• Age and ageing · Jul 2009

    Randomized Controlled Trial

    Falls and fear of falling: burden, beliefs and behaviours.

    • Rebecca Boyd and Judy A Stevens.
    • Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. Rboyd@cdc.gov
    • Age Ageing. 2009 Jul 1;38(4):423-8.

    Objectivesthis study estimated the frequency of recent falls and prevalence of fear of falling among adults aged 65 and older.Designa cross-sectional, list-assisted random digit dialling telephone survey of US adults from 2001 to 2003.Subjects1,709 adults aged 65 or older who spoke either English or Spanish.Methodsprevalence estimates were calculated for recent falls, fall injuries, fear of falling and fall prevention beliefs and behaviours.Resultsan estimated 3.5 million, or 9.6%, of older adults reported falling at least once in the past 3 months. About 36.2% of all older adults said that they were moderately or very afraid of falling. Few older adults who fell in the past 3 months reported making any changes to prevent future falls.Conclusionsthe high prevalence of falls and fear of falling among US older adults is of concern. Both can result in adverse health outcomes including decreased quality of life, functional limitations, restricted activity and depression. Older adults' fear of falling and their reluctance to adopt behaviours that could prevent future falls should be considered when designing fall prevention programmes.

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