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Abstract

Summary: This was the first study assessing falls prospectively in middle-aged women. The 1-year incidence was 42% for any fall, which suggest falls are a major issue in middle-aged women. Middle-aged women, particularly those sustaining a fall, could be a target group for fall-prevention strategies. Purpose: Incidence and circumstances of falls in middle-aged people are poorly understood. This cohort study aimed to elucidate the incidence and circumstances of falls over 1 year in middle-aged women. Methods: Falls were recorded monthly for 1 year by questionnaire in 2017-2019 in a population-based sample of women aged 41-62 years. The incidence of falls and injurious falls and related circumstances were descriptively analysed. Results: Of 273 women, 115 sustained 209 falls. The 1-year incidence was 42% for any fall, 17% for multiple (two or more) falls, and 24% for injurious falls. The incidence was greater in older age groups for any fall (33, 45, and 44% for people aged 55 years, respectively), multiple falls (7, 14, and 22%) and injurious falls (15, 20, and 28%), although only the incidence of multiple falls was significantly increased across the three age groups (P = 0.01). Most falls occurred outdoors (71%) and were attributed to tripping and slipping (60%).Conclusions: Falls are a major issue in middle-aged women, a group that has been largely ignored in the prevention of falls. Middle-aged women, in particular those sustaining a fall, could be a target group for fall-prevention strategies. Future studies are needed to identify risk factors for falling in this population so as inform the development of strategies for preventing falls in middle-aged women.

Item Type:	Article
Authors/Creators:	Wang, M and Wu, F and Callisaya, ML and Jones, G and Winzenberg, T
Keywords:	cause, descriptive analysis, injury, location, longitudinal study
Journal or Publication Title:	Osteoporosis International
Publisher:	Springer-Verlag London Ltd
ISSN:	0937-941X
DOI / ID Number:	10.1007/s00198-020-05617-4
Copyright Information:	Copyright International Osteoporosis Foundation and National Osteoporosis Foundation 2020
Related URLs:	Google Scholar: Wu, F Google Scholar: Callisaya, ML UTAS Profile: Callisaya, ML Google Scholar: Jones, G UTAS Profile: Jones, G Google Scholar: Winzenberg, T UTAS Profile: Winzenberg, T
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