Suppr超能文献

如何应对全球跌倒挑战?

How to tackle the global challenge of falls?

机构信息

Amsterdam UMC location University of Amsterdam, Internal Medicine, Section of Geriatric Medicine, Amsterdam, The Netherlands.

Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

出版信息

Age Ageing. 2022 Nov 2;51(11). doi: 10.1093/ageing/afac264.

Abstract

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.

摘要

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。

相似文献

1
How to tackle the global challenge of falls?
Age Ageing. 2022 Nov 2;51(11). doi: 10.1093/ageing/afac264.
4
Reducing falls and resulting hip fractures among older women.
MMWR Recomm Rep. 2000 Mar 31;49(RR-2):3-12.
9
[Synthesis in French of the 2022 global recommendations for the management and prevention of falls in the elderly].
Geriatr Psychol Neuropsychiatr Vieil. 2023 Jun 1;21(2):149-160. doi: 10.1684/pnv.2023.1108.
10
New horizons in falls prevention.
Age Ageing. 2018 Jul 1;47(4):492-498. doi: 10.1093/ageing/afy059.

引用本文的文献

2
Preventative approaches to falls and frailty.
Osteoporos Sarcopenia. 2025 Jun;11(2 Suppl):50-53. doi: 10.1016/j.afos.2025.04.002. Epub 2025 May 9.
6
Safe(r) Landing by Older People: A Matter of Complexity.
J Gerontol A Biol Sci Med Sci. 2024 Oct 1;79(10). doi: 10.1093/gerona/glae180.
9
Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults: A Review.
JAMA. 2024 Apr 23;331(16):1397-1406. doi: 10.1001/jama.2024.1416.

本文引用的文献

2
Sustainable fall prevention across Europe: challenges and opportunities.
Aging Clin Exp Res. 2022 Oct;34(10):2553-2556. doi: 10.1007/s40520-022-02178-w. Epub 2022 Jul 13.
3
Fall prevention in older people: past, present and future.
Age Ageing. 2022 Jun 1;51(6). doi: 10.1093/ageing/afac105.
4
Recent fall and high imminent risk of fracture in older men and women.
Age Ageing. 2022 Jun 1;51(6). doi: 10.1093/ageing/afac141.
5
Interventions to reduce falls in hospitals: a systematic review and meta-analysis.
Age Ageing. 2022 May 1;51(5). doi: 10.1093/ageing/afac077.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验