Geriatric nursing (New York, N.Y.) · 2026
Perceiving the invisible: The mediating role of health behaviour in the link between fall efficacy and sarcopenia risk perception among community-dwelling older adults.
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Amin Shaimaa Mohamed, Alkubati Sameer A, Hra Mohamed, Zoromba Mohamed Ali, Abdallah Haitham Mokhtar Mohamed, Ghoniem Noha Gamal El-Sayed, El-Gazar Heba Emad
Аннотация
OBJECTIVE: This study investigated the mediating role of health behaviors in the relationship between fall efficacy and sarcopenia risk perception in community-dwelling older adults.
METHODS: A cross-sectional descriptive study was conducted with a convenience sample of 251 community-dwelling older adults (≥60 years) at outpatient clinics in the Sharkia Governorate, Egypt. Data were collected using Arabic versions of the Falls Efficacy Scale-International (FES-I), Geriatrics Health Behavior Questionnaire (GHBQ), and Sarcopenia Disease Risk Perception Scale. Hayes' PROCESS macro (Model 4) was used to test mediation.
RESULTS: Fall efficacy was significantly positively correlated with health behaviors and negatively correlated with sarcopenia risk perception. Health behavior was also negatively associated with the risk perception of sarcopenia. Mediation analysis revealed that health behavior partially mediated the relationship between fall efficacy and the risk perception of sarcopenia.
CONCLUSION: Higher fall efficacy was associated with a lower perceived risk of sarcopenia among community-dwelling older adults. This relationship is partially explained by engagement in positive health behaviors. Strengthening older adults' confidence in preventing falls encourages them to adopt healthier lifestyles, which in turn reduces their perception of being at a risk for sarcopenia.
IMPLICATION FOR NURSING AND GERIATRIC CARE: Interventions aimed at reducing sarcopenia risk should not only focus on physical training but also incorporate strategies to enhance fall efficacy and promote proactive health behaviors. Nurses play a vital role in designing holistic programs to empower older adults confidently and healthily.
METHODS: A cross-sectional descriptive study was conducted with a convenience sample of 251 community-dwelling older adults (≥60 years) at outpatient clinics in the Sharkia Governorate, Egypt. Data were collected using Arabic versions of the Falls Efficacy Scale-International (FES-I), Geriatrics Health Behavior Questionnaire (GHBQ), and Sarcopenia Disease Risk Perception Scale. Hayes' PROCESS macro (Model 4) was used to test mediation.
RESULTS: Fall efficacy was significantly positively correlated with health behaviors and negatively correlated with sarcopenia risk perception. Health behavior was also negatively associated with the risk perception of sarcopenia. Mediation analysis revealed that health behavior partially mediated the relationship between fall efficacy and the risk perception of sarcopenia.
CONCLUSION: Higher fall efficacy was associated with a lower perceived risk of sarcopenia among community-dwelling older adults. This relationship is partially explained by engagement in positive health behaviors. Strengthening older adults' confidence in preventing falls encourages them to adopt healthier lifestyles, which in turn reduces their perception of being at a risk for sarcopenia.
IMPLICATION FOR NURSING AND GERIATRIC CARE: Interventions aimed at reducing sarcopenia risk should not only focus on physical training but also incorporate strategies to enhance fall efficacy and promote proactive health behaviors. Nurses play a vital role in designing holistic programs to empower older adults confidently and healthily.