{"paper_id":"3be7b4f8-7ffc-4ec0-8668-63628e53b825","body_text":"Fall Awareness Behaviour And Its Associated Factors Among Malaysian Community Dwelling Older Adults | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research article Fall Awareness Behaviour And Its Associated Factors Among Malaysian Community Dwelling Older Adults Goh Jing Wen, Devinder Kaur Ajit Singh, Normala Mesbah, Anis Afifa Mohd Hanafi, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-54230/v2 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 06 Apr, 2021 Read the published version in BMC Geriatrics → Version 2 posted 3 You are reading this latest preprint version Show more versions Abstract Background Falls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors among Malaysian community dwelling older adults. Methods A total of 144 community dwelling older adults (mean age of 70.69±4.3 years) participated in this study. Physical performance were assessed using timed up and go (TUG), gait speed (GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviour and fall prevention knowledge respectively. Results Stepwise linear regression analysis showed that the practice of fall awareness behaviour (R 2 =0.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p<0.001], having lower BMI [95% C.I: -0.692 to -0.135, p<0.05], living with family [95% C.I: 0.022 to 5.953, p<0.05] and those having higher functional mobility [95% C.I: -2.008 to -0.164, p<0.05]. Conclusions Fall awareness behaviour should be emphasized among older females, those with lower functional mobility, higher BMI and living alone. Geriatrics & Gerontology Fall awareness behaviour Fall strategy Fall prevention Older adults Older people Background Falls are a public health concern that results in increased mortality and morbidity among older adults (1). Falls can lead to devastating health consequences including injuries, hospitalization, emergency department visits and increased health care burden among older population (2). Unintentional falls have been identified as the fifth leading cause of death among older adults (3). The overall prevalence of falls among Malaysian community dwelling older adults is estimated to be between 4.2% to 61% depending on its settings (4). This is of a higher prevalence as compared to other Asian (17.2% -36.8%) (5) and Western (27%- 29%) (6) population. An increased risk of falls have been reported among older adults with multiple health related problems, including osteoporosis, low calcium levels, loss of bone mineral density, low body mass index, loss of muscle strength, visual impairments, neuromuscular disorders (Parkinson disease) and cognitive impairment (Alzheirmer’s dementia). Carelessness, lack of physical activity, wearing of inappropriate shoes and improper use of assistive devices, can intensify risk of falls (3). In addition, post-fall psychological problems, fear of falls can also place older adults at an increased risk of falling (7). Almost one-quarter of older adults restrict themselves in daily living activities, with about 30%, 45% and 24% limiting indoor, outdoor and both indoor and outdoor activities respectively (5). This restriction may lead to further falls and disabilities. The risk is also signicantly increased among those older adults who have not modified their home environment. Strategies of falls prevention adopted and practised by older adults include being aware of falling and recognising their limitations when participating in an activity (8). A number of factors associated with adoption of falls prevention practices among older adults have been identified in existing literature. These include gender, age, educational level, living and health status, socioeconomic status, cognitive impairment, depression, impaired mobility, falls prevention knowledge and previous experience of falls (9–11). Out of these, Gaspar et al. (2017) (12) found that there was higher adoption of falls prevention practices among older male adults, those who have good self-rated health status and higher education levels. A significant association has also been found between age and adoption of falls prevention whereby, older adults tend to behave in a safer way with advancing age (13). Often, older adults use assistive devices (walkers or walking sticks) to assist in their ambulation and balance, and this has led to slower and more careful movements to protect themselves from a fall (13). Despite having various falls prevention educational programmes in place, participation of older adults in falls prevention is still limited. For example, some older persons still have negative perceptions on falls prevention recommendation, different beliefs and denial of having fall risks (14). Moreover, falls prevention practices have not been adopted among older adults globally (15). This could possibly stem from their refusal to acknowledge their weakness and being afraid to be seen as old (16). It is also noteworthy that most older people failed to recognize their falls risk and did not consider it as a priority and disagreed with home modifications (16). In Malaysia, older adults are worried about the stigma of looking weak and frail and feel embarrassed about using walking aids (17). The existing evidence suggests that falls prevention intervention should focus on falls risk factors (18,19). Currently, there is a lack of information regarding falls awareness and its associated factors among older adults, specific to a multicultural population such as in Malaysia. This information is essential in designing falls prevention strategies specifically tailored for personalised client centred care. This paper sets out a hypothesis that there is an association between falls and certain preventive behaviours in relation to socio-demographic, physical and clinical factors. The aim of this present study was to examine the association between falls prevention behaviour, socio-demographic, physical and clinical factors among community-dwelling older adults. Socio-demographic factors of interest consisted of, age, gender, race, number of comorbidities, living status and education levels. Physical factors considered included mobility status, lower and upper limb muscle strength. Clinical factors examined were knowledge of falls, comorbidities, history and number of falls. Methods Study Design This descriptive and cross-sectional study was conducted in a number of districts in the state of Selangor, Malaysia, where the number of older adults are most dense, namely Tanjung Sepat, Cheras, Kajang, Dato Keramat, Petaling Jaya, Klang, Sepang, Rasa, Kuala Selangor and Sekinchan between September and November 2018. The study comprised of community-dwelling older adults aged 60 and above. Recruitment of participants Participants from only one state (Selangor) representing the central region of Peninsular Malaysia, that were previously involved in longitudinal study on neuroprotective model for healthy longevity (LRGS-TUA) (20) participated in the present study. Participants in LRGS-TUA longitudinal study were recruited using multistage random sampling and the details has been reported previously (20,21). Inclusion and exclusion criteria Older adults who attended the session were screened to meet the inclusion criteria and screened for cognitive impairment using Mini Mental State Examination (MMSE) and depression using Geriatric Depression Scale (GDS-15). Inclusion criteria included older adults who had no permanent disability or impairments, were able to give consent, able to ambulate independently with or without assistive devices for at least 6 meters, with scores of MMSE ≥25 and GDS-15 ≤5. The exclusion criteria were those who scored MMSE scores ≤24, GDS-15 ≥6, having recent lower limb fractures and acute illnesses. Data collection Verbal and written information regarding the procedure of study were provided to all participants. Subsequently, participants signed informed consent forms prior to data collection. Demographic data A face-to-face interview was conducted to obtain the sociodemographic data and medical history of participants and included questions focusing on age, race, gender, employment status, education levels, living status, number of falls within the past twelve months, self-reported medical history (hypertension, diabetes, heart disease, joint pain, incontinence, vision impairments) and medications taken. Outcome Measures Falls awareness was assessed using Fall Awareness Behaviour Questionnaire (FaB) (22). The FaB is a self- rating scale used to assess the actions and behaviours that older adults usually practice to prevent falls. The scale is made of thirty items and ten subscales. The subscales are: (1) protective mobility (5 items); (2) cognitive adaptations (6 items); (3) awareness (4 items); (4) avoidance (5 items); (5) pace (2 items); (6) practical strategies (3 items); (7) being observant (1 item); (8) displacing activities (1 item); (9) changes in level (2 items) and; (10) getting to phone (1 item). For each scale, the participants were required to give a score based on four categories, never, sometimes, often and always. The data was analysed based on its total score and scores could range from 30 (risky fall behaviour) to 120 (safest falls prevention behaviour). The lower the score, the more likely a person would engage in risky behaviours. Higher scores indicated a person who was more likely to be aware of falls prevention. FaB was found to have a high validity with internal consistency of 0.84 and content validity index of 0.93 (22). The scale has been adapted for Malaysian culture in a previous local study. For the adapted scale, the Cronbach’s Alpha coefficients was 0.723 with the removal of two items, indicating an acceptable internal consistency. Fall Risk Assesment Questionnaire (FRAQ) was used to assess falls prevention knowledge among older adults (23). It consists of twenty-two questions and these questions evaluate falls prevention knowledge based on the apsects of: (1) behaviours (eight items); (2) environmental (five items); (3) medical condition (six items) and; (4) medication (three items). The total full score for this questionnaire is 21. Higher score suggests higher knowledge of falls among older adults (24). FRAQ was found to have a strong agreement with clinical evaluation (kappa= 0.875, p<0.001) and good validity. The kappa value for individual items is ranged from 0.305 to 0.832 (24). The Malay version of FRAQ used in this study was one that had been translated for a previous local sudy. Its internal consistency had a Cronbach’s alpha value of 0.748 after removing one item. Participants performed timed-up and go (TUG) test to assess balance and mobility status (25). TUG test was found to have high sensitivty and specifity value of 87% (26). The time taken from standing up from an armless chair with 46cm height, walking 3m towards a cone at their usual and comfortable pace, turning, walking back towards the chair and sitting down was recorded in seconds. The participants were instructed to wear their shoes and were allowed to walk with or without assistive devices. Time taken to complete the test was recorded in seconds. Six metre gait speed was performed by participants as a measure of functional mobility. Time taken to complete walking at their own pace for a distance of six meters was taken in seconds. 30 seconds chair stand test was used to measure lower limb muscle strength among the older adults. A 17 inches (43.2cm) plastic chair without armrests was placed against the wall to prevent the chair from slipping during the test. Participants were required to sit with their backs against the backrest, arms crossed against their chest, feet with shoulder distance apart and placed firmly on the floor. Participants were instructed to stand and sit as many times as possible within 30 seconds. One repetition was considered as a complete sit and stand. Chair stand test has been shown to have a high test-retest correlation for both men (0.84) and women (0.92) (27). This test also has a good criterion related validity, r =0.78 in men and r =0.71 (27). Dominant hand grip strength testing has been shown to have good validity with high correlation (r=0.99, p<0.001) (28). The participants were asked to sit upright with elbow and shoulders positioned at a 90-degree angle, and forearms placed in neutral position. The participants were required to squeeze the dynamometer handle as hard as possible using their dominant hand on the command ‘start’ and sustain it for three seconds. This test was conducted twice and the maximum reading was taken as the result. Data Analysis Data was analysed using IBM Statistical Package for Social Sciences (SPSS) software version 23.0, IBM Corporation, United States. Statistical analysis of Alpha level 0.05 was used in all statistical tests. Distribution of all data were analysed using Kolmogorov-Smirnov, Shapiro-Wilk and other non-parametric tests. Means and standard deviations were calculated for the following variables: (1) age; (2) MMSE scores; (3) GDS-15 scores; (4) BMI; (5) FRAQ scores; (6) FaB scores; (7) TUG; (8) gait speed; (9) hand grip strength; (10) chair stand tests. While, percentage were described for the following variables: (1) gender; (2) race; (3) education status; (4) marital status; (5) living status; (6) working status; (7) number of comorbidities; (8) number of medication; (9) fall history. Stepwise linear regression analysis with level at Alpha level 0.05 was used to analyse the association between the practice of falls prevention behaviour (dependent variables) and sociodemographic factors (age, gender, race, number of comorbidity, marital status, employment status, living status and education level), physical factors (mobility status, lower limb and upper limb muscle strength) and clinical factors (knowledge of falls, comorbidity, history of falls and number of falls). Ethics Approval and Consent to Participate This study was approved by the Medical Research and Ethics Committee of Universiti Kebangsaan Malaysia (UKM PPI/111/8/JEP-2018-559). Results Table 1 depicts comparison of sociodemographic data among community dwelling older adults categorised as fallers and non-fallers. Table 1 Sociodemographic of participants categorized based on fallers and non-fallers Variables Total Participants (n= 144) Fallers (n= 31; 21.5%) Non-fallers (n= 113; 78.5%) P value Sociodemographic profiles Age; mean (SD) MMSE; mean (SD) GDS; mean (SD) 70.69 (4.3) 27.88 (1.6) 1.49 (1.5) 71.45 (4.6) 27.71 (1.4) 1.58 (1.5) 70.49 (4.2) 27.92 (1.7) 1.47 (1.5) 0.27 0.53 0.71 Gender; n (%) Male Female 71 (49.3) 73 (50.7) 10 (14.1) 21 (28.8) 61 (85.9) 52 (71.2) 0.03* Race; n (%) Malay Chinese India 65 (45.1) 60 (41.7) 19 (13.2) 10 (15.4) 16 (26.7) 5 (26.3) 55 (84.6) 44 (73.3) 14 (73.7) 0.15 Education level; n (%) No education Primary Secondary Tertiary Others 8 (5.6) 40 (27.8) 70 (48.6) 24 (16.7) 2 (1.4) 3 (37.5) 9 (22.5) 14 (20.0) 5 (20.8) 0 5 (62.5) 31 (77.5) 56 (80.8) 19 (79.2) 2 (100) 0.28 Marital status; n (%) Single Married Divorce Others 2 (1.4) 112 (77.8) 2 (1.4) 28 (19.4) 1 (50.0) 23 (20.5) 0 7 (25.0) 1 (50.0) 89 (79.5) 2 (100.0) 21 (75.0) 0.81 Working status; n (%) Not working/ housewife Retired Retired but working Working 64 (44.4) 63 (43.8) 5 (3.5) 12 (8.3) 17 (26.6) 11 (17.5) 2 (40.0) 1 (8.3) 47 (73.4) 52 (82.5) 3 (60.0) 11 (91.7) 0.20 Living status; n (%) Living alone Living with husband/ wife Living with husband/ wife/ child/ grandchild Others 4 (2.8) 46 (31.9) 88 (61.1) 6 (4.2) 2 (50.0) 12 (26.1) 15 (17.0) 2 (33.3) 2 (50.0) 34 (73.9) 73 (83.0) 4 (66.7) 0.29 BMI (kg/m 2 ); mean (SD) 26.30 (5.29) 25.26 (4.5) 26.62 (5.5) 0.20 Clinical factors No of comorbidity; n (%) No comorbidity One comorbidity ≥ 2 comorbidities 4 (2.8) 19 (13.2) 121 (84.0) 0 2 (10.5) 29 (24.0) 4 (100.0) 17 (89.5) 92 (76.0) 0.09 No of medication; n (%) <3 medication ≥3 medication 106 (73.6) 38 (26.4) 20 (18.9) 11 (28.9) 86 (81.1) 27 (71.1) 0.46 Falls history in past 12 months; n (%) No falls ≥One fall 113 (78.5) 31 (21.5) 0 31 (100) 113 (100) 0 0.001 Falls knowledge FRAQ; mean (SD) 12.30 (3.0) 12.10 (3.3) 12.35 (2.9) 0.67 Falls behaviours FaB; mean (SD) 53.30 (9.5) 50.77 (7.7) 53.97 (9.9) 0.10 Physical test Timed up and go test (sec) ; mean (SD) 10.17 (1.6) 10.41 (1.9) 10.10 (1.5) 0.34 6 meters Gait speed test (m/ sec) ; mean (SD) 1.12 (0.7) 1.29 (1.4) 1.07 (0.2) 0.42 30 seconds Chair stand test ; mean (SD) 11.4 (2.4) 11.74 (2.9) 11.30 (2.3) 0.37 Dominant Hand grip strength test (kg) ; mean (SD) 21.37 (6.8) 19.61 (6.4) 21.85 (6.9) 0.11 *p< 0.05, Independent t-test Fallers were defined as older adults who had experienced falls in past 12 months, while non-fallers were those who had no falls within the past year. Twenty-two percent of the participants had a history of a fall or falls within the past year. There was no significant difference ( p>0.05 ) between fallers and non-faller groups, except for gender. A majority of participants who were classified as fallers were females (30%) (p=0.03) . There is no significant differences between the groups, but faller group had lower mean scores for FaB (50.77±7.7) and FRAQ (12.10±3.3) compared to the non-faller group (FaB=53.97±9.9; FRAQ=12.35±2.9) ( p >0.05). Based on total FaB scores analysis, gender, BMI category, comorbidity and physical mobility (TUG test) were shown to be significantly different ( p <0.05) (Table 2). Table 2 Comparison of sociodemographic profiles, clinical and physical factors according to subscale scores of FaB Variables Total score; mean ± SD Cognitive adaptation; mean ± SD Protective mobility; mean ± SD Avoidance; mean ± SD Awareness; mean ± SD Pace; mean ± SD Practical strategies; mean ± SD Displacing activities; mean ± SD Being observant; mean ± SD Changes in level; mean ± SD Getting to the phone; mean ± SD Sociodemographic profiles Age 65-69;n(67) 70-74;n(48) 75-79;n(21) 80-84;n(8) 53.91±9.01 53.19±10.79 50.41±6.54 56.13±11.74 10.00±3.32 9.75±3.47 8.81±3.36 11.5±3.89 10.78±3.73 10.44±3.43 9.38±2.78 11.88±4.40 10.00±3.20 9.38±2.51 9.71±2.95 9.25±3.11 6.63±2.76 6.77±2.82 6.19±2.04 6.38±2.26 5.21±1.57 5.71±1.50 5.81±1.36 5.38±0.52 7.72±2.32 7.65±2.58 7.48±1.89 7.13±2.36 3.30±1.00 3.19±1.14 3.19±1.25 3.00±1.07 1.48±0.99 1.35±0.86 1.38±0.74 2.00±1.20 2.37±1.51 2.46±1.34 1.71±0.64 2.75±1.91 1.69±1.06 2.08±1.22 2.14±1.24 2.00±1.07 Gender Male;n(71) Female;n(73) 56.13±10.35 50.51±7.71 *** 10.97±3.66 8.71±2.77 *** 10.63±3.88 10.41±3.23 10.79±2.90 8.66±2.56 *** 6.83±2.72 6.37±2.57 5.42±1.42 5.52±1.56 8.08±2.49 7.18±2.10 * 3.34±1.04 3.12±1.12 1.58±1.08 1.33±0.75 2.44±1.34 2.22±1.45 1.89±1.12 1.92±1.19 Education level No education;n(8) Primary;n(40) Secondary;n(70) Tertiary;n(24) Others;n(2) 50.18±7.63 56.31±7.22 51.33±10.14 54.44±10.50 59.53±6.16 8.13±3.87 10.60±2.92 9.41±3.47 10.04±3.74 113.00±1.41 10.88±5.00 12.40±3.18 9.57±3.35 9.92±3.16 12.00±4.24 *** 8.38±1.92 9.38±2.52 9.46±2.91 11.08±3.31 14.00±2.83 ** 5.88±2.17 7.15±2.37 6.30±2.83 6.83±2.73 6.00 5.00±0.93 5.65±1.76 5.40±1.46 5.58±1.32 5.00 7.13±2.3 8.08±2.52 7.16±2.24 8.42±2.15 7.5±2.12 3.75±0.46 2.95±1.20 3.29±1.07 3.42±0.93 2.50±2.12 1.25±0.71 1.75±1.15 1.37±0.80 1.17±0.70 2.50±2.12 * 1.63±0.92 2.18±1.41 2.33±1.29 2.79±1.67 2.50±2.12 2.50±1.41 1.70±1.11 2.06±1.19 1.63±0.92 1.50±0.71 Living status Living alone;n(4) Living with husband/ wife;n(46) Living with husband/ wife/ child/ grandchild;n(88) Others;n(6) 47.40±6.91 51.59±9.87 54.41±9.40 53.53±8.12 6.25±2.99 9.50±3.29 10.09±3.39 10.83±4.26 8.50±2.65 9.70±3.45 11.11±3.63 9.50±2.17 8.75±3.59 9.57±2.90 9.83±2.96 9.67±2.66 6.75±2.63 6.41±2.48 6.65±2.74 7.17±3.06 5.75±1.71 5.52±1.35 5.38±1.56 6.33±1.37 6.50±1.29 7.48±2.18 7.75±2.48 7.67±1.97 3.25±1.50 3.35±0.99 3.17±1.11 3.17±1.33 1.00 1.46±0.96 1.50±0.96 1.00 2.00±0.82 2.33±1.28 2.32±1.47 2.67±1.51 1.75±1.50 1.91±1.17 1.94±1.15 1.33±0.82 BMI Under weight;n(5) Normal weight;n(58) Overweight;n(53) Obese;n(28) 65.71±11.95 55.38±9.33 51.84±8.55 49.44±8.68 *** 12.80±5.54 10.34±3.38 9.38±3.47 9.07±2.60 13.60±3.21 11.00±3.83 10.26±3.20 9.46±3.37 13.20±2.95 10.36±2.84 9.17±2.76 8.75±2.77 ** 6.60±3.78 6.57±2.51 6.45±2.58 6.93±2.94 5.40±0.55 5.66±1.49 5.53±1.41 5.00±1.70 10.40±1.82 7.78±2.35 7.47±2.37 7.11±2.04 * 3.20±1.30 3.29±1.12 3.25±1.02 3.07±1.12 1.20±0.45 1.52±0.94 1.51±0.99 1.25±0.84 3.60±2.07 2.34±1.29 2.13±1.23 2.43±1.69 2.40±1.52 1.95±1.15 1.81±1.14 1.89±1.13 Clinical factors No of comorbidity No comorbidity;n(4) One comorbidity;n(19) ≥ 2 comorbidities;n(121) 63.00±12.79 56.46±12.90 52.46±8.56 * 12.50±3.70 11.32±3.71 9.50±3.29 * 13.25±2.22 10.74±4.41 10.40±3.43 8.75±1.71 10.95±3.21 9.55±2.88 8.00±2.16 4.95±3.12 6.81±2.49 ** 6.50±1.29 5.47±1.84 5.44±1.44 9.75±2.22 7.79±2.82 7.53±2.24 2.50±1.73 3.53±0.70 3.21±1.10 2.50±1.29 1.68±1.06 1.39±0.88 * 3.50±1.73 2.21±1.58 2.31±1.35 2.25±1.26 2.00±1.16 1.88±1.15 No of medication <3 medication;n(106) ≥3 medication;n(38) 53.36±9.39 53.05±9.93 9.82±3.46 9.84±3.36 10.58±3.72 10.37±3.11 9.73±2.85 9.66±3.17 6.48±2.68 6.92±2.54 5.37±1.46 5.76±1.57 7.54±2.31 7.87±2.43 3.24±1.07 3.21±1.14 1.49±0.96 1.34±0.85 2.36±1.44 2.24±1.28 1.90±1.15 1.92±1.15 Falls history in past 12 months No falls;n(31) ≥One falls;n(113) 50.77±7.75 53.97±9.85 9.16±3.18 10.01±3.47 9.65±3.50 10.76±3.55 8.84±2.79 9.95±2.93 6.03±2.12 6.75±2.76 5.61±1.33 5.43±1.53 7.48±2.05 7.66±2.42 3.23±1.06 3.23±1.09 1.35±0.80 1.48±0.97 2.23±1.36 2.35±1.41 2.03±1.17 1.87±1.15 Physical test TUG test <11.18s;n(108) ≥11.18s;n(36) 54.31±9.50 50.19±8.94 * 10.09±3.48 9.03±3.14 10.88±3.41 9.44±3.81 * 9.99±3.06 8.86±2.29 * 6.61±2.77 6.56±2.25 5.55±1.42 5.25±1.68 7.75±2.32 7.25±2.39 3.23±1.10 3.22±1.05 1.48±0.96 1.36±0.83 2.44±1.48 1.97±1.03 * 1.88±1.15 1.97±1.16 *p< 0.05, **p< 0.01, ***p< 0.001,Independent t-test, One-way ANOVA The total FaB scores were significantly higher among males (56.13±10.35) compared to females (50.51±7.71) ( p <0.05). While the TUG cut-off used in our study was 11.18s (29), older adults who took less time to complete the TUG test (54.31±9.50) scored significantly higher in FaB as compared to those who took a longer time to complete the TUG test (50.19±8.94) ( p <0.05). Post hoc analysis (using an α of 0.05) for BMI group and comorbidity were conducted. The analysis revealed that older adults who were underweight (65.71±11.95) had significantly higher FaB scores than those who were of normal weight (55.38±9.33), overweight (51.84±8.55) and obese (49.44±8.68) ( p <0.05). However, there was no significant difference between FaB scores of older adults who were normal weight and overweight ( p >0.05), nor between the FaB scores of those who were overweight and obese ( p >0.05). Post hoc analysis results also showed that there were significantly higher scores of FAB between those without comorbidity (63.00±12.79) and with more than two comorbidities (52.46±8.56) ( p <0.05). When the sociodemographic profiles, clinical factors and physical tests were assessed according to FaB subscales, significant differences were identified in the subscales of cognitive adaptation, protective mobility, awareness, avoidance, practical strategies, being observant and changes in level ( p <0.05). Males obtained significantly higher scores for cognitive adaptation ( p <0.001), avoidance ( p <0.001) and practical strategies ( p <0.05) subscales compared to females. The participants with primary education were found to have a better score for protective mobility subscales ( p <0.001) compared to those without any education, secondary or tertiary. In addition, the avoidance ( p <0.05) and practical strategies ( p <0.05) subscales were also significantly higher among older adults who were underweight. In terms of clinical factors, participants without any comorbidity were reported to score significantly higher in cognitive adaptation ( p <0.05), awareness ( p <0.05) and being observant ( p <0.05) subscales. Participants who took less than 11.18s to complete TUG test achieved significantly higher scores for protective mobility ( p <0.05), avoidance ( p <0.05) and changes in level ( p <0.05) subscales in comparison to those who took a longer time to complete TUG test. Stepwise linear regression results of the association between sociodemographic profiles, clinical and physical factors, falls knowledge and awareness, and the practice of its prevention behaviour (R 2 =0.256) are as depicted in Table 3. Table 3 Linear regression (Stepwise) model: Variables associated with fall prevention practices among older adults Variables Unstandardized Coefficients Standardized Coefficients 95% C.I for Beta Collinearity Statistics P- value R 2 B(S) Beta Lower Upper Tolerance Male 4.984 (1.419) 0.263 2.178 7.789 0.961 0.001* 0.256 TUG Test -1.086 (0.466) -0.182 -2.008 -0.164 0.881 0.02* No. of comorbidity -0.625 (0.348) -0.141 -1.313 0.64 0.871 0.075 BMI (mean) -0.414 (0.141) -0.230 -0.692 -0.135 0.876 0.004* Living with family (husband,/wife and children 2.988 (1.5) 0.154 0.022 5.953 0.905 0.05* Linear Reggresion (Stepwise) test of association*p<=0.05. Excluded variables : Race, Age, Years of education, Working status, Hand Grip test, Chair stand test,Gait speed test, History of fall, No. of fall, Total FRAQ When assessed based on the FaB total mean score, older males [95% C.I: 2.178 to 7.789, p <0.001] and those living with family [95% C.I: 0.022 to 5.953, p <0.05] were found to have higher scores in practice of falls prevention behaviours compared to females and those living alone. Mean BMI [95% C.I: -0.692 to -0.135, p <0.05] and TUG test [95% C.I: -2.008 to -0.164, p <0.05] were inversely proportional to FaB scores, indicating participants with lower BMI and took less time to complete the TUG test had higher falls prevention practice scores. Although not statistically significant ( p >0.05), the participants with fewer comorbidities were more likely to anticipate these prevention behaviours actively [95% C.I: -1.313 to -0.64, p >0.05]. Discussion Prevention of falls awareness and its practice is of utmost importance. The aim of our study was to determine the sociodemographic, clinical and physical factors associated with falls awareness and falls prevention behaviour among community dwelling older adults. In our study, we found that there was a significant association between the practice of falls prevention behaviour with males, having lower BMI, higher functional mobility and living with family in Malaysian based community dwelling older adults. Falls prevention behaviours were significantly associated with male older adults having higher prevalance of falls prevention practice, specifically cognitive adaptation , avoidance and practical strategies subscales compared to females. This result is consistent with a study by Gaspar et al. (2017) (12), where males were shown to be more active in falls prevention practices compared to females. Similarly, a moderate to strong significant association was found between males actively involved in self-management of falls prevention behaviour in another recent study (30). Moreover, it was shown that there is greater adherence in falls prevention programmes among males compared to female older adults (9). Although females were reported to be more active in seeking medical attention after a fall or to gather more information about falls prevention compared to males, they were more inclined to limit their daily activities and physical function due to fear of falls (31,32). We also deduced that higher falls prevention practice among male older adults in our study findings could be linked to the fact that there is a higher likelihood of falls among females estabished in the literature (33). In addition, males were reported to be less likely to report falls or engage in falls prevention programs in comparison to females (34). However, further studies regarding falls prevention practice in view of the differences between older males and females is warranted. A relationship between higher falls prevention behaviour and living with family was demonstrated in our study. The plausible explanation for this could be that older adults living with family members are known to have more social support which empowers them to participate and engage in daily activities (35,36). Moreover, family members could have played a role in providing falls prevention and environmental hazard awareness besides discouraging risky behaviours among older adults (35). In contrast, older adults who live alone practice restriction in their daily activities due to fear of falls, which may in turn reduce their engagement in falls prevention behavaior (30). There were no significant difference in the living status between fallers and non-fallers in our present study. It is worth noting that participants without any comorbidity were particularly more careful and aware of external fall risk factors, as they scored higher in these FaB subscales in our study. These results are consistent with findings that, participation in fall prevention behaviour was higher in older adults who actively managed their health (37). Polypharmacy as a result of multiple comorbidities would increase risk of falls among older adults (3), thereby limiting their daily living activities to keep themselves safe. This may reduce their engagement in falls prevention practices (38). An association between increased falls risk in older adults with higher BMI has been highlighted in literature (39). In older adults, excessive weight may result in a reduction of muscle strength and consequently reduce physical function (40). This may explain the results in our study whereby older adults with obesity were associated with lower involvement in falls prevention practices due to physical inability (41). In addition, older adults with obesity have been shown to be more likely to have fatalistic views that no efforts can be taken to prevent themselves from falls (42). Decrease in physical activity levels, postural stability and physical functional levels due to obesity could possibly compound the reason for lower engagements in overall activities (41). In line with the results of our study, previous studies have demonstrated that independent older adults had greater interest and engagement in falls prevention practices compared to older adults who are dependent (12). Participants who were more aware about falls prevention behaviour practices took shorter time to complete TUG test in our study. This group of participants also scored higher in changes in level subscale, in which they had more ability to cope with the challenging activities, especially when climbing up and down stairs. This result suggests that falls prevention practices were less common among older adults with reduced functional mobility. With deterioration of physical function, mobility and self-management ability due to reduced muscle strength and increased fear of falling, older adults were less likely to engage in falls prevention practices (43,44). Furthermore, older adults who are dependent have difficulty in performing a task or activity in addition to fear of falls during movements (45,46). Therefore, they are unable and less willing to engage actively in falls prevention practices compared to older adults with greater mobility. While there was no significant relation between falls risk knowledge and the practice of its preventive behaviours in our study, fallers had lower mean scores of FRAQ compared to non-fallers. The practice of falls prevention among older adults could be significantly influenced by falls risk knowledge and awareness whereby higher educational levels can lead to better prevention behaviours (12). Often, older adults with higher education levels tend to acquire more information compared to those with lower education levels (47). With higher levels of education, older adults probably understand guidance by health care professionals, and practise falls prevention behaviour in their daily routine. One limitation is that this study was that it was conducted among community dwelling older adults and therefore the results may not be applicable to older adults in institutions or hospitals. Moreover, this study was conducted in a single state in Malaysia. However, we used multistage random sampling methods to best represent the participants. Future large-scale studies are required to determine the factors associated with falls prevention behaviour among older adults. Conclusion Our present study identified four factors associated in falls prevention behaviour practices among older adults which includes, being males, living with family, having lower BMI and higher functional mobility. Addressing these factors may be helpful in empowering at-risk older adults in falls prevention behaviours. The findings from our current study suggest that there is a need to empower older adults to engage in falls prevention behaviour, especially among women, those with high BMI, lower functional mobility and living alone. Abbreviations NICE: The National Institute for Health and Care Excellence LRGS-TUA: Longitudinal Study on Neuroprotective Model for Healthy Longevity MMSE: Mini Mental State Examination GDS-15: Geriatric Depression Scale-15 FaB: Fall Awareness Behaviour Questionnaire FRAQ: Fall Risk Assessment Questionnaire TUG: Timed-up and go SPSS: Statistical Package for Social Sciences BMI: Body Mass Index Declarations Ethics Approval and Consent to Participate This study was approved by the Research and Ethics Committee of Universiti Kebangsaan Malaysia (UKM PPI/111/8/JEP-2018-559). Written informed consent was obtained from study participants. Consent for Publication Not applicable Availability of Data and Materials The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Competing of Interest The authors declare that they have no conflict of interest. Funding This study was funded using grants from Universiti Kebangsaan Malaysia and The Ministry of Education (MOE), Malaysia (DCP-2017-002/2 and LRGS/BU/2012/UKM-UKM/K/01). The funder had no role in the design of the study, data collection, analysis and interpretation, and writing of this manuscript. Authors’s Contributions GJW, DKAS, NS, AAMF, AFA involved in the conception and study design. GJW, AAMF and AFA contributed to data analysis and interpretation. GJW, DKAS and AAMF drafted the original manuscript. All authors read and approved the final manuscript. Acknowledgements The authors thank all participants for their participation and the LRGS team for their help and support rendered in the study. References Yamazaki Y, Hayashida CT, Yontz V. Insights about Fall Prevention of Older Adults in the State of Hawai’i. Hawaii J Med Public Health. 2017(e)ko ;76(1):3–8. National Institute of Clinical Evidence. The assessment and prevention of falls in older people. 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Lau H, Shahar S, Hussin N, Kamarudin MZA, Hamid TAT, Mukari SZMS, et al. Methodology approaches and challenges in population-based longitudinal study of a neuroprotective model for healthy longevity. Geriatr Gerontol Int. 2019(e)ko martxoakaren 1a;19(3):233–9. Clemson L, Cumming RG, Heard R. The development of an assessment to evaluate behavioral factors associated with falling. Am J Occup Ther. 2003(e)ko uztailakaren 1a;57(4):380–8. Sadowski C, Jones A, Feeny D. The Falls Risk Awareness Questionnaire: development and validation for use with older adults. Article in Journal of Gerontological Nursing. 2006. Rubenstein LZ, Vivrette R, Harker JO, Stevens JA, Kramer BJ. Validating an evidence-based, self-rated fall risk questionnaire (FRQ) for older adults. J Safety Res. 2011(e)ko abenduakaren ;42(6):493–9. Podsiadlo D, Richardson S. The Timed “Up &amp; Go”: A Test of Basic Functional Mobility for Frail Elderly Persons. J Am Geriatr Soc. 1991(e)ko otsailakaren ;39(2):142–8. 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Batra A, Page T, Melchior M, Seff L, Vieira ER, Palmer RC. Factors associated with the completion of falls prevention program. Health Educ Res. 2013(e)ko abenduakaren 1a;28(6):1067–79. Stevens JA, Noonan RK, Rubenstein LZ. Older Adult Fall Prevention: Perceptions, Beliefs, and Behaviors. Am J Lifestyle Med. 2010(e)ko urtarrilakaren 7a;4(1):16–20. Sousa LMM, Marques-Vieira CMA, Caldevilla MNGN de, Henriques CMAD, Severino SSP, Caldeira SMA. Risk for falls among community-dwelling older people: systematic literature review. Libk. 37, Revista gaucha de enfermagem. 2017. or. e55030. Stevens JA, Ballesteros MF, Mack KA, Rudd RA, DeCaro E, Adler G. Gender differences in seeking care for falls in the aged medicare population. Am J Prev Med. 2012(e)ko uztailakaren ;43(1):59–62. Durbin L, Kharrazi RJ, Graber R, Mielenz TJ. Social support and older adult falls. Inj Epidemiol. 2016(e)ko ;3(1). Elliott S, Painter J, Hudson S. Living Alone and Fall Risk Factors in Community-Dwelling Middle Age and Older Adults. J Community Health. 2009(e)ko abuztuakaren 31a;34(4):301–10. Kiyoshi-Teo H, Northrup-Snyder K, Cohen DJ, Dieckmann N, Stoyles S, Winters-Stone K, et al. Older hospital inpatients’ fall risk factors, perceptions, and daily activities to prevent falling. Geriatr Nurs (Minneap). 2019(e)ko maiatzakaren ;40(3):290–5. Casteel C, Jones J, Gildner P, Bowling JM, Blalock SJ. Falls Risks and Prevention Behaviors Among Community-Dwelling Homebound and Non-Homebound Older Adults. J Appl Gerontol. 2018(e)ko irailakaren 16a;37(9):1085–106. G. R. Neri S, Oliveira JS, B. Dario A, M. Lima R, Tiedemann A. Does obesity increase the risk and severity of falls in people aged 60 years and older? A systematic review and meta-analysis of observational studies. Journals Gerontol Ser A. 2019(e)ko azaroakaren 21a; Kalyani RR, Corriere M, Ferrucci L. Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014(e)ko urriakaren ;2(10):819–29. Fjeldstad C, Fjeldstad AS, Acree LS, Nickel KJ, Gardner AW. The influence of obesity on falls and quality of life. Dyn Med. 2008(e)ko otsailakaren 27a;7:4. Mitchell RJ, Lord SR, Harvey LA, Close JCT. Associations between obesity and overweight and fall risk, health status and quality of life in older people. Aust N Z J Public Health. 2014(e)ko otsailakaren ;38(1):13–8. Seunghee Lee, Yang-Soo Lee, Jonghyun Kim. Automated Evaluation of Upper-limb Motor Function Impairment using Fugl-Meyer Assessment. IEEE. 2017(e)ko ;(99). Olij BF, Barmentloo LM, Smilde D, van der Velde N, Polinder S, Schoon Y, et al. Factors Associated with Participation of Community-Dwelling Older Adults in a Home-Based Falls Prevention Program. Int J Environ Res Public Health. 2019(e)ko martxoakaren 26a;16(6):1087. Lee J, Choi M, Kim CO. 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PLoS One. 2016(e)ko otsailakaren 1a;11(2) Cite Share Download PDF Status: Published Journal Publication published 06 Apr, 2021 Read the published version in BMC Geriatrics → Version 2 posted Editor assigned by journal 03 Jan, 2021 Submission checks completed at journal 03 Jan, 2021 Editor invited by journal 03 Jan, 2021 You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {\"props\":{\"pageProps\":{\"initialData\":{\"identity\":\"rs-54230\",\"acceptedTermsAndConditions\":true,\"allowDirectSubmit\":false,\"archivedVersions\":[],\"articleType\":\"Research article\",\"associatedPublications\":[],\"authors\":[{\"id\":7903633,\"identity\":\"f249a229-d1bf-42e9-b8f6-659cb193427e\",\"order_by\":0,\"name\":\"Goh Jing Wen\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Universiti Kebangsaan Malaysia\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Goh\",\"middleName\":\"Jing\",\"lastName\":\"Wen\",\"suffix\":\"\"},{\"id\":7903634,\"identity\":\"9bdb8984-5e15-4bc8-ac85-6d817e31cde4\",\"order_by\":1,\"name\":\"Devinder Kaur Ajit Singh\",\"email\":\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA10lEQVRIiWNgGAWjYDCCAyDExsDADyIYGJhJ0CLZQIoWBpAWgwPEauE73mN4uKDMJt/4RlrqBoYK68QGsTMGeLVInjljcHjGuTTLbTfSjt1gOJOe2CCdg1+LwY20hMO8bYcNzG6kt91gbDtMhJb7z0Ba/hsYzwBp+UeMlhvMB4BaDhgYSAAdxthAhBbJM8kHDvOcSzaQOPMs7UbCsXTjNum0Arxa+I4fbP7MU2ZnwN+eZnbjQ421bL908ga8WlBBAgMojjjwOwwbYH9AspZRMApGwSgY1gAAvCJM6vesLEgAAAAASUVORK5CYII=\",\"orcid\":\"https://orcid.org/0000-0002-6551-0437\",\"institution\":\"Universiti Kebangsaan Malaysia\",\"correspondingAuthor\":true,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Devinder\",\"middleName\":\"Kaur Ajit\",\"lastName\":\"Singh\",\"suffix\":\"\"},{\"id\":7903635,\"identity\":\"f8f9bde4-dedf-498a-8b6a-92e63f4236bb\",\"order_by\":2,\"name\":\"Normala Mesbah\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Universiti Kebangsaan Malaysia\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Normala\",\"middleName\":\"\",\"lastName\":\"Mesbah\",\"suffix\":\"\"},{\"id\":7903636,\"identity\":\"0d228351-3455-4730-853a-7902e71580bf\",\"order_by\":3,\"name\":\"Anis Afifa Mohd Hanafi\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Universiti Kebangsaan Malaysia\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Anis\",\"middleName\":\"Afifa Mohd\",\"lastName\":\"Hanafi\",\"suffix\":\"\"},{\"id\":7903637,\"identity\":\"8a509a65-da75-4ac5-8b26-6b86c2607378\",\"order_by\":4,\"name\":\"Adlyn Farhana Azwan\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Universiti Kebangsaan Malaysia\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Adlyn\",\"middleName\":\"Farhana\",\"lastName\":\"Azwan\",\"suffix\":\"\"}],\"badges\":[],\"createdAt\":\"2020-08-05 11:54:57\",\"currentVersionCode\":2,\"declarations\":\"\",\"doi\":\"10.21203/rs.3.rs-54230/v2\",\"doiUrl\":\"https://doi.org/10.21203/rs.3.rs-54230/v2\",\"draftVersion\":[],\"editorialEvents\":[{\"content\":\"https://doi.org/10.1186/s12877-021-02122-z\",\"type\":\"published\",\"date\":\"2021-04-06T19:09:13+00:00\"}],\"editorialNote\":\"\",\"failedWorkflow\":false,\"files\":[{\"id\":13647319,\"identity\":\"bdb0ea65-c349-4296-bed7-5a5d4dd0ad2e\",\"added_by\":\"auto\",\"created_at\":\"2021-09-17 09:27:41\",\"extension\":\"pdf\",\"order_by\":0,\"title\":\"\",\"display\":\"\",\"copyAsset\":false,\"role\":\"manuscript-pdf\",\"size\":842398,\"visible\":true,\"origin\":\"\",\"legend\":\"\",\"description\":\"\",\"filename\":\"manuscript.pdf\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-54230/v2/21a917a2-8aa0-40a0-b0eb-c9109780e52a.pdf\"}],\"financialInterests\":\"\",\"formattedTitle\":\"\\u003cp\\u003eFall Awareness Behaviour And Its Associated Factors Among Malaysian Community Dwelling Older Adults\\u003c/p\\u003e\",\"fulltext\":[{\"header\":\"Background\",\"content\":\"\\u003cp\\u003eFalls are a public health concern that results in increased mortality and morbidity among older adults (1). Falls can lead to devastating health consequences including injuries, hospitalization, emergency department visits and increased health care burden among older population (2). Unintentional falls have been identified as the fifth leading cause of death among older adults (3). The overall prevalence of falls among Malaysian community dwelling older adults is estimated to be between 4.2% to 61% depending on its settings (4). This is of a higher prevalence as compared to other Asian (17.2% -36.8%) (5) and Western (27%- 29%) (6) population.\\u003c/p\\u003e\\n\\u003cp\\u003eAn increased risk of falls have been reported among older adults with multiple health related problems, including osteoporosis, low calcium levels, loss of bone mineral density, low body mass index, loss of muscle strength, visual impairments, neuromuscular disorders (Parkinson disease) and cognitive impairment (Alzheirmer\\u0026rsquo;s dementia). Carelessness, lack of physical activity, wearing of inappropriate shoes and improper use of assistive devices, can intensify risk of falls (3). In addition, post-fall psychological problems, fear of falls can also place older adults at an increased risk of falling (7).\\u003c/p\\u003e\\n\\u003cp\\u003eAlmost one-quarter of older adults restrict themselves in\\u0026nbsp; daily living activities, with about 30%, 45% and 24% limiting indoor, outdoor and both indoor and outdoor activities respectively (5). This restriction may lead to further falls and disabilities. The risk is also signicantly increased among those older adults who have not modified their home environment. Strategies of falls prevention adopted and practised by older adults include being aware of falling and recognising their limitations when participating in an activity (8).\\u003c/p\\u003e\\n\\u003cp\\u003eA number of factors associated with adoption of falls prevention practices among older adults have been identified in existing literature. These include gender, age, educational level, living and health status, socioeconomic status, cognitive impairment, depression, impaired mobility, falls prevention knowledge and previous experience of falls (9\\u0026ndash;11). Out of these, Gaspar et al. (2017) (12) found that there was higher adoption of falls prevention practices among older male adults, those who have good self-rated health status and higher education levels. A significant association has also been found between age and adoption of falls prevention whereby, older adults tend to behave in a safer way with advancing age (13). Often, older adults use assistive devices (walkers or walking sticks) to assist in their ambulation and balance, and this has led to slower and more careful movements to protect themselves from a fall (13).\\u003c/p\\u003e\\n\\u003cp\\u003eDespite having various falls prevention educational programmes in place, participation of older adults in falls prevention is still limited. For example, some older persons still have negative perceptions on falls prevention recommendation, different beliefs and denial of having fall risks (14). Moreover, falls prevention practices have not been adopted among older adults globally (15). This could possibly stem from their refusal to acknowledge their weakness and being afraid to be seen as old (16). It is also noteworthy that most older people failed to recognize their falls risk and did not consider it as a priority and disagreed with home modifications (16). In Malaysia, older adults are worried about the stigma of looking weak and frail and feel embarrassed about using walking aids (17).\\u003c/p\\u003e\\n\\u003cp\\u003eThe existing evidence suggests that falls prevention intervention should focus on falls risk factors (18,19). Currently, there is a lack of information regarding falls awareness and its associated factors among older adults, specific to a multicultural population such as in Malaysia. This information is essential in designing falls prevention strategies specifically tailored for personalised client centred care.\\u003c/p\\u003e\\n\\u003cp\\u003eThis paper sets out a hypothesis that there is an association between falls and certain preventive behaviours in relation to socio-demographic, physical and clinical factors. The aim of this present study was to examine the association between falls prevention behaviour, socio-demographic, physical and clinical factors among community-dwelling older adults. Socio-demographic factors of interest consisted of, age, gender, race, number of comorbidities, living status and education levels. Physical factors considered included mobility status, lower and upper limb muscle strength. Clinical factors examined were knowledge of falls, comorbidities, history and number of falls.\\u003c/p\\u003e\"},{\"header\":\"Methods\",\"content\":\"\\u003cp\\u003e\\u003cstrong\\u003eStudy Design\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eThis descriptive and cross-sectional study was conducted in a number of districts in the state of Selangor, Malaysia, where the number of older adults are most dense, namely Tanjung Sepat, Cheras, Kajang, Dato Keramat, Petaling Jaya, Klang, Sepang, Rasa, Kuala Selangor and Sekinchan between September and November 2018. The study comprised of community-dwelling older adults aged 60 and above.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eRecruitment of participants \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eParticipants from only one state (Selangor) representing the central region of Peninsular Malaysia, that were previously involved in longitudinal study on neuroprotective model for healthy longevity (LRGS-TUA) (20) participated in the present study. Participants in LRGS-TUA longitudinal study were recruited using multistage random sampling and the details has been reported previously (20,21).\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eInclusion and exclusion criteria\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eOlder adults who attended the session were screened to meet the inclusion criteria and screened for cognitive impairment using Mini Mental State Examination (MMSE) and depression using Geriatric Depression Scale (GDS-15). Inclusion criteria included older adults who had no permanent disability or impairments, were able to give consent, able to ambulate independently with or without assistive devices for at least 6 meters, with scores of MMSE \\u0026ge;25 and GDS-15 \\u0026le;5. The exclusion criteria were those who scored MMSE scores \\u0026le;24, GDS-15 \\u0026ge;6, having recent lower limb fractures and acute illnesses.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eData collection\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eVerbal and written information regarding the procedure of study were provided to all participants. Subsequently, participants signed informed consent forms prior to data collection.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eDemographic data\\u0026nbsp;\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eA face-to-face interview was conducted to obtain the sociodemographic data and medical history of participants and included questions focusing on age, race, gender, employment status, education levels, living status, number of falls within the past twelve months, self-reported medical history (hypertension, diabetes, heart disease, joint pain, incontinence, vision impairments) and medications taken.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eOutcome Measures \\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eFalls awareness was assessed using Fall Awareness Behaviour Questionnaire (FaB) (22). The FaB is a self- rating scale used to assess the actions and behaviours that older adults usually practice to prevent falls. The scale is made of thirty items and ten subscales. The subscales are: (1) protective mobility (5 items); (2) cognitive adaptations (6 items); (3) awareness (4 items); (4) avoidance (5 items); (5) pace (2 items); (6) practical strategies (3 items); (7) being observant (1 item); (8) displacing activities (1 item); (9) changes in level (2 items) and; (10) getting to phone (1 item). For each scale, the participants were required to give a score based on four categories, never, sometimes, often and always. The data was analysed based on its total score and scores could range from 30 (risky fall behaviour) to 120 (safest falls prevention behaviour). The lower the score, the more likely a person would engage in risky behaviours. Higher scores indicated a person who was more likely to be aware of falls prevention. FaB was found to have a high validity with internal consistency of 0.84 and content validity index of 0.93 (22). The scale has been adapted for Malaysian culture in a previous local study. For the adapted scale, the Cronbach\\u0026rsquo;s Alpha coefficients was 0.723 with the removal of two items, indicating an acceptable internal consistency. \\u0026nbsp;\\u003c/p\\u003e\\n\\u003cp\\u003eFall Risk Assesment Questionnaire (FRAQ) was used to assess falls prevention knowledge among older adults (23). It consists of twenty-two questions and these questions evaluate falls prevention knowledge based on the apsects of: (1) behaviours (eight items); (2) environmental (five items); (3) medical condition (six items) and; (4) medication (three items). The total full score for this questionnaire is 21. Higher score suggests\\u0026nbsp; higher knowledge of falls among older adults (24). FRAQ was found to have a strong agreement with clinical evaluation (kappa= 0.875, p\\u0026lt;0.001) and good validity. The kappa value for individual items is ranged from 0.305 to 0.832 (24). The Malay version of FRAQ used in this study was one that had been translated for a previous local sudy. Its internal consistency had a Cronbach\\u0026rsquo;s alpha value of 0.748 after removing one item.\\u003c/p\\u003e\\n\\u003cp\\u003eParticipants performed timed-up and go (TUG) test to assess balance and mobility status (25). TUG test was found to have high sensitivty and specifity value of 87% (26). The time taken from standing up from an armless chair with 46cm height, walking 3m towards a cone at their usual and comfortable pace, turning, walking back towards the chair and sitting down was recorded in seconds. The participants were instructed to wear their shoes and were allowed to walk with or without assistive devices. Time taken to complete the test was recorded in seconds.\\u003c/p\\u003e\\n\\u003cp\\u003eSix metre gait speed was performed by participants as a measure of functional mobility. Time taken to complete walking at their own pace for a distance of six meters was taken in seconds.\\u003c/p\\u003e\\n\\u003cp\\u003e30 seconds chair stand test was used to measure lower limb muscle strength among the older adults. A 17 inches (43.2cm) plastic chair without armrests was placed against the wall to prevent the chair from slipping during the test. Participants were required to sit with their backs against the backrest, arms crossed against their chest, feet with shoulder distance apart and placed firmly on the floor. Participants were instructed to stand and sit as many times as possible within 30 seconds. One repetition was considered as a complete sit and stand. Chair stand test has been shown to have a high test-retest correlation for both men (0.84) and women (0.92) (27). This test also has a good criterion related validity, r =0.78 in men and r =0.71 (27).\\u003c/p\\u003e\\n\\u003cp\\u003eDominant hand grip strength testing has been shown to have good validity with high correlation (r=0.99, p\\u0026lt;0.001) (28). The participants were asked to sit upright with elbow and shoulders positioned at a 90-degree angle, and forearms placed in neutral position. The participants were required to squeeze the dynamometer handle as hard as possible using their dominant hand on the command \\u0026lsquo;start\\u0026rsquo; and sustain it for three seconds. This test was conducted twice and the maximum reading was taken as the result.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eData Analysis\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eData was analysed using IBM Statistical Package for Social Sciences (SPSS) software version 23.0, IBM Corporation, United States. Statistical analysis of Alpha level 0.05 was used in all statistical tests. Distribution of all data were analysed using Kolmogorov-Smirnov, Shapiro-Wilk and other non-parametric tests. Means and standard deviations were calculated for the following variables: (1) age; (2) MMSE scores; (3) GDS-15 scores; (4) BMI; (5) FRAQ scores; (6) FaB scores; (7) TUG; (8) gait speed; (9) hand grip strength; (10) chair stand tests. While, percentage were described for the following variables: (1) gender; (2) race; (3) education status; (4) marital status; (5) living status; (6) working status;\\u0026nbsp; (7) number of comorbidities; (8) number of medication; (9) fall history.\\u0026nbsp;\\u003c/p\\u003e\\n\\u003cp\\u003eStepwise linear regression analysis with level at Alpha level 0.05 was used to analyse the association between the practice of falls prevention behaviour (dependent variables) and sociodemographic factors (age, gender, race, number of comorbidity, marital status, employment status, living status and education level), physical factors (mobility status, lower limb and upper limb muscle strength) and clinical factors (knowledge of falls, comorbidity, history of falls and number of falls).\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eEthics Approval and Consent to Participate\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eThis study was approved by the Medical Research and Ethics Committee of Universiti Kebangsaan Malaysia (UKM PPI/111/8/JEP-2018-559).\\u003c/p\\u003e\"},{\"header\":\"Results\",\"content\":\"\\u003cp\\u003eTable 1 depicts comparison of sociodemographic data among community dwelling older adults categorised as fallers and non-fallers.\\u003c/p\\u003e\\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:center;'\\u003e\\u003cspan style=\\\"font-size:13px;\\\"\\u003eTable 1 Sociodemographic of participants categorized based on fallers and non-fallers\\u003c/span\\u003e\\u003c/p\\u003e\\n\\u003ctable style=\\\"border-collapse:collapse;border:none;\\\"\\u003e\\n \\u003ctbody\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;height: 19.95pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eVariables\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;height: 19.95pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eTotal Participants\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e(n= 144)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;height: 19.95pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eFallers\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;(n= 31; 21.5%)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;height: 19.95pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eNon-fallers\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e(n= 113; 78.5%)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;height: 19.95pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eP value\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;height: 15.9pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eSociodemographic profiles\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;height: 15.9pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;height: 15.9pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;height: 15.9pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;height: 15.9pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;height: 28.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eAge; mean (SD)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eMMSE; mean (SD) \\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eGDS; mean (SD)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;height: 28.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e70.69 (4.3)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e27.88 (1.6)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e1.49 (1.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;height: 28.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp 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\\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;height: 59.65pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eLiving status; n (%)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eLiving alone\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eLiving with husband/ wife\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eLiving with husband/ wife/ child/ grandchild\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eOthers\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;height: 59.65pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e4 (2.8)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e46 (31.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e88 (61.1)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e6 (4.2)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;height: 59.65pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e2 (50.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e12 (26.1)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e15 (17.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e2 (33.3)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;height: 59.65pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e2 (50.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e34 (73.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e73 (83.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e4 (66.7)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;height: 59.65pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.29\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 13.3pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eBMI (kg/m\\u003csup\\u003e2\\u003c/sup\\u003e);\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003emean (SD) \\u0026nbsp; \\u0026nbsp;\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 13.3pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e26.30 (5.29)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 13.3pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e25.26 (4.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 13.3pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e26.62 (5.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 13.3pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.20\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;height: 13.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eClinical factors\\u0026nbsp;\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;height: 13.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;height: 13.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;height: 13.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;height: 13.75pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eNo of comorbidity; n (%)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eNo comorbidity\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eOne comorbidity\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026ge; 2 comorbidities\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e4 (2.8)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e19 (13.2)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e121 (84.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e2 (10.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e29 (24.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e4 (100.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e17 (89.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e92 (76.0)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.09\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eNo of medication; n (%)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026lt;3 medication\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026ge;3 medication\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e106 (73.6)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e38 (26.4)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e20 (18.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e11 (28.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e86 (81.1)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e27 (71.1)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.46\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 32.35pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eFalls history in past 12 months; n (%)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eNo falls\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:right;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026ge;One fall\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 32.35pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e113 (78.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e31 (21.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 32.35pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e31 (100)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 32.35pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e113 (100)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 32.35pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.001\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;height: 11.5pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eFalls knowledge \\u0026nbsp; \\u0026nbsp; \\u0026nbsp; \\u0026nbsp; \\u0026nbsp; \\u0026nbsp; \\u0026nbsp; \\u0026nbsp;\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;height: 11.5pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;height: 11.5pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;height: 11.5pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;height: 11.5pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp 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style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e12.35 (2.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.67\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eFalls behaviours\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 15.1pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eFaB;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;mean (SD) \\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 15.1pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e53.30 (9.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 15.1pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e50.77 (7.7)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 15.1pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e53.97 (9.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 15.1pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.10\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003ePhysical test\\u0026nbsp;\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;height: 12.85pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eTimed up and go test (sec)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e; mean (SD) \\u0026nbsp; \\u0026nbsp;\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e10.17 (1.6)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e10.41 (1.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e10.10 (1.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.34\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e6 meters Gait speed test (m/ sec)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e; mean (SD) \\u0026nbsp; \\u0026nbsp;\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e1.12 (0.7)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e1.29 (1.4)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e1.07 (0.2)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.42\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e30 seconds Chair stand test\\u003c/span\\u003e\\u003c/strong\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e; mean (SD) \\u0026nbsp; \\u0026nbsp;\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e11.4 (2.4)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e11.74 (2.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e11.30 (2.3)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.37\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 140.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid black;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eDominant Hand grip strength test (kg)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e; mean (SD) \\u0026nbsp; \\u0026nbsp;\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 87.95pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid black;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e21.37 (6.8)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 82.75pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid black;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e19.61 (6.4)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 78.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid black;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e21.85 (6.9)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 61.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid black;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.11\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/tbody\\u003e\\n\\u003c/table\\u003e\\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:200%;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:justify;'\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;line-height:200%;\\\"\\u003e*p\\u0026lt; 0.05, Independent t-test\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/p\\u003e\\u003cbr\\u003e\\u003cp\\u003eFallers were defined as older adults who had experienced falls in past 12 months, while non-fallers were those who had no falls within the past year. Twenty-two percent of the participants had a history of a fall or falls within the past year. There was no significant difference (\\u003cem\\u003ep\\u0026gt;0.05\\u003c/em\\u003e) between fallers and non-faller groups, except for gender. A majority of participants who were classified as fallers were females (30%) \\u003cem\\u003e(p=0.03)\\u003c/em\\u003e. There is no significant differences between the groups, but faller group had lower mean scores for FaB (50.77\\u0026plusmn;7.7) and FRAQ (12.10\\u0026plusmn;3.3) compared to the non-faller group (FaB=53.97\\u0026plusmn;9.9; FRAQ=12.35\\u0026plusmn;2.9) (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026gt;0.05).\\u003c/p\\u003e\\n\\u003cp\\u003eBased on total FaB scores analysis, gender, BMI category, comorbidity and physical mobility (TUG test) were shown to be significantly different (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) (Table 2).\\u003c/p\\u003e\\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:center;'\\u003e\\u003cspan style=\\\"font-size:13px;\\\"\\u003eTable 2 Comparison of sociodemographic profiles, clinical \\u0026nbsp;and physical factors according to subscale scores of FaB\\u003c/span\\u003e\\u003c/p\\u003e\\n\\u003ctable style=\\\"width: 6.9e+2pt;border-collapse:collapse;border:none;\\\"\\u003e\\n \\u003ctbody\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 1.75in;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eVariables\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.75in;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eTotal score; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.75in;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eCognitive adaptation;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003emean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eProtective mobility; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eAvoidance; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eAwareness; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003ePace; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003ePractical strategies;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003emean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 58.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eDisplacing activities; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eBeing observant; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eChanges in level; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border-top: 1pt solid black;border-left: none;border-bottom: 1pt solid black;border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eGetting to the phone; mean \\u0026plusmn; SD\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 1.75in;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eSociodemographic profiles\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.75in;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.75in;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 58.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 49.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 1.75in;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 47.05pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eAge\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp 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0.75in;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e63.00\\u0026plusmn;12.79\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e56.46\\u0026plusmn;12.90\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp 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style=\\\"font-size:11px;\\\"\\u003e1.88\\u0026plusmn;1.15\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e1.97\\u0026plusmn;1.16\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/tbody\\u003e\\n\\u003c/table\\u003e\\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:200%;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:justify;'\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:11px;line-height:200%;\\\"\\u003e*p\\u0026lt; 0.05, **p\\u0026lt; 0.01, ***p\\u0026lt; 0.001,Independent t-test, One-way ANOVA\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/p\\u003e\\u003cbr\\u003e\\u003cp\\u003eThe total FaB scores were significantly higher among males (56.13\\u0026plusmn;10.35) compared to females (50.51\\u0026plusmn;7.71) (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05). While the TUG cut-off used in our study was 11.18s (29), older adults who took less time to complete the TUG test (54.31\\u0026plusmn;9.50) scored significantly higher in FaB as compared to those who took a longer time to complete the TUG test (50.19\\u0026plusmn;8.94) (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05). Post hoc analysis (using an \\u0026alpha; of 0.05) for BMI group and comorbidity were conducted. The analysis revealed that older adults who were underweight (65.71\\u0026plusmn;11.95) had significantly higher FaB scores than those who were of normal weight (55.38\\u0026plusmn;9.33), overweight (51.84\\u0026plusmn;8.55) and obese (49.44\\u0026plusmn;8.68) (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05). However, there was no significant difference between FaB scores of older adults who were normal weight and overweight (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026gt;0.05), nor between the FaB scores of those who were overweight and obese (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026gt;0.05). Post hoc analysis results also showed that there were significantly higher scores of FAB between those without comorbidity (63.00\\u0026plusmn;12.79) and with more than two comorbidities (52.46\\u0026plusmn;8.56) (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05).\\u0026nbsp;\\u003c/p\\u003e\\n\\u003cp\\u003eWhen the sociodemographic profiles, clinical factors and physical tests were assessed according to FaB subscales, significant differences were identified in the subscales of \\u003cem\\u003ecognitive adaptation, protective mobility, awareness, avoidance, practical strategies, being observant\\u003c/em\\u003e and \\u003cem\\u003echanges in level \\u003c/em\\u003e(\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05). Males obtained significantly higher scores for \\u003cem\\u003ecognitive adaptation\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.001), \\u003cem\\u003eavoidance\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.001) and \\u003cem\\u003epractical strategies\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) subscales compared to females. The participants with primary education were found to have a better score for \\u003cem\\u003eprotective mobility\\u003c/em\\u003e subscales (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.001) compared to those without any education, secondary or tertiary. In addition, the \\u003cem\\u003eavoidance\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) and \\u003cem\\u003epractical strategies\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) subscales were also significantly higher among older adults who were underweight. In terms of clinical factors, participants without any comorbidity were reported to score significantly higher in \\u003cem\\u003ecognitive adaptation\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05), \\u003cem\\u003eawareness\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) and \\u003cem\\u003ebeing observant\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) subscales. Participants who took less than 11.18s to complete TUG test achieved significantly higher scores for \\u003cem\\u003eprotective mobility\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05), \\u003cem\\u003eavoidance\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) and \\u003cem\\u003echanges in level\\u003c/em\\u003e (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05) subscales in comparison to those who took a longer time to complete TUG test.\\u003c/p\\u003e\\n\\u003cp\\u003eStepwise linear regression results of the association between sociodemographic profiles, clinical and physical factors, falls knowledge and awareness, and the practice of its prevention behaviour \\u003cem\\u003e(R\\u003csup\\u003e2\\u003c/sup\\u003e=0.256)\\u003c/em\\u003e are as depicted in Table 3.\\u003c/p\\u003e\\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;text-align:center;'\\u003e\\u003cspan style=\\\"font-size:13px;\\\"\\u003eTable 3 Linear regression (Stepwise) model: Variables associated with fall prevention practices among older adults\\u003c/span\\u003e\\u003c/p\\u003e\\n\\u003ctable style=\\\"float: left;width: 5.0e+2pt;border-collapse:collapse;border:none;margin-left:6.75pt;margin-right:6.75pt;\\\"\\u003e\\n \\u003ctbody\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd rowspan=\\\"2\\\" style=\\\"width: 95.4pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eVariables\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eUnstandardized Coefficients\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eStandardized Coefficients\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd colspan=\\\"2\\\" style=\\\"width: 117pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e95% 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style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eTUG Test\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e-1.086 (0.466)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: 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\\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e-0.164\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 67.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.881\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.5in;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.02*\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 95.4pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eNo. of comorbidity\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp 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style=\\\"font-size:11px;\\\"\\u003e-1.313\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 70.85pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.64\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 67.5pt;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.871\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.5in;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.075\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 95.4pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eBMI (mean)\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e-0.414 (0.141)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e-0.230\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 46.15pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e-0.692\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 70.85pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e-0.135\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 67.5pt;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.876\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.5in;border-top: 1pt solid rgb(127, 127, 127);border-left: none;border-bottom: 1pt solid rgb(127, 127, 127);border-right: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.004*\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.5in;border: none;padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003ctr\\u003e\\n \\u003ctd style=\\\"width: 95.4pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cstrong\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003eLiving with family (husband,/wife and children\\u003c/span\\u003e\\u003c/strong\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e2.988 (1.5)\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 76.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.154\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 46.15pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.022\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 70.85pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e5.953\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 67.5pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.905\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.5in;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e0.05*\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003ctd style=\\\"width: 0.5in;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid rgb(127, 127, 127);padding: 0in 5.4pt;vertical-align: top;\\\"\\u003e\\n \\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;'\\u003e\\u003cspan style=\\\"font-size:11px;\\\"\\u003e\\u0026nbsp;\\u003c/span\\u003e\\u003c/p\\u003e\\n \\u003c/td\\u003e\\n \\u003c/tr\\u003e\\n \\u003c/tbody\\u003e\\n\\u003c/table\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cbr\\u003e\\u003cp style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\\\"Calibri\\\",sans-serif;border:none;'\\u003e\\u003cem\\u003e\\u003cspan style=\\\"font-size:12px;border:none;\\\"\\u003eLinear Reggresion (Stepwise) test of association*p\\u0026lt;=0.05. Excluded variables : Race, Age, Years of education, Working status, Hand Grip test, Chair stand test,Gait speed test, History of fall, No. of fall, Total FRAQ\\u003c/span\\u003e\\u003c/em\\u003e\\u003c/p\\u003e\\u003cbr\\u003e\\u003cp\\u003eWhen assessed based on the FaB total mean score, older males [95% C.I: 2.178 to 7.789, \\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.001] and those living with family [95% C.I: 0.022 to 5.953, \\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05] were found to have higher scores in practice of falls prevention behaviours compared to females and those living alone. Mean BMI [95% C.I: -0.692 to -0.135, \\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05] and TUG test [95% C.I: -2.008 to -0.164, \\u003cem\\u003ep\\u003c/em\\u003e\\u0026lt;0.05] were inversely proportional to FaB scores, indicating participants with lower BMI and took less time to\\u0026nbsp; complete the TUG test had higher falls prevention practice scores. Although not statistically significant (\\u003cem\\u003ep\\u003c/em\\u003e\\u0026gt;0.05), the participants with fewer comorbidities were more likely to anticipate these prevention behaviours actively [95% C.I: -1.313 to -0.64, \\u003cem\\u003ep\\u003c/em\\u003e\\u0026gt;0.05].\\u003c/p\\u003e\"},{\"header\":\"Discussion\",\"content\":\"\\u003cp\\u003ePrevention of falls awareness and its practice is of utmost importance. The aim of our study was to determine the sociodemographic, clinical and physical factors associated with falls awareness and falls prevention behaviour among community dwelling older adults. In our study, we found that there was a significant association between the practice of falls prevention behaviour with males, having lower BMI, higher functional mobility and living with family in Malaysian based community dwelling older adults.\\u0026nbsp;\\u0026nbsp;\\u003c/p\\u003e\\n\\u003cp\\u003eFalls prevention behaviours were significantly associated with male older adults having higher prevalance of falls prevention practice, specifically \\u003cem\\u003ecognitive adaptation\\u003c/em\\u003e, \\u003cem\\u003eavoidance\\u003c/em\\u003e and \\u003cem\\u003epractical strategies\\u003c/em\\u003e subscales compared to females. This result is consistent with a study by Gaspar et al. (2017) (12), where males were shown to be more active in falls prevention practices compared to females. Similarly, a moderate to strong significant association was found between males actively involved in self-management of falls prevention behaviour in another recent study (30).\\u003c/p\\u003e\\n\\u003cp\\u003eMoreover, it was shown that there is greater adherence in falls prevention programmes among males compared to female older adults (9). Although females were reported to be more active in seeking medical attention after a fall or to gather more information about falls prevention compared to males, they were more inclined to limit their daily activities and physical function due to fear of falls (31,32). We also deduced that higher falls prevention practice among male older adults in our study findings could be linked to the fact that there is a higher likelihood of falls among females estabished in the literature (33). \\u0026nbsp;In addition, males were reported to be less likely to report falls or engage in falls prevention programs in comparison to females (34). However, further studies regarding falls prevention practice in view of the differences between older males and females is warranted.\\u003c/p\\u003e\\n\\u003cp\\u003eA relationship between higher falls prevention behaviour and living with family was\\u0026nbsp; demonstrated in our study. The plausible explanation for this could be that older adults living with family members are known to have more social support which empowers them to participate and engage in daily activities (35,36). Moreover, family members could have played a role in providing falls prevention and environmental hazard awareness besides discouraging risky behaviours among older adults (35). In contrast, older adults who live alone practice restriction in their daily activities due to fear of falls, which may in turn reduce their engagement in falls prevention behavaior (30). There were no significant difference in the living status between fallers and non-fallers in our present study.\\u003c/p\\u003e\\n\\u003cp\\u003eIt is worth noting that participants without any comorbidity were particularly more careful and aware of external fall risk factors, as they scored higher in these FaB subscales in our study. These results are consistent with findings that, participation in fall prevention behaviour was higher in older adults who actively managed their health (37). Polypharmacy as a result of multiple comorbidities would increase risk of falls among older adults (3), thereby limiting their daily living activities to keep themselves safe. This may reduce their engagement in falls prevention practices (38).\\u003c/p\\u003e\\n\\u003cp\\u003eAn association between increased falls risk in older adults with higher BMI has been highlighted in literature (39). In older adults, excessive weight may result in a reduction of muscle strength and consequently reduce physical function (40). This may explain the results in our study whereby older adults with obesity were associated with lower involvement in falls prevention practices due to physical inability (41). In addition, older adults with obesity have been shown to be more likely to have fatalistic views that no efforts can be taken to prevent themselves from falls (42). Decrease in physical activity levels, postural stability and physical functional levels due to obesity could possibly compound the reason for lower engagements in overall activities (41).\\u0026nbsp;\\u003c/p\\u003e\\n\\u003cp\\u003eIn line with the results of our study, previous studies have demonstrated that independent older adults had greater interest and engagement in falls prevention practices compared to older adults who are dependent (12). Participants who were more aware about falls prevention behaviour practices took shorter time to complete TUG test in our study.\\u0026nbsp; This group of participants also scored higher in \\u003cem\\u003echanges in level\\u003c/em\\u003e subscale, in which they had more ability to cope with the challenging activities, especially when climbing up and down stairs.\\u003c/p\\u003e\\n\\u003cp\\u003eThis result suggests that falls prevention practices were less common among older adults with reduced functional mobility. With deterioration of physical function, mobility and self-management ability due to reduced muscle strength and increased fear of falling, older adults were less likely to engage in falls prevention practices (43,44). Furthermore, older adults who are dependent have difficulty in performing a task or activity in addition to fear of falls during movements (45,46). Therefore, they are unable and less willing to engage actively in falls prevention practices compared to older adults with greater mobility.\\u003c/p\\u003e\\n\\u003cp\\u003eWhile there was no significant relation between falls risk knowledge and the practice of its preventive behaviours in our study, fallers had lower mean scores of FRAQ compared to non-fallers. The practice of falls prevention among older adults could be significantly influenced by falls risk knowledge and awareness whereby higher educational levels can lead to better prevention behaviours (12). Often, older adults with higher education levels tend to acquire more information compared to those with lower education levels (47). With higher levels of education, older adults probably understand guidance by health care professionals, and practise falls prevention behaviour in their daily routine.\\u003c/p\\u003e\\n\\u003cp\\u003eOne limitation is that this study was that it was conducted among community dwelling older adults and therefore the results may not be applicable to older adults in institutions or hospitals. Moreover, this study was conducted in a single state in Malaysia. However, we used multistage random sampling methods to best represent the participants. Future large-scale studies are required to determine the factors associated with falls prevention behaviour among older adults.\\u003c/p\\u003e\"},{\"header\":\"Conclusion\",\"content\":\"\\u003cp\\u003eOur present study identified four factors associated in falls prevention behaviour practices among older adults which includes, being males, living with family, having lower BMI and higher functional mobility. Addressing these factors may be helpful in empowering at-risk older adults in falls prevention behaviours. The findings from our current study suggest that there is a need to empower older adults to engage in falls prevention behaviour, especially among women, those with high BMI, lower functional mobility and living alone.\\u003c/p\\u003e\"},{\"header\":\"Abbreviations\",\"content\":\"\\u003cp\\u003eNICE: The National Institute for Health and Care Excellence\\u003c/p\\u003e\\n\\u003cp\\u003eLRGS-TUA: Longitudinal Study on Neuroprotective Model for Healthy Longevity\\u003c/p\\u003e\\n\\u003cp\\u003eMMSE: Mini Mental State Examination\\u003c/p\\u003e\\n\\u003cp\\u003eGDS-15: Geriatric Depression Scale-15\\u003c/p\\u003e\\n\\u003cp\\u003eFaB: Fall Awareness Behaviour Questionnaire\\u003c/p\\u003e\\n\\u003cp\\u003eFRAQ: Fall Risk Assessment Questionnaire\\u003c/p\\u003e\\n\\u003cp\\u003eTUG: Timed-up and go\\u003c/p\\u003e\\n\\u003cp\\u003eSPSS: Statistical Package for Social Sciences\\u003c/p\\u003e\\n\\u003cp\\u003eBMI: Body Mass Index\\u003c/p\\u003e\"},{\"header\":\"Declarations\",\"content\":\"\\u003cp\\u003e\\u003cstrong\\u003eEthics Approval and Consent to Participate\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eThis study was approved by the Research and Ethics Committee of Universiti Kebangsaan Malaysia (UKM PPI/111/8/JEP-2018-559). Written informed consent was obtained from study participants.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eConsent for Publication\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eNot applicable\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eAvailability of Data and Materials\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eThe datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eCompeting of Interest\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eThe authors declare that they have no conflict of interest.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eFunding\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eThis study was funded using grants from Universiti Kebangsaan Malaysia and The Ministry of Education (MOE), Malaysia (DCP-2017-002/2 and LRGS/BU/2012/UKM-UKM/K/01). The funder had no role in the design of the study, data collection, analysis and interpretation, and writing of this manuscript.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eAuthors\\u0026rsquo;s Contributions\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eGJW, DKAS, NS, AAMF, AFA involved in the conception and study design. GJW, AAMF and AFA contributed to data analysis and interpretation. GJW, DKAS and AAMF drafted the original manuscript. All authors read and approved the final manuscript.\\u003c/p\\u003e\\n\\u003cp\\u003e\\u003cstrong\\u003eAcknowledgements\\u003c/strong\\u003e\\u003c/p\\u003e\\n\\u003cp\\u003eThe authors thank all participants for their participation and the LRGS team for their help and support rendered in the study.\\u003c/p\\u003e\"},{\"header\":\"References\",\"content\":\"\\u003col\\u003e\\n\\u003cli\\u003eYamazaki Y, Hayashida CT, Yontz V. Insights about Fall Prevention of Older Adults in the State of Hawai\\u0026rsquo;i. 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Esc Anna Nery - Rev Enferm. 2017(e)ko ;21(2).\\u003c/li\\u003e\\n\\u003cli\\u003eBilik O, Turhan Damar H, Karayurt O, Damar TH. Fall behaviors and risk factors among elderly patients with hip fractures. Acta Paul Enferm. 2017(e)ko ;30(4):420\\u0026ndash;7.\\u003c/li\\u003e\\n\\u003cli\\u003eFlorence CS, Bergen G, Atherly A, Burns E, Stevens J, Drake C. Medical Costs of Fatal and Nonfatal Falls in Older Adults. J Am Geriatr Soc. 2018(e)ko apirilakaren ;66(4):693\\u0026ndash;8.\\u003c/li\\u003e\\n\\u003cli\\u003eGopaul K, Connelly DM. Fall Risk Beliefs and Behaviors Following a Fall in Community-Dwelling Older Adults: A Pilot Study. Phys Occup Ther Geriatr. 2012(e)ko otsailakaren 13a;30(1):53\\u0026ndash;72.\\u003c/li\\u003e\\n\\u003cli\\u003eStevens JA, Sleet DA, Rubenstein LZ. The Influence of Older Adults\\u0026rsquo; Beliefs and Attitudes on Adopting Fall Prevention Behaviors. Am J Lifestyle Med. 2018(e)ko uztailakaren 17a;12(4):324\\u0026ndash;30.\\u003c/li\\u003e\\n\\u003cli\\u003eLoganathan A, Ng CJ, Low WY. Views and experiences of Malaysian older persons about falls and their prevention-A qualitative study. BMC Geriatr. 2016(e)ko maiatzakaren 6a;16:97.\\u003c/li\\u003e\\n\\u003cli\\u003eVivrette RL, Rubenstein LZ, Martin JL, Josephson KR, Kramer BJ. Development of a fall-risk self-assessment for community-dwelling seniors. J Aging Phys Act. 2011(e)ko ;19(1):16\\u0026ndash;29.\\u003c/li\\u003e\\n\\u003cli\\u003eTricco AC, Thomas SM, Veroniki AA, Hamid JS, Cogo E, Strifler L, et al. Comparisons of Interventions for Preventing Falls in Older Adults. JAMA. 2017(e)ko azaroakaren 7a;318(17):1687.\\u003c/li\\u003e\\n\\u003cli\\u003eShahar S, Omar A, Vanoh D, Hamid TA, Mukari SZMS, Din NC, et al. Approaches in methodology for population-based longitudinal study on neuroprotective model for healthy longevity (TUA) among Malaysian Older Adults. Aging Clin Exp Res. 2015(e)ko ;1\\u0026ndash;16.\\u003c/li\\u003e\\n\\u003cli\\u003eLau H, Shahar S, Hussin N, Kamarudin MZA, Hamid TAT, Mukari SZMS, et al. Methodology approaches and challenges in population-based longitudinal study of a neuroprotective model for healthy longevity. Geriatr Gerontol Int. 2019(e)ko martxoakaren 1a;19(3):233\\u0026ndash;9.\\u003c/li\\u003e\\n\\u003cli\\u003eClemson L, Cumming RG, Heard R. The development of an assessment to evaluate behavioral factors associated with falling. Am J Occup Ther. 2003(e)ko uztailakaren 1a;57(4):380\\u0026ndash;8.\\u003c/li\\u003e\\n\\u003cli\\u003eSadowski C, Jones A, Feeny D. The Falls Risk Awareness Questionnaire: development and validation for use with older adults. Article in Journal of Gerontological Nursing. 2006.\\u003c/li\\u003e\\n\\u003cli\\u003eRubenstein LZ, Vivrette R, Harker JO, Stevens JA, Kramer BJ. Validating an evidence-based, self-rated fall risk questionnaire (FRQ) for older adults. J Safety Res. 2011(e)ko abenduakaren ;42(6):493\\u0026ndash;9.\\u003c/li\\u003e\\n\\u003cli\\u003ePodsiadlo D, Richardson S. The Timed \\u0026ldquo;Up \\u0026amp;amp; Go\\u0026rdquo;: A Test of Basic Functional Mobility for Frail Elderly Persons. J Am Geriatr Soc. 1991(e)ko otsailakaren ;39(2):142\\u0026ndash;8.\\u003c/li\\u003e\\n\\u003cli\\u003eShumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up \\u0026amp;amp; Go Test. Phys Ther. 2000(e)ko irailakaren ;80(9):896\\u0026ndash;903.\\u003c/li\\u003e\\n\\u003cli\\u003eJones CJ, Rikli RE, Beam WC. A 30-s Chair-Stand Test as a Measure of Lower Body Strength in Community-Residing Older Adults. Res Q Exerc Sport. 1999(e)ko ekainakaren ;70(2):113\\u0026ndash;9.\\u003c/li\\u003e\\n\\u003cli\\u003ede Dobbeleer L, Beyer I, Hansen \\u0026Aring;M, Molbo D, Mortensen EL, Lund R, et al. Grip Work Measurement with the Jamar Dynamometer: Validation of a Simple Equation for Clinical Use. J Nutr Health Aging. 2019(e)ko otsailakaren 23a;23(2):221\\u0026ndash;4.\\u003c/li\\u003e\\n\\u003cli\\u003eIbrahim A, Singh DKA, Shahar S. \\u0026lsquo;Timed Up and Go\\u0026rsquo; test: Age, gender and cognitive impairment stratified normative values of older adults. Ginsberg SD, argitaratzailea. PLoS One. 2017(e)ko urriakaren 3a;12(10):e0185641.\\u003c/li\\u003e\\n\\u003cli\\u003eSchnock KO, P. Howard E, Dykes PC. Fall Prevention Self-Management Among Older Adults: A Systematic Review. Am J Prev Med. 2019(e)ko maiatzakaren ;56(5):747\\u0026ndash;55.\\u003c/li\\u003e\\n\\u003cli\\u003eBatra A, Page T, Melchior M, Seff L, Vieira ER, Palmer RC. Factors associated with the completion of falls prevention program. Health Educ Res. 2013(e)ko abenduakaren 1a;28(6):1067\\u0026ndash;79.\\u003c/li\\u003e\\n\\u003cli\\u003eStevens JA, Noonan RK, Rubenstein LZ. Older Adult Fall Prevention: Perceptions, Beliefs, and Behaviors. Am J Lifestyle Med. 2010(e)ko urtarrilakaren 7a;4(1):16\\u0026ndash;20.\\u003c/li\\u003e\\n\\u003cli\\u003eSousa LMM, Marques-Vieira CMA, Caldevilla MNGN de, Henriques CMAD, Severino SSP, Caldeira SMA. Risk for falls among community-dwelling older people: systematic literature review. Libk. 37, Revista gaucha de enfermagem. 2017. or. e55030.\\u003c/li\\u003e\\n\\u003cli\\u003eStevens JA, Ballesteros MF, Mack KA, Rudd RA, DeCaro E, Adler G. Gender differences in seeking care for falls in the aged medicare population. Am J Prev Med. 2012(e)ko uztailakaren ;43(1):59\\u0026ndash;62.\\u003c/li\\u003e\\n\\u003cli\\u003eDurbin L, Kharrazi RJ, Graber R, Mielenz TJ. Social support and older adult falls. Inj Epidemiol. 2016(e)ko ;3(1).\\u003c/li\\u003e\\n\\u003cli\\u003eElliott S, Painter J, Hudson S. Living Alone and Fall Risk Factors in Community-Dwelling Middle Age and Older Adults. J Community Health. 2009(e)ko abuztuakaren 31a;34(4):301\\u0026ndash;10.\\u003c/li\\u003e\\n\\u003cli\\u003eKiyoshi-Teo H, Northrup-Snyder K, Cohen DJ, Dieckmann N, Stoyles S, Winters-Stone K, et al. Older hospital inpatients\\u0026rsquo; fall risk factors, perceptions, and daily activities to prevent falling. Geriatr Nurs (Minneap). 2019(e)ko maiatzakaren ;40(3):290\\u0026ndash;5.\\u003c/li\\u003e\\n\\u003cli\\u003eCasteel C, Jones J, Gildner P, Bowling JM, Blalock SJ. Falls Risks and Prevention Behaviors Among Community-Dwelling Homebound and Non-Homebound Older Adults. J Appl Gerontol. 2018(e)ko irailakaren 16a;37(9):1085\\u0026ndash;106.\\u003c/li\\u003e\\n\\u003cli\\u003eG. R. Neri S, Oliveira JS, B. Dario A, M. Lima R, Tiedemann A. Does obesity increase the risk and severity of falls in people aged 60 years and older? A systematic review and meta-analysis of observational studies. Journals Gerontol Ser A. 2019(e)ko azaroakaren 21a;\\u003c/li\\u003e\\n\\u003cli\\u003eKalyani RR, Corriere M, Ferrucci L. Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014(e)ko urriakaren ;2(10):819\\u0026ndash;29.\\u003c/li\\u003e\\n\\u003cli\\u003eFjeldstad C, Fjeldstad AS, Acree LS, Nickel KJ, Gardner AW. The influence of obesity on falls and quality of life. Dyn Med. 2008(e)ko otsailakaren 27a;7:4.\\u003c/li\\u003e\\n\\u003cli\\u003eMitchell RJ, Lord SR, Harvey LA, Close JCT. Associations between obesity and overweight and fall risk, health status and quality of life in older people. Aust N Z J Public Health. 2014(e)ko otsailakaren ;38(1):13\\u0026ndash;8.\\u003c/li\\u003e\\n\\u003cli\\u003eSeunghee Lee, Yang-Soo Lee, Jonghyun Kim. Automated Evaluation of Upper-limb Motor Function Impairment using Fugl-Meyer Assessment. IEEE. 2017(e)ko ;(99).\\u003c/li\\u003e\\n\\u003cli\\u003eOlij BF, Barmentloo LM, Smilde D, van der Velde N, Polinder S, Schoon Y, et al. Factors Associated with Participation of Community-Dwelling Older Adults in a Home-Based Falls Prevention Program. Int J Environ Res Public Health. 2019(e)ko martxoakaren 26a;16(6):1087.\\u003c/li\\u003e\\n\\u003cli\\u003eLee J, Choi M, Kim CO. Falls, a fear of falling and related factors in older adults with complex chronic disease. J Clin Nurs. 2017(e)ko abenduakaren ;26(23\\u0026ndash;24):4964\\u0026ndash;72.\\u003c/li\\u003e\\n\\u003cli\\u003eCawthon PM, Orwoll ES, Peters KE, Ensrud KE, Cauley JA, Kado DM, et al. Strong Relation Between Muscle Mass Determined by D3-creatine Dilution, Physical Performance, and Incidence of Falls and Mobility Limitations in a Prospective Cohort of Older Men. Journals Gerontol Ser A. 2019(e)ko maiatzakaren 16a;74(6):844\\u0026ndash;52.\\u003c/li\\u003e\\n\\u003cli\\u003eFeinberg I, Frijters J, Johnson-Lawrence V, Greenberg D, Nightingale E, Moodie C. Examining Associations between health information seeking behavior and adult education status in the U.S.: An analysis of the 2012 PIAAC data. PLoS One. 2016(e)ko otsailakaren 1a;11(2)\\u003c/li\\u003e\\n\\u003c/ol\\u003e\"}],\"fulltextSource\":\"\",\"fullText\":\"\",\"funders\":[],\"hasAdminPriorityOnWorkflow\":false,\"hasManuscriptDocX\":true,\"hasOptedInToPreprint\":true,\"hasPassedJournalQc\":\"\",\"hasAnyPriority\":false,\"hideJournal\":false,\"highlight\":\"\",\"institution\":\"\",\"isAcceptedByJournal\":true,\"isAuthorSuppliedPdf\":false,\"isDeskRejected\":\"\",\"isHiddenFromSearch\":false,\"isInQc\":false,\"isInWorkflow\":false,\"isPdf\":false,\"isPdfUpToDate\":true,\"isWithdrawnOrRetracted\":false,\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"bmc-geriatrics\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":false,\"externalIdentity\":\"bgtc\",\"sideBox\":\"Learn more about [BMC Geriatrics](http://bmcgeriatr.biomedcentral.com/)\",\"snPcode\":\"\",\"submissionUrl\":\"https://www.editorialmanager.com/bgtc/default.aspx\",\"title\":\"BMC Geriatrics\",\"twitterHandle\":\"BMC_series\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"em\",\"reportingPortfolio\":\"BMC Series\",\"inReviewEnabled\":true,\"inReviewRevisionsEnabled\":true},\"keywords\":\"Fall awareness behaviour, Fall strategy, Fall prevention, Older adults, Older people\",\"lastPublishedDoi\":\"10.21203/rs.3.rs-54230/v2\",\"lastPublishedDoiUrl\":\"https://doi.org/10.21203/rs.3.rs-54230/v2\",\"license\":{\"name\":\"CC BY 4.0\",\"url\":\"https://creativecommons.org/licenses/by/4.0/\"},\"manuscriptAbstract\":\"\\u003cp\\u003e\\u003cstrong\\u003eBackground \\u003c/strong\\u003eFalls are one of the major causes of mortality and morbidity in older adults. However, despite adoption of prevention strategies, the number of falls in older adults has not declined. The aim of this study was to examine fall awareness behaviour and its associated factors among Malaysian community dwelling older adults. \\u003c/p\\u003e\\u003cp\\u003e\\u003cstrong\\u003eMethods \\u003c/strong\\u003eA total of 144 community dwelling older adults (mean age of 70.69±4.3 years) participated in this study. Physical performance were assessed using timed up and go (TUG), gait speed (GS), chair stand and hand grip tests. Fall Awareness Behaviour (FaB) and Fall Risk Assessment Questionnaires (FRAQ) were administered to assess behaviour and fall prevention knowledge respectively. \\u003c/p\\u003e\\u003cp\\u003e\\u003cstrong\\u003eResults \\u003c/strong\\u003eStepwise linear regression analysis showed that the practice of fall awareness behaviour (R\\u003csup\\u003e2\\u003c/sup\\u003e=0.256) was significantly associated with being male [95% C.I: 2.178 to 7.789, p\\u0026lt;0.001], having lower BMI [95% C.I: -0.692 to -0.135, p\\u0026lt;0.05], living with family [95% C.I: 0.022 to 5.953, p\\u0026lt;0.05] and those having higher functional mobility [95% C.I: -2.008 to -0.164, p\\u0026lt;0.05]. \\u003c/p\\u003e\\u003cp\\u003e\\u003cstrong\\u003eConclusions \\u003c/strong\\u003eFall awareness behaviour should be emphasized among older females, those with lower functional mobility, higher BMI and living alone.\\u003c/p\\u003e\",\"manuscriptTitle\":\"Fall Awareness Behaviour And Its Associated Factors Among Malaysian Community Dwelling Older Adults\",\"msid\":\"\",\"msnumber\":\"\",\"nonDraftVersions\":[{\"code\":2,\"date\":\"2021-01-18 16:53:55\",\"doi\":\"10.21203/rs.3.rs-54230/v2\",\"editorialEvents\":[{\"type\":\"communityComments\",\"content\":0},{\"type\":\"editorAssigned\",\"content\":\"\",\"date\":\"2021-01-04T00:00:00+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"checksComplete\",\"content\":\"\",\"date\":\"2021-01-03T23:00:00+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"editorInvited\",\"content\":\"\",\"date\":\"2021-01-03T23:00:00+00:00\",\"index\":\"\",\"fulltext\":\"\"}],\"status\":\"published\",\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"bmc-geriatrics\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":false,\"externalIdentity\":\"bgtc\",\"sideBox\":\"Learn more about [BMC Geriatrics](http://bmcgeriatr.biomedcentral.com/)\",\"snPcode\":\"\",\"submissionUrl\":\"https://www.editorialmanager.com/bgtc/default.aspx\",\"title\":\"BMC Geriatrics\",\"twitterHandle\":\"BMC_series\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"em\",\"reportingPortfolio\":\"BMC Series\",\"inReviewEnabled\":true,\"inReviewRevisionsEnabled\":true}},{\"code\":1,\"date\":\"2020-08-14 17:22:15\",\"doi\":\"10.21203/rs.3.rs-54230/v1\",\"editorialEvents\":[{\"type\":\"communityComments\",\"content\":0},{\"type\":\"decision\",\"content\":\"Minor revision\",\"date\":\"2020-12-02T00:00:00+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"editorInvitedReview\",\"content\":\"\",\"date\":\"2020-12-01T00:00:00+00:00\",\"index\":2,\"fulltext\":\"Recommendation: Accept after discretionary revisions\\nForm responses:\\n---\\n\\nComments to Author:\\n---\\nAbstract. There is another recent study made on European population which analyzed the same argument (08 August 2020\\nPrevalence of Fall and Associated Factors Among Community-Dwelling European Older Adults: A Cross-Sectional Study M. Almada, et al). It could be better underlined in the title, in the abstract and in the text the provenience of population\\nIntroduction:\\n-line 10 point.\\n-line 37 psychological\\n-line 24 point\\n-total of subjects reported 140, total number in the table 1=144. Please clarify the sample size.\\nDeclaration of interest:\\n-please, line 1 and 2 are a repetition; it is not necessary to repeat the same concept again. I see, you published a preview of this article in researchgate, and others. I not agree.\\nRecruitment of participant\\n-it is not clear. Could you better specify the methodology of recruitment, please? state and region could have a different meaning in other countries.\\n\\nInclusion and exclusion criteria\\n-it would be better to specify the value of MMSE and GDS also in the inclusion criteria\\n\\nOutcome Measures\\n-line 29; please replace \\\"utilised\\\" with \\\"used\\\"\\nstatistical analysis\\n-line 36 please replace \\\"utilised\\\" with \\\"carried out\\\"\\n-\\\"Kolmogorov-Smirnov and Shapiro-Wilk tests were employed to determine whether the data was normally distributed.\\nNon-parametric tests were used in statistical analysis if the data was not normally distributed\\\";\\nI would prefer \\\"distribution of all data were analyzed with Kolmogorov-Smirnov and Shapiro-Wilk tests and other non parametric tests\\\". Indeed the Kolmogorov-Smirnov test is a non parametric test, as the best of my knowledge. Could you better specify this sentence, please?\\n\\n-line 44 \\\"means AND standard deviations\\\". Please specify better: in which sense percentages \\\"were appropriated?\\\". It could be better to replace the sentence as following:\\n\\\"means and standard deviations were calculated for the following variables ...... while percentage were described for the following.....\\\"\\nResults:\\nline 27: i do not understand the \\\"although\\\" at the beginning of the sentence.\\n\\nDISCUSSION\\n-line 1: could you better specify the first sentence please? correct the word importance and simplify the english syntax.\\n-line 27: erase \\\"having\\\" it is a repetition\\n-Please, could you better specify the value of your data in the results and in the discussion session, and the statistical significance in the table 2. Readers could not understand in which categories the statistical significance is (i.e. BMI Under weight; n(5)? Normal weight; n(58) Overweight; n(53) Obese; n(28) ?) you wrote \\\"lower BMI\\\" but it is not clear if it is the first group under weight or the second group normal weight. So for the other *,**,*** insert on the table\\n-line 51 add point\\n-line 59, please, could you better argue your deduction? I think it could be an inference.\\n-line \\\"the relationship between higher falls.....\\\". It could be better to specify starting from older adults living with husband/wife/child/grandchild, making hypothesis on how they fall less. We cannot say anything about people living alone, being only 4 people in the sample. And I suggest to discuss the group of fallers. It is true that people living with family fall less if we compare the two groups fallers-not fallers, but people living in family with child and grandchild are those who fall more if we consider the only group of faller. I suggest to underline that there is no statistical significance between groups.\\n\\n-line \\\"Although not significant, our study revealed a negative association between falls\\nprevention behaviour and the numb...\\\" it could be better to discuss the results without any link to statistical significance nor to negative nor positive association\\nplease specify also the small number of the sample in the limitation of the article\\n\\nTABLE 3 correct REGGRESSION with REGRESSION, just one R\\n\\n\\nat the end, it will be preferred to specify the number of the reference between text that links directly to the reference itself.\\n* Publons Reviewer Recognition. Springer Nature can send verification of this review directly to Publons (a subsidiary of Clarivate Analytics). If you would like to take advantage of this service, please click on the “Yes” option below. Your name, email address, title of the reviewed manuscript, name of the journal, and date of your review submission (the “Review Data”) will then be transmitted to Publons upon publication of the manuscript. If you have already registered at Publons, they will notify you of the receipt of this review and update your profile as per your settings and their policy. If you are not registered with Publons, you will receive an email from them asking you to register in order for them to be able to recognize your review on your new profile page. Publons may use the Review Data to generate derivative metadata for the benefit of Publons and you as a reviewer, carefully considering the sensitivity of such information. For example, Publons may verify your record as a reviewer by updating your profile published on its webservice if you have registered for such service or help editors to identify candidate reviewers. Please find the details of processing in Publons’ privacy policy https://publons.com/about/terms: **Yes**\\n* Declaration of competing interests: **I declare that I have no competing interests**\\n* Reviewer Publication Consent. I agree for my report to be made available under an Open Access Creative Commons CC-BY License (http://creativecommons.org/licenses/by/4.0) if this manuscript is accepted for publication. Any comments that I do not wish to be included in the published report have been included as confidential comments to the editor, which will not be published.: **I agree to the terms of the CC-BY 4.0 license; please publish my name with my report.**\\n* Is the study design appropriate to answer the research question (including the use of appropriate controls), and are the conclusions supported by the evidence presented?: **Yes**\\n* Are the methods sufficiently described to allow the study to be repeated?: **Yes**\\n* Is the use of statistics and treatment of uncertainties appropriate?: **Yes**\\n* Is the presentation of the work clear?: **Yes**\\n* Are the images in this manuscript (including electrophoretic gels and blots) free from apparent manipulation?: **Yes**\\n\"},{\"type\":\"reviewerAgreed\",\"content\":\"\",\"date\":\"2020-11-07T00:00:00+00:00\",\"index\":2,\"fulltext\":\"\"},{\"type\":\"editorInvitedReview\",\"content\":\"\",\"date\":\"2020-10-21T12:00:00+00:00\",\"index\":1,\"fulltext\":\"Recommendation: Accept after minor essential revisions\\nForm responses:\\n---\\n\\nComments to Author:\\n---\\n1. General grammar check and spelling correction is needed\\n2. All the P values should be preceded by a zero before the decimal point, e.g., P \\u003c 0.001.\\n3. Table 1 looks crowded; Please simplify this table.\\n* Publons Reviewer Recognition. Springer Nature can send verification of this review directly to Publons (a subsidiary of Clarivate Analytics). If you would like to take advantage of this service, please click on the “Yes” option below. Your name, email address, title of the reviewed manuscript, name of the journal, and date of your review submission (the “Review Data”) will then be transmitted to Publons upon publication of the manuscript. If you have already registered at Publons, they will notify you of the receipt of this review and update your profile as per your settings and their policy. If you are not registered with Publons, you will receive an email from them asking you to register in order for them to be able to recognize your review on your new profile page. Publons may use the Review Data to generate derivative metadata for the benefit of Publons and you as a reviewer, carefully considering the sensitivity of such information. For example, Publons may verify your record as a reviewer by updating your profile published on its webservice if you have registered for such service or help editors to identify candidate reviewers. Please find the details of processing in Publons’ privacy policy https://publons.com/about/terms: **Yes**\\n* Declaration of competing interests: **I declare that I have no competing interests.**\\n* Reviewer Publication Consent. I agree for my report to be made available under an Open Access Creative Commons CC-BY License (http://creativecommons.org/licenses/by/4.0) if this manuscript is accepted for publication. 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