{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T01:43:46Z","timestamp":1793497426054,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,4,14]],"date-time":"2014-04-14T00:00:00Z","timestamp":1397433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000909","name":"John A. Hartford Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Veterans Administration Rehabilitation Scientific Merit","award":["E7036R"],"award-info":[{"award-number":["E7036R"]}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["R01 AG15062"],"award-info":[{"award-number":["R01 AG15062"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine the effect of falls and fractures on life\u2010space mobility in a cohort of community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, observational study with a baseline in\u2010home assessment and 6\u2010month telephone follow\u2010up interviews over 4\u00a0years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Central Alabama.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Community\u2010dwelling adults aged 65 and older recruited from a random sample of Medicare beneficiaries stratified according to sex, race, and urban versus rural residence (N\u00a0=\u00a0970).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Sociodemographic factors, medical history, depressive symptoms (\n                      <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                      eriatric\n                      <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                      epression\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      cale), cognitive function (\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      ini\u2010\n                      <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>\n                      ental\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      tate\n                      <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\n                      xamination), mobility\u2010related symptoms, transportation difficulty, and healthcare use were assessed during a baseline in\u2010home interview of participants. Life\u2010space mobility and falls or injuries (including fractures) were assessed at the baseline interview and at 6\u2010month intervals in follow\u2010up telephone calls.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four hundred fifty\u2010four (47%) participants reported at least one fall during the 4\u2010year follow\u2010up. The life\u2010space score fell 3.2 points from the beginning to the end of the 6\u2010month interval during which a fall occurred, adjusting for other known predictors of decline in life\u2010space mobility. The decrease in interval life\u2010space score was progressively greater for a fall and an injury (\u22124.7 points), a fall and a fracture (\u221214.2 points), and a fall and a hip fracture (\u221223.6 points).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Falls, whether associated with an injury or not, were independently associated with a decrease in life\u2010space mobility in the ensuing 6\u00a0months. Further studies are needed to determine reasons for life\u2010space mobility decline in community\u2010dwelling older adults with incident falls without any injuries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12787","type":"journal-article","created":{"date-parts":[[2014,4,14]],"date-time":"2014-04-14T13:36:38Z","timestamp":1397482598000},"page":"919-923","source":"Crossref","is-referenced-by-count":97,"title":["Life\u2010Space Mobility Declines Associated with Incident Falls and Fractures"],"prefix":"10.1111","volume":"62","author":[{"given":"Alexander X.","family":"Lo","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of Gerontology Geriatrics and Palliative Care Department of Medicine University of Alabama at Birmingham Birmingham Alabama"},{"name":"Birmingham\/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Center Birmingham Alabama"},{"name":"Comprehensive Center for Healthy Aging Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Sawyer","sequence":"additional","affiliation":[{"name":"Division of Gerontology Geriatrics and Palliative Care Department of Medicine University of Alabama at Birmingham Birmingham Alabama"},{"name":"Comprehensive Center for Healthy Aging Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard E.","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Birmingham\/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Center Birmingham Alabama"},{"name":"Comprehensive Center for Healthy Aging Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard M.","family":"Allman","sequence":"additional","affiliation":[{"name":"Geriatrics and Extended Care Services Office of Patient Care Services Veterans Health Administration Washington District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199710303371806"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/S0733-8627(20)30283-2","article-title":"Falls in the elderly","volume":"8","author":"Nelson RC","year":"1990","journal-title":"Emerg Med Clin North Am"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001722"},{"key":"e_1_2_6_5_1","volume-title":"Emergency Department Visits for Injurious Falls among the Elderly, 2006: Statistical Brief #80. 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