PubMed:27781138 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/27781138","sourcedb":"PubMed","sourceid":"27781138","source_url":"http://www.ncbi.nlm.nih.gov/pubmed/27781138","text":"Depressive symptoms associated with concerns about falling in Parkinson's disease.\nBACKGROUND: Concerns about falling, a construct related to fear of falling, is increased in people with Parkinson's disease (PD) and is recognized as a barrier for exercise, negatively affecting health-related quality of life and participation.\nAIM: To investigate modifiable factors associated with concerns about falling in elderly with mild-to-moderate PD.\nMETHODS: Eighty-nine elderly (39 females, mean age 73 years) with mild-to-moderate PD were recruited. Concerns about falling were assessed with the Falls Efficacy Scale-international, that is, the dependent variable in multiple linear regression analysis. Independent variables included both motor (e.g., objective measures of physical activity and gait) and nonmotor aspects such as depressive symptoms.\nRESULTS: A model with three significant independent variables explained 33% of the variance in concerns about falling. According to the standardized regression coefficients (β), the strongest contributing factor was depressive symptoms (0.40), followed by balance performance (-0.25), and use of mobility devices (0.24).\nCONCLUSIONS: The findings imply that factors associated with concerns about falling are a multifactorial phenomenon. For its management in elderly with mild-to-moderate PD, one should consider depressive symptoms, balance deficits, and mobility 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