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Volume 19
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Article

Association between Domains of the Clinical-Functional Vulnerability Index and Falls History in Older Adults: A Cross-Sectional Study

by
Natália B. Moreira
1,
Paulo C. B. Bento
2,
Edgar Ramos Vieira
3,
José L. P. da Silva
4 and
André L. F. Rodacki
2,*
1
Departamento de Prevenção e Reabilitação em Fisioterapia, Rua Coronel H dos Santos, Jardim das Américas, 100-Centro Politécnico, Universidade Federal do Paraná, Curitiba 81530-000, Paraná, Brazil
2
Departamento de Educação Física, Rua Coronel H dos Santos, Jardim das Américas, 100-Centro Politécnico, Universidade Federal do Paraná, Curitiba 81530-000, Paraná, Brazil
3
Department of Physical Therapy, Nicole Wertheim College of Nursing and Health Sciences, International University, Miami, FL 33199, USA
4
Departamento de Estatística, Rua Coronel H dos Santos, Jardim das Américas, 100-Centro Politécnico, Universidade Federal do Paraná, Curitiba 81530-000, Paraná, Brazil
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(13), 7949; https://doi.org/10.3390/ijerph19137949
Submission received: 4 May 2022 / Revised: 13 June 2022 / Accepted: 27 June 2022 / Published: 29 June 2022
(This article belongs to the Special Issue Frailty in the Elderly: Issues and Challenges)
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Abstract

Objectives: The study aimed to determine which domains, sets, and isolated or combined questions of the Clinical-Functional Vulnerability Index (CFVI-20) are associated with falls history in older adults. Methods: Instruments used were the CFVI-20 assessment and reported falls during the last year. The receiver operating characteristics (ROC) curves identified the performance of the CFVI-20 domains and questions in identifying older adults with and without falls history, while logistic regression identified relevant questions to identify fall history. Results: This study included 1725 individuals (71.9 ± 7.3 years). The area under the curve (AUC) between the CFVI-20 and fall history was 0.69. The mobility domain presented the largest AUC (0.71; p < 0.01), and most isolated domains showed low AUCs (0.51 to 0.58). Isolated questions were limited to identifying fallers. The regression analysis identified 7 questions of the CFVI-20 with falls. Conclusions: The CFVI-20 general score identified older adults with a fall history. When considered in isolation, most domains were limited to identifying falls, except for the mobility domain. Combining the CFVI-20 questions enabled identification of fallers.
Keywords: fall identification; risk factors; aged; frail elderly fall identification; risk factors; aged; frail elderly

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MDPI and ACS Style

Moreira, N.B.; Bento, P.C.B.; Vieira, E.R.; da Silva, J.L.P.; Rodacki, A.L.F. Association between Domains of the Clinical-Functional Vulnerability Index and Falls History in Older Adults: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2022, 19, 7949. https://doi.org/10.3390/ijerph19137949

AMA Style

Moreira NB, Bento PCB, Vieira ER, da Silva JLP, Rodacki ALF. Association between Domains of the Clinical-Functional Vulnerability Index and Falls History in Older Adults: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2022; 19(13):7949. https://doi.org/10.3390/ijerph19137949

Chicago/Turabian Style

Moreira, Natália B., Paulo C. B. Bento, Edgar Ramos Vieira, José L. P. da Silva, and André L. F. Rodacki. 2022. "Association between Domains of the Clinical-Functional Vulnerability Index and Falls History in Older Adults: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 19, no. 13: 7949. https://doi.org/10.3390/ijerph19137949

APA Style

Moreira, N. B., Bento, P. C. B., Vieira, E. R., da Silva, J. L. P., & Rodacki, A. L. F. (2022). Association between Domains of the Clinical-Functional Vulnerability Index and Falls History in Older Adults: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19(13), 7949. https://doi.org/10.3390/ijerph19137949

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