Fall Prevention
Falling presents a significant risk to older adults that can increase the chance of a bone fracture, disability, and loss of independence. Fall prevention refers to exercises or interventions that reduce the risk or occurrence of falls in elderly individuals.
Fall Prevention falls under theHealthy Aging & Longevitycategory.
Last Updated:October 13, 2024
Fall prevention refers to targeted strategies aimed at reducing the risk of falls among older adults, who are particularly vulnerable to fall-related injuries. These strategies include environmental modifications, management of chronic conditions, and physical training, as supported by initiatives from organizations like the CDC and the National Council of Aging.
The need for fall prevention is measured by assessing an individual's fall history, fear of falling, and gait or balance difficulties. Common assessment tools include the Timed Up and Go Test, the Berg Balance Scale, and the Tinetti Performance-Oriented Mobility Assessment Tool.
Physical activity is crucial for fall prevention in older adults, as reduced activity can lead to deconditioning and increased fall risk. Research shows that expert-directed exercise programs can reduce fall risk by 23% and improve functional stability and balance through various training regimens.
Supplements like vitamin D and calcium have been studied for their role in preventing fall-related injuries by managing conditions such as osteoporosis. However, high doses of vitamin D may be associated with an increased risk of falls, compared to lower doses, though the reasons for this are unclear.
Diet can indirectly affect fall prevention by promoting a healthy weight and correcting malnutrition, particularly in older adults. A balanced diet that includes adequate protein and calcium may help reduce the risk of falls and related injuries.
To prevent falls, it is important to implement strategies such as managing hypotension, adjusting medications, addressing foot and vision issues, and enhancing home safety. Additionally, managing environmental factors and using tools like osteoporosis management and hip protectors can reduce the severity of fall-related injuries.
- ^Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, Osman A, Sarquis-Adamson Y, Close J, Hogan DB, Hunter SW, Kenny RA, Lipsitz LA, Lord SR, Madden KM, Petrovic M, Ryg J, Speechley M, Sultana M, Tan MP, van der Velde N, Verghese J, Masud T,Evaluation of Clinical Practice Guidelines on Fall Prevention and Management for Older Adults: A Systematic Review.JAMA Netw Open.(2021-Dec-01)
- ^Lusardi MM, Fritz S, Middleton A, Allison L, Wingood M, Phillips E, Criss M, Verma S, Osborne J, Chui KKDetermining Risk of Falls in Community Dwelling Older Adults: A Systematic Review and Meta-analysis Using Posttest Probability.J Geriatr Phys Ther.(2017)
- ^Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb SEExercise for preventing falls in older people living in the community.Cochrane Database Syst Rev.(2019-Jan-31)
- ^Dautzenberg L, Beglinger S, Tsokani S, Zevgiti S, Raijmann RCMA, Rodondi N, Scholten RJPM, Rutjes AWS, Di Nisio M, Emmelot-Vonk M, Tricco AC, Straus SE, Thomas S, Bretagne L, Knol W, Mavridis D, Koek HLInterventions for preventing falls and fall-related fractures in community-dwelling older adults: A systematic review and network meta-analysis.J Am Geriatr Soc.(2021-Oct)
- ^Kim Y, Vakula MN, Bolton DAE, Dakin CJ, Thompson BJ, Slocum TA, Teramoto M, Bressel EWhich Exercise Interventions Can Most Effectively Improve Reactive Balance in Older Adults? A Systematic Review and Network Meta-Analysis.Front Aging Neurosci.(2021)
- ^Stevens JA, Phelan EADevelopment of STEADI: a fall prevention resource for health care providers.Health Promot Pract.(2013-Sep)
- ^Lawrence J Appel, Erin D Michos, Christine M Mitchell, Amanda L Blackford, Alice L Sternberg, Edgar R Miller 3rd, Stephen P Juraschek, Jennifer A Schrack, Sarah L Szanton, Jeanne Charleston, Melissa Minotti, Sheriza N Baksh, Robert H Christenson, Josef Coresh, Lea T Drye, Jack M Guralnik, Rita R Kalyani, Timothy B Plante, David M Shade, David L Roth, James Tonascia, STURDY Collaborative Research GroupThe Effects of Four Doses of Vitamin D Supplements on Falls in Older Adults : A Response-Adaptive, Randomized Clinical TrialAnn Intern Med.(2021 Feb)
- ^Zittermann A, Trummer C, Theiler-Schwetz V, Pilz SLong-term supplementation with 3200 to 4000 IU of vitamin D daily and adverse events: a systematic review and meta-analysis of randomized controlled trials.Eur J Nutr.(2023 Jun)
- ^Hita-Contreras F, Martínez-Amat A, Cruz-Díaz D, Pérez-López FROsteosarcopenic obesity and fall prevention strategies.Maturitas.(2015-Feb)
- ^S Iuliano, S Poon, J Robbins, M Bui, X Wang, L De Groot, M Van Loan, A Ghasem Zadeh, T Nguyen, E SeemanEffect of dietary sources of calcium and protein on hip fractures and falls in older adults in residential care: cluster randomised controlled trialBMJ.(2021 Oct 20)
- ^Trevisan C, Crippa A, Ek S, Welmer AK, Sergi G, Maggi S, Manzato E, Bea JW, Cauley JA, Decullier E, Hirani V, LaMonte MJ, Lewis CE, Schott AM, Orsini N, Rizzuto DNutritional Status, Body Mass Index, and the Risk of Falls in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.J Am Med Dir Assoc.(2019-May)
- ^Institute of Medicine (US) Division of Health Promotion and Disease Prevention, Robert L. Berg, Joseph S. CassellsThe Second Fifty Years: Promoting Health and Preventing Disability
- ^Paliwal Y, Slattum PW, Ratliff SMChronic Health Conditions as a Risk Factor for Falls among the Community-Dwelling US Older Adults: A Zero-Inflated Regression Modeling Approach.Biomed Res Int.(2017)
- ^Moncada LVV, Mire LGPreventing Falls in Older Persons.Am Fam Physician.(2017-Aug-15)
- ^Kim SB, Zingmond DS, Keeler EB, Jennings LA, Wenger NS, Reuben DB, Ganz DADevelopment of an algorithm to identify fall-related injuries and costs in Medicare data.Inj Epidemiol.(2016-Dec)
- ^Moreland B, Kakara R, Henry ATrends in Nonfatal Falls and Fall-Related Injuries Among Adults Aged ≥65 Years - United States, 2012-2018.MMWR Morb Mortal Wkly Rep.(2020-Jul-10)
- Fall Risk - Broe KE, Chen TC, Weinberg J, Bischoff-Ferrari HA, Holick MF, Kiel DPA higher dose of vitamin d reduces the risk of falls in nursing home residents: a randomized, multiple-dose studyJ Am Geriatr Soc.(2007 Feb)
- Fall Risk - Bischoff-Ferrari HA, Dawson-Hughes B, Staehelin HB, Orav JE, Stuck AE, Theiler R, Wong JB, Egli A, Kiel DP, Henschkowski JFall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trialsBMJ.(2009 Oct 1)
- Fall Risk - Michos ED, Kalyani RR, Blackford AL, Sternberg AL, Mitchell CM, Juraschek SP, Schrack JA, Wanigatunga AA, Roth DL, Christenson RH, Miller ER, Appel LJThe Relationship of Falls With Achieved 25-Hydroxyvitamin D Levels From Vitamin D Supplementation: The STURDY Trial.J Endocr Soc.(2022-Jun-01)
- Functionality in Elderly or Injured - Guralnik JM, Sternberg AL, Mitchell CM, Blackford AL, Schrack J, Wanigatunga AA, Michos E, Juraschek SP, Szanton S, Kalyani R, Cai Y, Appel LJ,Effects of Vitamin D on Physical Function: Results From the STURDY Trial.J Gerontol A Biol Sci Med Sci.(2022-Aug-12)