Prevention of falls in older people living in the community

Vieira, Edgar Ramos; Palmer, R. C.; Chaves, Paulo H.M.

doi:10.1136/bmj.i1419

Cited by 192 publications

(177 citation statements)

References 140 publications

(55 reference statements)

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“…Fractures, which are often a consequence of falls, are one of the most serious musculoskeletal problems seen in the older adult population . Physical activity has been identified as a lifestyle factor that may influence the risk of falls and fractures in adults through maintaining mobility, physical functioning, bone mineral density, muscle strength, and balance .…”

Section: Discussionmentioning

confidence: 99%

Consequences of physical inactivity in older adults: A systematic review of reviews and meta‐analyses

Cunningham

Sullivan

Caserotti

et al. 2020

Scandinavian Med Sci Sports

592

383

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Background Globally, populations are ageing. Typically, physical activity levels decline and health worsens as we age; however, estimates of the impact of physical inactivity for population health often fail to specifically focus on older adults. Methods Multiple databases were searched for systematic reviews and/or meta‐analyses of longitudinal observational studies, investigating the relationship between physical activity and any physical or mental health outcome in adults aged ≥60 years. Quality of included reviews was assessed using AMSTAR. Results Twenty‐four systematic reviews and meta‐analyses were included. The majority of reviews were of moderate or high methodological quality. Physically active older adults (≥60 years) are at a reduced risk of all‐cause and cardiovascular mortality, breast and prostate cancer, fractures, recurrent falls, ADL disability and functional limitation and cognitive decline, dementia, Alzheimer's disease, and depression. They also experience healthier ageing trajectories, better quality of life and improved cognitive functioning. Conclusion This review of reviews provides a comprehensive and systematic overview of epidemiological evidence from previously conducted research to assess the associations of physical activity with physical and mental health outcomes in older adults.

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Section: Discussionmentioning

confidence: 99%

Consequences of physical inactivity in older adults: A systematic review of reviews and meta‐analyses

Cunningham

Sullivan

Caserotti

et al. 2020

Scandinavian Med Sci Sports

592

383

View full text Add to dashboard Cite

show abstract

“…Falls among older adults are largely preventable by identifying and controlling particularly modifiable risk factors [4,8,9]. Use of psychotropic drugs has been identified as an independent risk factor for falls in various studies including systematic reviews and meta-analyses [10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Association of psychotropic drug use with falls among older adults in Germany. Results of the German Health Interview and Examination Survey for Adults 2008 – 2011 (DEGS1)

Wolf

Knopf

2017

Das Gesundheitswesen

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PurposeTo investigate the association of psychotropic drug use with falls among older adults in Germany based on data from the National Health Interview and Examination Survey for Adults -2011. MethodsDEGS1 collected data on drug use in the past 7 days and on falls occurred in the last 12 months. Study participants were older adults aged 65-79 years with complete data on drug use and falls (N = 1,833). Odds ratio (OR) and 95% confidence intervals (95% CI) were derived from logistic regression models adjusting for potential confounders including sociodemographic characteristics, health-related behaviors (alcohol drinking), body mass index and health conditions (frailty, vision impairment, disability, polypharmacy, blood pressure) as well as use of potential falls-risk-increasing drugs. SPSS complex sample methods were used for statistical analysis.

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“…The majority of previous researches have tended to focus on prevention related to balance ability of seniors and what causes a fall to occur [7,17,22], but what if the inevitable does take place? It is essential to determine fall characteristics and how they differ from that of normal activities.…”

Section: Discussionmentioning

confidence: 99%

“…The estimated expenditure for treatments of fall-related injuries amounts to 20.2 billion US dollars annually [5]. Further, previous studies also revealed that one-third of people 65 years and older experience at least one fall each year [3,6,7]. This severe problem has a significant impact on personal health and medical care costs in older adults.…”

Section: Introductionmentioning

confidence: 99%

A Biomechanical Study for Developing Wearable-Sensor System to Prevent Hip Fractures among Seniors

et al. 2017

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Abstract:As the population ages, falls are becoming a major health problem, not only for those with some degree of balance or mobility impairment, but also among healthy active seniors. Previous studies suggest that the degradation of human sensorimotor function related to age contributes to falls. Hip bones are among the most frequently fractured body parts resulting from falls. Hip fractures are a frequent cause of early death, functional dependence, and high medical care costs. The current prevention method is to use hip protectors. Unfortunately, it often fails to do so because the pocket containing the pad can move away from the area during falls. Additionally, some seniors refuse to use hip protectors because they find them constraining. Hence, a new protector that is only activated during a fall is much desired. The current study explored the possibility via biomechanical analyses for building a wearable sensor system that triggers a mini-airbag system during a fall, i.e., the air-pad is only present for protection when a fall occurs. The results have revealed that two sensors placed on the left and right shoulder would be best for a detection of any-direction fall and could be applied for building a wearable sensor system for prevention of hip fractures resulting from falls.

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Prevention of falls in older people living in the community

Cited by 192 publications

References 140 publications

Consequences of physical inactivity in older adults: A systematic review of reviews and meta‐analyses

Consequences of physical inactivity in older adults: A systematic review of reviews and meta‐analyses

Association of psychotropic drug use with falls among older adults in Germany. Results of the German Health Interview and Examination Survey for Adults 2008 – 2011 (DEGS1)

A Biomechanical Study for Developing Wearable-Sensor System to Prevent Hip Fractures among Seniors

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