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JAMA Clinical Reviews

Falls in Community-Dwelling Older Adults

Mar 27, 2024
Experts in falls prevention, Karin E. Ouchida and Cathleen Colon-Emeric, discuss risk assessment and prevention of falls in older adults. They emphasize the importance of annually screening older adults for fall risk, gait speed tests, exercise interventions, balance training, and a comprehensive approach to prevent falls in this demographic.
17:13

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Quick takeaways

  • Regular screening for fall risk in older adults using simple questions like 'Have you had any falls in the last year?' is essential for early detection.
  • Exercise interventions focusing on leg strength and balance, along with multifactorial approaches targeting individual risk factors, are effective in reducing falls in older adults.

Deep dives

Screening for Fall Risk in Older Adults

Screening for fall risk in older adults involves annual assessments for all individuals aged 60 or older, with a focus on adults aged 65 and above. Asking simple questions like 'Have you had any falls in the last year?' and inquiring about unsteadiness and worries about falling can aid in early detection. Clinical examinations, including gait speed tests, help predict fall risk, with a gait speed less than 0.8 meters per second indicating a higher risk.

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