2026-08-15T12:25:52Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/276462026-08-15T00:17:19Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608
Repisalud
author
Arias-Fernández, Lucía
author
Carcedo-Argüelles, Lucía
author
García-Esquinas, Esther
author
Caballero, Francisco Félix
author
Rodríguez-Artalejo, Fernando
author
Lana, Alberto
funder
Instituto de Salud Carlos III
funder
Centro de Investigación Biomédica en Red - CIBERESP (Epidemiología y Salud Pública)
funder
Instituto de Investigación Sanitaria del Principado de Asturias (España)
2026-08-14T15:15:19Z
2026-08-14T15:15:19Z
2025-06
Arias-Fernández L, Carcedo-Argüelles L, García-Esquinas E, Caballero FF, Rodríguez-Artalejo F, Lana A. Association of neighborhood physical environment with falls and fear of falling in older adults: A prospective cohort study. Arch Gerontol Geriatr. 2025 Jun;133:105831. doi: 10.1016/j.archger.2025.105831. Epub 2025 Mar 16. PMID: 40120201.
10.1016/j.archger.2025.105831
Archives of Gerontology and Geriatrics
40120201
https://hdl.handle.net/20.500.12105/27646
Objectives: To explore the prospective association between physical environment characteristics of the neighborhood and risk of falls/fear of falling among community-dwelling older adults. Study design: Prospective cohort analysis using data from the Seniors-ENRICA-2 cohort (metropolitan Madrid, Spain). Methods: At baseline (2015-17), a neighborhood physical characteristics score was developed using the Physical Activity Neighborhood Environment Scale and an additional indicator of distance to green areas. In the second wave of follow-up (2019-20) we collected self-reported incident falls and fear of falling, assessed with the Short Falls Efficacy Scale International. Adjusted odds ratios (OR) and 95 % confidence intervals (CI) for the association between neighborhood environment perception and incidence of falls/fear of falling were calculated using logistic regression. Results: Among 1823 participants, 27.7 % reported a fall during the previous year and 32.1 % were concerned about having a fall. Better neighborhood environment was associated with lower risk of falls (OR: 0.75; 95 %CI: 0.57-0.99) and fear of falling (0.73; 0.55-0.96). Specifically, low traffic intensity (0.68; 0.52-0.90) and sidewalks in good condition (0.75; 0.59-0.95) were associated with lower risk of falling. Moreover, available facilities for biking (0.77; 0.61-0.96), sidewalks in good condition (0.67; 0.52-0.86), night security (0.80; 0.60-0.99) and day security (0.62; 0.44-0.98) were independently associated with lower fear of falling. Conclusions: Better neighborhood physical environments could play a key role in the prevention of falls and fear of falling among older adults. Policies aiming to improve residential environments can have broad implications for achieving healthy aging.
eng
Accidental Falls
Aged
Built environment
Fear
Neighborhood characteristics
Association of neighborhood physical environment with falls and fear of falling in older adults: A prospective cohort study.
research article
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