© 2001 the British Journal of Sports Medicine
Leader
Physical activity to prevent falls in older people: time to intervene in high risk groups using falls as an outcome
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 1220% 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, 2There 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 factorsfor example, age, race
> . . . [Full text of this article]
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