Amsterdam UMC location University of Amsterdam, Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands.
Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Age Ageing. 2022 Nov 2;51(11). doi: 10.1093/ageing/afac264.
Worldwide, falls and accompanying injuries are increasingly common, making their prevention and management a critical global challenge. The wealth of evidence to support interventions to prevent falls has recently (2022) been distilled in the first World Falls Guideline for Prevention and Management for Older Adults. The core of falls prevention includes (i) risk assessment and stratification; (ii) general recommendations on optimising physical function and mobility for all and (iii) offering a holistic, multidomain intervention to older adults at high risk of falls, in which the older adult's priorities, beliefs and resources are carefully considered. In recent decades, sustainable and adequately resourced falls prevention has proved challenging, although evidence suggests that suboptimal implementation of falls prevention is ineffective. Future research should focus on understanding the most successful approaches for implementation. To further optimise falls prevention, recent developments include technological innovation to identify and prevent falls, including exergaming. Further work is warranted to understand how to best incorporate the concepts of frailty and sarcopenia in falls prevention and management. This themed collection includes key articles in the field of falls prevention, covering several topics including risk factors, effective interventions, older adult's views, implementation issues and future perspectives.
在全球范围内,跌倒及其伴随的伤害越来越常见,因此预防和管理这些伤害成为了一个全球性的挑战。最近(2022 年),有大量证据支持预防跌倒的干预措施,这些措施被汇总到了第一份《世界老年人跌倒预防和管理指南》中。预防跌倒的核心包括:(i)风险评估和分层;(ii)优化所有人群身体功能和移动能力的一般建议;(iii)为高跌倒风险的老年人提供全面的、多领域的干预措施,在该措施中,老年人的优先事项、信念和资源都将被仔细考虑。尽管有证据表明,预防跌倒措施实施不当是无效的,但在最近几十年中,可持续和充足资源的跌倒预防一直具有挑战性。未来的研究应重点关注了解实施最成功方法。为了进一步优化跌倒预防,最近的发展包括用于识别和预防跌倒的技术创新,包括外骨骼游戏。有必要进一步研究如何最好地将脆弱性和肌肉减少症的概念纳入跌倒预防和管理中。本专题集包括跌倒预防领域的关键文章,涵盖了风险因素、有效干预措施、老年人观点、实施问题和未来展望等几个主题。