Examining the Structural Relationship of Physical Activity, Cognition, Fear of Falling, and Mobility Limitation of Filipino in Nursing Homes

Mobility limitation is a major issue of care in the elderly and a typical characteristic of frailty in geriatric patients. The maintenance of mobility is thought to be fundamental to active aging, allowing older adults to continue living dynamic and independent lives. While previous studies have identified the different factors affecting mobility, the relationship between other factors, such as fear of falling, physical activity, cognition, and mobility limitation, has not been investigated, hence this structural equation model investigation. This study was conducted in various nursing homes located in the National Capital Region and Region IV of the Philippines. A five-part survey-questionnaire was given to 125 Filipino elderly aged 60 years and above in nursing homes. The survey was conducted from May to August 2013. Results showed that high levels of fear about falling will lead to less physical activity and have a negative effect on cognition. Cognition levels also showed to have a direct impact on the physical activity. Physical activity was found to have a direct effect on the mobility of elderly patients. The emerging model can guide health care professionals in developing programs that can maximize the physical and mental functioning of the elderly in institutionalized settings.