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.

中文翻译：

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膝关节或髋关节骨关节炎患者对跌倒的担忧的患病率以及与疼痛、功能和心理因素的关联 - 一项针对 7442 名在初级保健接受治疗的患者的横断面研究。


背景 对跌倒的担忧 （CaF） 在老年人中很常见，可导致避免活动、社交孤立和身体机能下降。然而，对骨关节炎 （OA） 患者的 CaF 了解有限;然而，症状可能会增加 CaF。我们旨在评估膝关节或髋关节 OA 患者 CaF 的患病率和相关因素。方法 这项横断面研究使用了来自丹麦 Good Life with osteoArthritis 登记处的数据，包括在初级保健中接受治疗的 OA 患者。CaF 使用国际短跌折扣效能量表 （Short FES-I，范围 7-28，从低到高） 进行评估。使用多变量线性 Tobit 回归评估 CaF 与疼痛、功能和心理因素之间的关联。结果 共纳入 7442 例患者 [平均年龄 67 岁 （SD： 9.6），67% 为女性]。平均短 FES-I 为 9.8 [95% 置信区间 （CI）：9.7;9.8]。在 48.1% （95% CI： 46.7;48.9） 的参与者中观察到中度 CaF，而 11.3% （95% CI： 10.7;12.1） 的参与者具有高水平的 CaF。CaF 在最年长的参与者和女性中更为普遍。疼痛强度 [β 值 （95% CI）：0.52 （0.48;0.55）]、椅子站立试验 [-0.21 （-0.22;-0.19）] 和对运动的恐惧 [1.38 （1.19;1.56）] 与不同年龄组和性别的 CaF 增加显著相关。结论 CaF 在 OA 患者中很常见，尤其是在最年长的参与者和女性中。较高的疼痛、较低的功能和心理困扰与 CaF 有关;然而，这些关联的因果关系仍有待确定。将 CaF 评估和干预整合到初级保健的 OA 管理中似乎高度相关。