Evidence map›Paper›PMID 42108435›Full record

ArticleBMC geriatrics2026

Association of fear of falling and low physical activity with the quality of life of community-dwelling older adults.

Yih-Jian Tsai, Deng-Chi Yang, Yi-Ching Yang, Wen-Jung Sun, Miaw-Chwen Lee

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yih-Jian TsaiDepartment of Public Health, College of Medicine, National Cheng Kung University, 138 Shengli Road, North District, Tainan, 704302, Taiwan. markus.ytsai@gmail.com.
Deng-Chi YangDepartment of Geriatrics and Gerontology, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 704302, Taiwan.
Yi-Ching YangDepartment of Geriatrics and Gerontology, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 704302, Taiwan.
Wen-Jung SunDepartment of Family Medicine, Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), Tainan, 701033, Taiwan. cosbysun@gmail.com.
Miaw-Chwen LeeDepartment of Social Welfare, National Chung Cheng University, Chiayi, 621301, Taiwan.

Funding

The data collection in this study was supported by the Taiwan Provincial Government (Technical Contract No. 007843) and the National Science Council, Taiwan (NSC 89-2320-B-065-001-M56). Technical Contract No. 007843; NSC 89-2320-B-065-001-M56The in-depth analyses of the QoL were supported in part by the Research and Development Working Circle within the Cross-University Research Project on Humanities and Social Sciences by the Taiwan Comprehensive University System (TCUS), Taiwan under Project No. GM1104-126. GM1104-126
6 · The paper itself

Abstract

background and purposeBoth fear of falling (FOF) and low physical activity (PA) are prevalent risk factors for falls in an aged society; however, their effects on the quality of life (QoL) remain insufficiently understood. This study aimed to investigate the influence of FOF and low PA on various QoL dimensions.

methodsData were collected from 600 older adults aged 70 years and above through structured questionnaire interviews conducted in 1996 and 1999 in the Hunei community of Kaohsiung, Taiwan. Their QoL was assessed using the SF-36 and World Health Organization Quality of Life (WHOQOL)-BREF instruments, which were administered in the 1999 follow-up only. The relationship between the combinations of FOF (vs. no FOF) and low PA (vs. moderate-to-high PA) and each subscale QoL was analyzed using one-way analysis of variance (ANOVA) and further evaluated through multiple linear regression (MLR) models. The models sequentially included the combinations and other explanatory variables-namely, age, sex, gait maneuverability score, vision, number of comorbidities, Geriatric Depression Scale (GDS) score, Short Portable Mental Status Questionnaire (SPMSQ) score, and fall frequency. Full MLR models were constructed by replacing the combinations with their multilevel dummy variables. The MLR models for physical component summary (PCS) and mental component summary (MCS) were further stratified by the combinations.

resultsThe participants had a mean age of 76.6 years, 49.2% were male, and 20.2% had both FOF and low PA. ANOVA results showed significant cross-combination differences across all QoL subscales (p < 0.001). The partial regression coefficients of the combinations indicated consistent cross-combination trends for each QoL subscale.

conclusionThe combined presence of FOF and low PA was associated with broad negative effects on all QoL subscales among community-dwelling older adults. Interventions targeting fall risk reduction and QoL improvement should be implemented concurrently to maximize outcomes.

Indexed as

Accidental FallsExerciseFearIndependent LivingQuality of LifeAgedAged, 80 and overAging in PlaceFemaleFollow-Up StudiesHumansMaleSurveys and QuestionnairesTaiwanAgedFear of fallingLow physical activityQuality of life

Identifiers

PMID42108435
PMCPMC13495176

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.