Physical and balance activity, mobility status and risk of falls among older people in Brunei Darussalam.

Background: Low levels of physical activity, balance exercises, and mobility are linked to an increased risk of falls in older people. In this study, physical activity components, mobility status, balance activity, and risk of falls among older individuals attending community centres in Brunei Darussalam were assessed. Methods: A cross-sectional survey was conducted regarding mobility status, balance activities, physical activity levels (using the Physical Activity Scale for Elderly, PASE), and risk of falls. Results: There were 92 participants. The mean PASE score was 156.3. Almost all participants were independent in mobility, and all engaged in walking activities. Only 52.2% engaged in physical activity ranging from light to strenuous intensity, while 81.5% did not perform balance exercises. Regarding fall risk, 51.1% reported worrying about falling, 59.8% were identified as being at risk of falls, and 19.6% had experienced falls within the past 12 months. Participants with secondary level education had a higher PASE score (p=0.031). Despite a non-significant association, physically active older people had a lower risk of falls and did not fall in the past 12 months. Conclusion: Although the participants were perceived as physically active as members of the community centres, there is a need to further increase activity levels and introduce balance exercises to reduce falls risk and maintain independence in the community.