high level of CaF. CaF was more prevalent in the oldest participants and in females. Pain intensity [β-value (95\% CI): 0.52 (0.48; 0.55)], chair stand test [-0.21 (-0.22; -0.19)] and fear of movement [1.38 (1.19; 1.56)] were significantly associated with increased CaF across age groups and sex.CONCLUSIONS: CaF is common in people with OA, especially in the oldest participants and in females. Higher pain, lower function and psychological distress are associated with CaF; yet, the causality of the associations remain to be determined. Integrating CaF assessments and interventions into OA management in primary care seems highly relevant.",

keywords = "Humans, Female, Male, Cross-Sectional Studies, Aged, Primary Health Care, Osteoarthritis, Hip/psychology, Accidental Falls/statistics \& numerical data, Prevalence, Osteoarthritis, Knee/psychology, Middle Aged, Denmark/epidemiology, Risk Factors, Registries, Functional Status, Pain Measurement, Fear of falling, Older people, Exercise therapy, Accidental falls, Osteoarthritis, Concerns about falling",

author = "Gr{\o}nne, \{Dorte T\} and Jesper Ryg and Rubin, \{Katrine H\} and Kim Delbaere and Roos, \{Ewa M\} and Skou, \{S{\o}ren T\}",

year = "2024",

month = oct,

day = "15",

doi = "10.1093/ageing/afae224",

language = "English",

volume = "53",

journal = "Age and Ageing",

issn = "0002-0729",

publisher = "Oxford University Press",

number = "10",

}

Prevalence of concerns about falling in people with knee or hip osteoarthritis and the association with pain, function, and psychological factors-a cross-sectional study of 7442 patients treated in primary care. / Grønne, Dorte T; Ryg, Jesper; Rubin, Katrine H et al.
In: Age and Ageing, Vol. 53, No. 10, afae224, 15.10.2024.

Research output: Contribution to journal › Article › Research › peer-review

TY - JOUR

T1 - Prevalence of concerns about falling in people with knee or hip osteoarthritis and the association with pain, function, and psychological factors-a cross-sectional study of 7442 patients treated in primary care

AU - Grønne, Dorte T

AU - Ryg, Jesper

AU - Rubin, Katrine H

AU - Delbaere, Kim

AU - Roos, Ewa M

AU - Skou, Søren T

PY - 2024/10/15

Y1 - 2024/10/15

N2 - BACKGROUND: Concerns about falling (CaF) are common in older people and can lead to avoidance of activities, social isolation and reduced physical function. However, there is limited knowledge about CaF in people with osteoarthritis (OA); yet, symptoms may increase CaF. We aimed to evaluate the prevalence of CaF and associated factors in people with knee or hip OA.METHODS: This cross-sectional study used data from the Good Life with osteoArthritis in Denmark registry including patients with OA treated in primary care. CaF was assessed with the Short Falls Efficacy Scale International (Short FES-I, range 7-28, low to high). Associations between CaF and pain, function and psychological factors were evaluated using multivariable linear Tobit regression.RESULTS: In total, 7442 patients were included [mean age 67 years (SD: 9.6), 67% females]. Mean Short FES-I was 9.8 [95% confidence interval (CI): 9.7; 9.8]. Moderate CaF was observed in 48.1% (95% CI: 46.7; 48.9) of participants, whilst 11.3% (95% CI: 10.7; 12.1) had a high level of CaF. CaF was more prevalent in the oldest participants and in females. Pain intensity [β-value (95% CI): 0.52 (0.48; 0.55)], chair stand test [-0.21 (-0.22; -0.19)] and fear of movement [1.38 (1.19; 1.56)] were significantly associated with increased CaF across age groups and sex.CONCLUSIONS: CaF is common in people with OA, especially in the oldest participants and in females. Higher pain, lower function and psychological distress are associated with CaF; yet, the causality of the associations remain to be determined. Integrating CaF assessments and interventions into OA management in primary care seems highly relevant.

AB - BACKGROUND: Concerns about falling (CaF) are common in older people and can lead to avoidance of activities, social isolation and reduced physical function. However, there is limited knowledge about CaF in people with osteoarthritis (OA); yet, symptoms may increase CaF. We aimed to evaluate the prevalence of CaF and associated factors in people with knee or hip OA.METHODS: This cross-sectional study used data from the Good Life with osteoArthritis in Denmark registry including patients with OA treated in primary care. CaF was assessed with the Short Falls Efficacy Scale International (Short FES-I, range 7-28, low to high). Associations between CaF and pain, function and psychological factors were evaluated using multivariable linear Tobit regression.RESULTS: In total, 7442 patients were included [mean age 67 years (SD: 9.6), 67% females]. Mean Short FES-I was 9.8 [95% confidence interval (CI): 9.7; 9.8]. Moderate CaF was observed in 48.1% (95% CI: 46.7; 48.9) of participants, whilst 11.3% (95% CI: 10.7; 12.1) had a high level of CaF. CaF was more prevalent in the oldest participants and in females. Pain intensity [β-value (95% CI): 0.52 (0.48; 0.55)], chair stand test [-0.21 (-0.22; -0.19)] and fear of movement [1.38 (1.19; 1.56)] were significantly associated with increased CaF across age groups and sex.CONCLUSIONS: CaF is common in people with OA, especially in the oldest participants and in females. Higher pain, lower function and psychological distress are associated with CaF; yet, the causality of the associations remain to be determined. Integrating CaF assessments and interventions into OA management in primary care seems highly relevant.

KW - Humans

KW - Female

KW - Male

KW - Cross-Sectional Studies

KW - Aged

KW - Primary Health Care

KW - Osteoarthritis, Hip/psychology

KW - Accidental Falls/statistics & numerical data

KW - Prevalence

KW - Osteoarthritis, Knee/psychology

KW - Middle Aged

KW - Denmark/epidemiology

KW - Risk Factors

KW - Registries

KW - Functional Status

KW - Pain Measurement

KW - Fear of falling

KW - Older people

KW - Exercise therapy

KW - Accidental falls

KW - Osteoarthritis

KW - Concerns about falling

U2 - 10.1093/ageing/afae224

DO - 10.1093/ageing/afae224

M3 - Article

C2 - 39403950

SN - 0002-0729

VL - 53

JO - Age and Ageing

JF - Age and Ageing

IS - 10

M1 - afae224

ER -

Prevalence of concerns about falling in people with knee or hip osteoarthritis and the association with pain, function, and psychological factors-a cross-sectional study of 7442 patients treated in primary care

Abstract

Funding

Keywords

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