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Innov Aging
Innov Aging
innovateage
Innovation in Aging
2399-5300 Oxford University Press US 

10.1093/geroni/igaa057.2780
igaa057.2780
Abstracts
Session 7115 (Symposium)
AcademicSubjects/SOC02600
Impact of Fear of Falling on Future Falls and Changes in Physical Activity in Older Adults With Glaucoma
Ramulu Pradeep 1 E Jian-Yu 2 Mihailovic Aleksandra 3 Kuo Pei-Lun 4 West Sheila 1 Gitlin Laura 5 Li Tianjing 6 Schrack Jennifer 7 1 
Johns Hopkins School of Medicine, Baltimore, Maryland, United States
2 
Johns hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States
3 
Johns Hopkins University/Wilmer Eye Institute, Baltimore, Maryland, United States
4 
National Institute on Aging, Bethesda, Maryland, United States
5 
Drexel University, Philadelphia, Pennsylvania, United States
6 
University of Colorado, Arora, Colorado, United States
7 
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States
2020 
16 12 2020 
16 12 2020 
4 Suppl 1 Program Abstracts from The GSA 2020 Annual Scientific Meeting “Turning 75: Why Age Matters”769 770
© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America.2020This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.Abstract
To understand how Fear of falling (FoF) alters mobility, FoF was evaluated annually in 243 older adults (median age=70) with varying degrees of visual field loss from glaucoma, and Rasch-analyzed FoF scores associated with the likelihood of falling in the following year (judged by prospective calendar data) and changes in physical activity (Judged by annual accelerometer trials). At lower FoF levels, each one-unit worsening in FoF was associated with a 2.73-fold higher odds of reporting a fall in the next year (95% CI:1.55,4.81) but not with average daily steps taken (p = 0.44). At higher FoF levels, inter-year changes in FoF were not significantly associated with a fall in the next year (p = 0.78); but were associated with 407 fewer daily steps taken per one-unit change in FoF (95% CI:-743,-71). FoF is an important driver of mobility; the specific aspects of mobility affected varies by the degree of FoF.