Navigation Links
Preventing Falls May Be Key to Avoiding Disability in Elderly

Physical inactivity, depression and falls all increase risk of developing a disability in later life. But targeting falls may be a particularly effective way to reduce the nation’s disability levels, // according to a new study.

Fall-prevention efforts that combine education about risks with exercise, home safety and health assessments offer the most promise, at least in the short run, found researchers led by Vicki Freedman, Ph.D., a professor at the University of Medicine and Dentistry of New Jersey.

Freedman and her colleagues compared three strategies to reduce late-life disability: increasing physical activity, identifying and treating depression and avoiding falls. Their findings, published in the current issue of The Milbank Quarterly, arise from a review of more than 100 intervention studies.

The review found that fall prevention efforts targeted at frail adults can reduce the risk of falling and related injuries by about 25 percent. Community-wide efforts that have been tested abroad were shown to reduce fall-related fractures by 6 percent to 33 percent.

'Both medical and environmental aspects of disability need to be addressed in a disability prevention program,' Freedman said. 'Approaches that recognize the complexities of disability appear to be more successful than those that address only a single factor.'

About one-third of people aged 65 or older — or nearly 12 million people — experience falls, said Freedman. Of these, about 20 percent to 25 percent experience severe injuries or limitations.

Traditional health insurance programs may address medical aspects of a disability, but they rarely fund home safety changes or assistive technologies that may help an older adult live independently. The researchers call for additional research that considers how best to finance and deliver a multicomponent disability prevention program.

'Ideally, such an effort should consider not only which components to target, but also which audiences to target — older adults, their families, providers or perhaps entire communities.'

Freedman said she was surprised how little evidence she and her colleagues could find about the likely long-term effects of different intervention strategies. Most studies lasted less than a year. This scarcity of evidence is significant, she said, because conclusions about the long run could be very different.

Jon Pynoos, Ph.D., co-director of the Fall Prevention Center of Excellence, said that the review correctly identified medical risk assessment/management, physical activity and environmental modifications as the 'big three' interventions capable of significantly reducing falls.

'Now we need to create ‘real-world’ programs that combine these elements and make them available to persons at moderate to high risk of falls who need them,' he said.

Pynoos said that one challenge is coordinating components from various fields — such as medicine, exercise and home modifications — with different eligibility requirements, reimbursement systems and approaches. It is also important to understand what 'dose' effect or level of each intervention is needed to have an impact, he said.

'At the Fall Prevention Center of Excellence, we are working to create sustainable community-based programs that will serve as models that can be replicated in various settings,'Pynoos said.



Source-NewswiseBR>SRM
'"/>




Related medicine news :

1. Preventing mental decline in the aged
2. Preventing white coat hypertension
3. Preventing Childhood Deaths
4. Preventing Vision Loss
5. Preventing Vision Loss
6. Preventing Colorectal Cancer
7. Preventing Prostate Cancer
8. Lycopene Can Help In Preventing Prostate Cancer
9. Heart Drug Also Effective In Preventing Specific Causes Of Death
10. Preventing cavities in children
11. Preventing Strokes Using Less Invasive Techniques
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/5/2016)... ... February 05, 2016 , ... In sleep, when the defenses of the day ... feature of patients with eating disorders is significant self-criticism, and consequently these patients experience ... are regarded as maladaptive means for coping with this unease, but also leads to ...
(Date:2/5/2016)... ... 05, 2016 , ... California Mobile Kitchens , a ... their latest mobile kitchen model, featuring customizable stainless steel interiors and a new, ... for use anywhere in the U.S. Many of their units can be seen ...
(Date:2/5/2016)... ... ... Calls Blacklist has just been updated by mobile app developer Vlad Lee. ... fixed known bugs within the app. Calls Blacklist allows its users to only have ... of their device’s battery power or memory. It provides a powerful call blocker that ...
(Date:2/5/2016)... ... February 05, 2016 , ... –This week, Atascadero water heater ... having a tankless water heater. To view the report, click here or ... tankless. While each has their pros and cons, the type chosen is almost entirely ...
(Date:2/5/2016)... ... ... is tired of trying to cram belongings into spare space that just isn’t there, a ... but before hastily spending money on a unit, take these tips into consideration. , Self-storage ... is often not told when utilizing these services are some tips on how to use ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... , Feb. 5, 2016  Venice,s newest ... is the first of its kind in the ... tattoos through advanced laser treatment. The physician-owned and ... Suncoast by storm with its revitalizing ... and advanced multi-wavelength Astanza Trinity technology. ...
(Date:2/5/2016)... -- Henry Schein, Inc. (NASDAQ: HSIC ), the world,s largest ... dental, animal health and medical practitioners, announced today that ... majority ownership interest in Dental Cremer S.A., a distributor ... . --> ... dental distribution business of Cremer S.A. With 2015 sales ...
(Date:2/4/2016)... IRVINE, Calif. , Feb. 4, 2016  Edwards ... in patient-focused innovations for structural heart disease and critical ... an accelerated share repurchase (ASR) agreement with Morgan Stanley ... common stock.  This repurchase is part of the Company,s ... of the Company,s common stock.  ...
Breaking Medicine Technology: