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British Journal of Sports Medicine 2001;35:144-145; doi:10.1136/bjsm.35.3.144
Copyright © 2001 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.
Br J Sports Med 2001; 35:144-145
© 2001 the British Journal of Sports Medicine

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Physical activity to prevent falls in older people: time to intervene in high risk groups using falls as an outcome

K M Khan, T Liu-Ambrose, M G Donaldson, H A McKay

James Mather Building 5804 Fairview Avenue Vancouver V6T 1Z3, Canada

Fall related injuries and the resulting deaths in older adults are a major, and increasing, health problem world wide.13 About 30% of people over 65 years of age fall at least once a year, and about half of these do so recurrently.1, 3, 4 A fall may result in a fracture, particularly in an older person, and about 90% of hip fractures result from falls.5 The outcome of a hip fracture is fatal in 12–20% of cases.6 The annual cost of fall related fractures in the United States is estimated to be $10 billion.7 Furthermore, the incidence of hip fractures continues to rise steadily, even when age adjusted figures are used.1, 2

There are many causes of falls, and they are reviewed in detail elsewhere.8, 9 Some of the major categories of risk factors for falling are:

  • General physical functioning
  • Gait, balance, and physical performance
  • Musculoskeletal and neuromuscular measures
  • Demographic factors—for example, age, race
  • . . . [Full text of this article]


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This article has been cited by other articles:

  • Donaldson, M. G., Sobolev, B., Kuramoto, L., Cook, W. L., Khan, K. M., Janssen, P. A. (2007). Utility of the Mean Cumulative Function in the Analysis of Fall Events. Journals of Gerontology Series A: Biological Sciences and Medical Sciences 62: 415-419 [Abstract] [Full Text]  
  • Ruthig, J. C., Chipperfield, J. G., Newall, N. E., Perry, R. P., Hall, N. C. (2007). Detrimental Effects of Falling on Health and Well-being in Later Life: The Mediating Roles of Perceived Control and Optimism. J Health Psychol 12: 231-248 [Abstract]  
  • Reeves, N. D., Narici, M. V., Maganaris, C. N. (2006). Myotendinous plasticity to ageing and resistance exercise in humans. Exp Physiol 91: 483-498 [Abstract] [Full Text]  
  • Carter, N D, Khan, K M, Petit, M A, Heinonen, A, Waterman, C, Donaldson, M G, Janssen, P A, Mallinson, A, Riddell, L, Kruse, K, Prior, J C, Flicker, L, McKay, H A (2001). Results of a 10 week community based strength and balance training programme to reduce fall risk factors: a randomised controlled trial in 65-75 year old women with osteoporosis. Br. J. Sports. Med. 35: 348-351 [Abstract] [Full Text]  

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