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Praxis (Bern 1994). 2014 Jun 18;103(13):767-73. doi: 10.1024/1661-8157/a001693.

[Accidental falls in the elderly].

[Article in German; Abstract available in German from the publisher]

Author information

1
Universitäres Zentrum für Altersmedizin und Rehabilitation, Felix Platter-Spital Basel.

Abstract

in English, French, German

Falls in the elderly are common with consecutive high mortality and morbidity. Recent consecutive data focus on identification and therapy of intrinsic risk factors. Sarcopenia, imbalance and gait disorders represent the major risk factors. Sarcopenia is caused by a disequilibrium of protein synthesis and breakdown, probably in consequence of age-related changes in protein metabolism. Protein supplements in combination with strength training shows the best benefit. Disorders in balance and gait are caused by age-related or pathologic changes in a complex regulation system of gait. The individual fall risk correlates with the gait variability and even increases with bad dual task performance. Activities with high requirements of attention and body awareness are the most effective prevention for falls in the elderly (-50%).

KEYWORDS:

Alter; Gangvariabilität; Sarkopenie; Sturz-Risikofaktoren; Stürze; chute; elderly; facteurs de risque des chutes; falls; risk factors of falls gait variability; sarcopenia; sarcopénie; variabilité de la marche; vieillesse

PMID:
24938159
DOI:
10.1024/1661-8157/a001693
[Indexed for MEDLINE]

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