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Falls Risk Factors: Assessment and Management To Prevent Falls and Fractures*

Published online by Cambridge University Press:  03 May 2011

Finbarr C. Martin
Finbarr C. Martin*
Affiliation:
Consultant Geriatrician
*
†Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Finbarr C. Martin, M.D. Consultant Geriatrician Guys and St Thomas’ NHS Foundation Trust and King’s College London Institute of Gerontology St Thomas’ Hospital Westminster Bridge Road London, ON SE1 7EH (Finbarr.martin@gstt.nhs.uk)
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Abstract

Falls and fragility fractures are common, dangerous, and important public health challenges. They are best understood as geriatric syndromes with close relation to frailty and other aging-related health problems. They are associated with many risk factors, in all health domains – physical, psychological, social, and environmental. At a population level, the challenge is to improve the health and well-being of all older people to reduce the incidence of falls. At a clinical level, the challenge is to assess the individual risk factors and apply evidence-based individually tailored, multifactorial interventions. The most powerful component is strength-and-balance exercise training.

Résumé

Les chutes et les fractures pathologiques sont des défis communs, dangereux et importants de la santé publique. Ils sont mieux compris comme des syndromes gériatriques étroitement liés à la fragilité et d’autres problèmes de la santé liés à l’âge. Ils sont associés à de nombreux facteurs de risque, dans tous les domaines de la santé – physiques, psychologiques, sociaux et environnementaux. Au niveau de la population, le défi consiste à améliorer la santé et le bien-être de toutes les personnes âgées à réduire l’incidence des chutes. Au niveau clinique, le défi consiste à évaluer les facteurs de risque individuels et d’appliquer des interventions multifactorielles factuelles sur mesure. » La composante plus puissante est l’entraînement physique de l’équilibre et de la résistance.

Keywords

chutes, fractures pathologiquesfacteurs de risquefragilitésyndrome gériatriquepréventionfallsfragility fracturesrisk factorsfrailtygeriatric syndromeprevention
Type
Special Section: Falls Prevention / Section spéciale: Prévention des chutes
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 30 , Issue 1 , March 2011 , pp. 33 - 44
Copyright
Copyright © Canadian Association on Gerontology 2011

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Footnotes

*

Sincere thanks to my patients and to my many research and clinical collaborators over the 28 years during which I have been privileged to work with frail older people in the England National Health Service.

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