Contribution of the Built Environment towards Elderlies’ Quality of Life and Risk of Falling

Nurul Liyana Hanapi, Sabarinah Sheikh Ahmad, Azli Abd Razak, Norhati Ibrahim


Recent study trends on elderlies range from improving their quality of life to reducing the risk of falling. This paper investigates current concerns on the risk of any untoward fall or injury of elderly residents in public housing due to the rising number of the elderly population. This study aims to analyze published literature with a focus on finding a non-semantic relation on the built environment with the elderly quality of life and risk of falling. Results show that a pleasant environment could introduce social activities in which significantly improves the quality of life and reduce fall risk among the elderly population.

Keywords: elderly; quality of life; fall risk; environment.

eISSN: 2398-4287 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BYNC-ND license ( Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.



elderly; quality of life; fall risk; environment.

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Aibar-Almazán, A., Martínez-Amat, A., Cruz-Díaz, D., De la Torre-Cruz, M. J., Jiménez-García, J. D., Zagalaz-Anula, N., ... & Hita-Contreras, F. (2019). Effects of Pilates on Fall Risk Factors in Community-Dwelling Elderly Women: A Randomized, Controlled Trial. European journal of sport science, 1-9.

Ambrose, A. F., Paul, G., & Hausdorff, J. M. (2013). Risk factors for falls among older adults: a review of the literature. Maturitas, 75(1), 51-61.

Callis, N. (2016). Falls Prevention: Identification of Predictive fall risk factors. Applied nursing research, 29, 53-58.

Dahlan, A., Ibrahim, S., & Anwar, S. (2014). Engagement in Activity of Interest And Quality of Life Amongst Institutionalized Elderly People in Malaysia. Indian Journal of Health & Wellbeing, 5(2).

Department of Statistics Malaysia. (2019). Population and Housing Census of Malaysia, 2019. Economic Characteristics of the Population, 2019. Putrajaya, Malaysia. Reviewed on 6th October 2019

Dujardin, C., Lorant, V., & Thomas, I. (2014). Self-Assessed Health of Elderly People in Brussels: Does the Built Environment Matter?. Health & place, 27, 59-67.

Forth, K., & Aiden, E. L. (2019). U.S. Patent No. 10,307,084. Washington, DC: U.S. Patent and Trademark Office. Reviewed on 6th October 2019.

Greenberg, S. A. (2012). Analysis of measurement tools of fear of falling for high-risk, community-dwelling older adults. Clinical Nursing Research, 21(1), 113-130.

Hamzah, N. S., & Ismail, R. (2018). Voluntarism and Life Satisfaction among Elderly in Rural Perak. International Journal of Academic Research in Business and Social Sciences, 8(4), 1036-1044.

Hatamabadi, H. R., Sum, S., Tabatabaey, A., & Sabbaghi, M. (2016). Emergency Department Management of fall in the Elderly: A Clinical Audit and Suggestions for Improvement. International emergency nursing, 24, 2-8.

Marzo, R. R., Ahmad, A., Naing, T. W., bin Salleh, H., Hui, L., Raakeswar, A., ... & Uu, W. K. (2018). Caring for Quality of Life among Elderly in Bandar Maharani, Muar, Johor, Malaysia. Academic Journal of Life Sciences, 4(4), 18-26.

Kadir, A. A., & Hasim, H. (2011). Prevalence of falls in elderly men with diabetes in Diabetic Clinic Universiti Sains Malaysia Hospital, Malaysia. Journal of Men's Health, 8(S1), S91-S93.

Kamarudin, H., Ariff, N. M., Ismail, W. W., Bakri, A. F., & Ithnin, Z. (2014). Malaysian Scenario on Access and Facilities for Persons with Disabilities: A Literature Review. In MATEC Web of Conferences (Vol. 15, p. 01019). EDP Sciences.

Khalifa, M. (2019). Improving Patient Safety by Reducing Falls in Hospitals among the Elderly: A Review of Successful Strategies. Studies in health technology and informatics, 262, 340-343.

Leszczyńska, A., Daniszewska, B., Pruszyńska, M., Przedborska, A., Hadała, M., & Raczkowski, J. W. (2016). Effects of a Health Improvement Programme on Quality of Life in Elderly People after Falls. Polish annals of medicine, 23(2), 129-134

Marques-Vieira, C. M. A., Sousa, L. M. M., Severino, S., Sousa, L., & Caldeira, S. (2016). Cross-Cultural Validation of the Falls Efficacy Scale International in Elderly: Systematic Literature Review. Journal of Clinical Gerontology and Geriatrics, 7(3), 72-76.

Marzo, R. R., Ahmad, A., Naing, T. W., bin Salleh, H., Hui, L., Raakeswar, A., ... & Uu, W. K. (2018). Caring for Quality of Life among Elderly in Bandar Maharani, Muar, Johor, Malaysia. Academic Journal of Life Sciences, 4(4), 18-26.

Mauceri, M., & Di Marco, O. L. G. (2014). Psychosocial dimensions of Quality of Life among Elders: A Research of the Italian and Spanish elderly. Procedia-Social and Behavioral Sciences, 116, 1651-1655.

Momtaz, Y. A., Hamid, T. A., & Ibrahim, R. (2012). Unmet needs among disabled elderly Malaysians. Social Science & Medicine, 75(5), 859-863.

Onunkwor, O. F., Al-Dubai, S. A. R., George, P. P., Arokiasamy, J., Yadav, H., Barua, A., & Shuaibu, H. O. (2016). A Cross-Sectional Study on Quality of Life Among the Elderly in Non-Governmental Organizations’ Elderly Homes in Kuala Lumpur. Health and quality of life outcomes, 14(1), 6.

Osman, U. A. N., & Ismail, R. (2019). The Factors Influencing the Level of Well-being among Elderly in Selangor, Malaysia. International Journal of Academic Research in Business and Social Sciences, 9(3).

Osman, U. A. N., & Ismail, R. (2018). The Factors Influencing the Level of Well-being among Elderly in Selangor. Management Research Journal, 7, 146-156.

Othman, A. R., & Fadzil, F. (2015). Influence of Outdoor Space to the Elderly Wellbeing in a Typical Care Centre. Procedia-Social and Behavioral Sciences, 170, 320-329.

Pramitasari, D., & Sarwadi, A. (2015). A Study on Elderly's Going Out Activities and Environment Facilities. Procedia Environmental Sciences, 28, 315-323.

Rowe, R. J. (2011). Fall prevention: Core characteristics and practical interventions. Home Health Care Management & Practice, 23(1), 20-26.

Rubenstein, L. Z. (2006). Falls in older people: epidemiology, risk factors and strategies for prevention. Age and ageing, 35(suppl_2), ii37-ii41.

Sajin, N. B., Dahlan, A., & Ibrahim, S. A. S. (2016). Quality of life and Leisure Participation Amongst Malay Older People in the Institution. Procedia-Social and Behavioral Sciences, 234, 83-89.

Shariff, S., Krishnan, R., Shamsul, A., Zaiton, A., & Visvanathan, R. (2008). Prevalence of falls among older people attending a primary care clinic in Kuala Lumpur, Malaysia. J Community Health, 14(1), 11-16.

Stenhagen, M., Ekström, H., Nordell, E., & Elmståhl, S. (2014). Accidental Falls, Health-Related Quality of Life and Life Satisfaction: A Prospective Study of the General Elderly Population. Archives of gerontology and geriatrics, 58(1), 95-100.

Swanenburg, J., de Bruin, E. D., Uebelhart, D., & Mulder, T. (2010). Falls prediction in elderly people: a 1-year prospective study. Gait & posture, 31(3), 317-321.

Thaweewannakij, T., Suwannarat, P., Mato, L., & Amatachaya, S. (2016). Functional Ability and Health Status of Community-Dwelling Late Age Elderly People With and Without a History of Falls. Hong Kong Physiotherapy Journal, 34, 1-9.

Thomas, E., Battaglia, G., Patti, A., Brusa, J., Leonardi, V., Palma, A., & Bellafiore, M. (2019). Physical Activity Programs for Balance and Fall Prevention in Elderly: A Systematic Review. Medicine, 98(27).

Tobi, S. M., Fathi, M. S., & Amaratunga, D. (2017, October). Ageing in Place, an Overview for the Elderly in Malaysia. In AIP Conference Proceedings (Vol. 1891, No. 1, p. 020101). AIP Publishing.

United Nation Population Division (2014). Population Ageing and Sustainable Development. Popfacts, (2014), 1–4. Retrieved October, 25, 2016 from

Van Thanh, P., Tran, D. T., Nguyen, D. C., Anh, N. D., Dinh, D. N., El-Rabaie, S., & Sandrasegaran, K. (2019). Development of a Real-Time, Simple and High-Accuracy Fall Detection System for Elderly using 3-DOF accelerometers. Arabian Journal for Science and Engineering, 44(4), 3329-3342.

Wong, K. M., & Musa, G. (2014). Retirement Motivation Among ‘Malaysia My Second Home’participants. Tourism Management, 40, 141-154.

Zijlstra, G. R., van Haastregt, J. C., Du Moulin, M. F., de Jonge, M. C., van der Poel, A., & Kempen, G. I. (2012). Effects of the implementation of an evidence-based program to manage concerns about falls in older adults. The Gerontologist, 53(5), 839-849.



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