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Incidence and circumstances of falls among middle-aged women: a cohort study

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Wang, M, Wu, F ORCID: 0000-0003-3753-974X, Callisaya, ML ORCID: 0000-0003-2122-1622, Jones, G ORCID: 0000-0002-9814-0006 and Winzenberg, T ORCID: 0000-0002-4112-3491 2020 , 'Incidence and circumstances of falls among middle-aged women: a cohort study' , Osteoporosis International , pp. 1-9 , doi: 10.1007/s00198-020-05617-4.

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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

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