Is functional fitness performance a useful predictor of risk of falls among community-dwelling older adults?

Hsin Hung Ho, I. Yao Fang, Yi Chien Yu, Yi Ping Huang, I. Ling Kuo, Li Ting Wang, Ming Chueh Tsai, Shao Hsi Chang*, Ming Chun Hsueh

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)


Background: Falls among older adults are a serious public health problem. Many studies indicate that positive functional fitness performance decreases the risk of falls. A limited amount of previous study has investigated the association between broad functional fitness and the fall risk. This study examines the associations between functional fitness and the risk of falling among community-dwelling older adults. Methods: Three waves of cross-sectional data were collected from 2017 to 2019 in Taipei City, Taiwan. Six hundred sixty-five participants aged ≥65 years were randomly recruited from 12 districts of Taipei. Eight functional fitness tests (i.e., back scratch, chair-sit and-reach, 8-ft up-and-go, 30-s sit-to-stand, 30-s arm curl, 30-s single-leg stance, 2-min step, and hand grip strength tests) were performed to record the physical performance of older subjects. A Chinese version of the fall-risk questionnaire (FRQ) was used to calculate the fall risk scores. Linear regression and logistic regression were utilized to estimate the relationships of each functional fitness and fall risk. Result: The results showed that 37.45% of older adults had a high risk of falling. It was found for each functional fitness that performance was linearly associated with the risk of falling. Moreover, older adults with low-performance levels in all functional fitness except back-scratching were more likely to have a higher risk of falling. Conclusions: Our study indicated that functional fitness performance appears to provide valid predictive guidance for reducing the risk of falling among the older population.

Original languageEnglish
Article number108
JournalArchives of Public Health
Issue number1
Publication statusPublished - 2021 Dec


  • Elderly
  • Frailty
  • Physical function
  • Physical performance
  • Taiwan

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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