Question

Lord SR, Ward JA, Williams P, Anstey K. An epidemiological study of falls in older community-dwelling women: the Randwich falls and fractures study. Aust J Public Health.. 1993;17:240-245.

Answer 1

Seven hundred and four women aged between 65 and 99 years (mean age 74.6 years), who were randomly selected from the community, took part in a study to determine whether health and lifestyle factors were associated with falls.

What exactly are fall epidemiology and fall-related injuries?

66.1 percent of the individuals had no falls in the year prior to the study, 19.7 percent had one fall, and 14.2 percent had two or more falls. As women aged, the percentage of falls occurring inside the home on a level surface increased and the percentage of falls occurring outside the home declined.

Trips, slips, and loss of balance were the most frequently reported reasons for falls. A small percentage (27%) of people who fell injured themselves, and the likelihood of injury rose with age. Significantly more falls occurred in people whose health and balance was judged as being impaired, who had limitations with daily living tasks, were receiving community assistance, used psychoactive substances, and were using four or more drugs.

Conversely, people who engaged in scheduled exercise and were active for seven or more hours per week saw fewer falls.

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