Age and Ageing

, volume 51 , issue 9

World guidelines for falls prevention and management for older adults: a global initiative

Manuel Montero-Odasso ^{1, 2, 3}

Finbarr C. Martin ⁴

Maw-Pin Tan ^{5, 6}

Jesper Ryg ^{7, 8}

Sara Aguilar Navarro ⁹

Hubert Blain ¹⁰

Robbie Bourke ¹¹

Ian D Cameron ¹²

Gustavo Reyes Duque ¹³

Suzanne M Dyer ¹⁴

Fernando Gómez ¹⁵

Jeffrey M. Hausdorff ^{16, 17, 18}

Susan M W Hunter ¹⁹

Jose R Jauregui ²⁰

Rose Anne Kenny ¹¹

Sarah E. Lamb ²¹

Nancy K. Latham ²²

Lewis A. Lipsitz ²³

Stephen R. Lord ^{24, 25}

David Marsh ²⁶

Koen Milisen ^{27, 28}

Monica Rodrigues Perracini ²⁹

Catherine Said ^{30, 31, 32}

Catherine Sherrington ³³

Dawn A. Skelton ³⁴

Bruce R. Troen ³⁵

Jennifer A Watt ^{36, 37}

Hide authors affiliations Show authors affiliations: 37 affiliations

Lawson Health Research Institute Gait and Brain Lab, Parkwood Institute, , London, ON, Canada |

University of Western Ontario Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine & Dentistry, , London, ON, Canada |

University of Western Ontario Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, , London, ON, Canada |

⁴

Population Health Sciences, Faculty of Life Sciences and Medicine, King's College London , London, UK |

⁵

Centre for Innovation in Medical Engineering (CIME), Faculty of Engineering, University of Malaya , Kuala Lumpur 50603, Malaysia |

⁶

Faculty of Medicine, University of Malaya Department of Medicine, , Kuala Lumpur 50603, Malaysia |

⁷

Odense University Hospital Department of Geriatric Medicine, , Odense, Denmark |

⁸

University of Southern Denmark Geriatric Research Unit, Department of Clinical Research, , Odense, Denmark |

⁹

Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Department of Geriatric Medicine, , Mexico City, Mexico |

¹⁰

Montpellier University hospital and MUSE Department of Geriatrics, , Montpellier, France |

¹¹

Department of Medical Gerontology Trinity College Dublin and Mercers Institute for Successful Ageing , St James’s Hospital, Dublin, Ireland

Trinity College Dublin

St. James's Hospital

¹²

John Walsh Centre for Rehabilitation Research , Northern Sydney Local Health District and Faculty of Medicine and Health, University of Sydney. Department of Medicine (Neurology) and Neuroscience and Mental Health, Sydney, NSW, Australia |

¹³

Research Institute of the McGill University HealthCentre , Montreal, Quebec, Canada |

¹⁴

Flinders Health and Medical Research Institute , Flinders University, Adelaide, SA, Australia |

¹⁵

International Association of Gerontology and Geriatrics Collaborative Center, University Caldas Research Group on Geriatrics and Gerontology, , Manizales, Colombia |

¹⁶

Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center , Tel Aviv, Israel |

¹⁷

Sackler Faculty of Medicine, and Sagol School of Neuroscience, Tel Aviv University Department of Physical Therapy, , Tel Aviv, Israel |

¹⁸

Rush Alzheimer's Disease Center, Rush University Medical Center Department of Orthopaedic Surgery, , Chicago, IL, USA |

¹⁹

School of Physical Therapy, Faculty of Health Sciences , Elborn College, University of Western Ontario, London, ON, Canada |

²⁰

Hospital Italiano de Buenos Aires Ageing Biology Unit, , Buenos Aires, Argentina |

²¹

Faculty of Health and Life Sciences, Mireille Gillings Professor of Health Innovation, Medical School Building , Exeter, England, UK |

²²

Brigham and Women's Hospital , Boston, MA, USA |

²³

Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA, USA

Harvard University

Beth Israel Deaconess Medical Center

²⁴

Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Sydney, NSW, Australia |

²⁵

School of Public Health and Community Medicine, University of New South Wales , Sydney, NSW, Australia |

²⁶

University College London , London, England, UK |

²⁷

Academic Centre for Nursing and Midwifery, KU Leuven Department of Public Health and Primary Care, , Leuven, Belgium |

²⁸

University Hospitals Leuven Department of Geriatric Medicine, , Leuven, Belgium |

²⁹

Universidade Cidade de Sao Paulo (UNICID) Master’s and Doctoral programs in Physical Therapy, , Sao Paulo, Brazil |

³⁰

University of Melbourne Western Health, , Parkville, Melbourne, VIC, Australia

University of Melbourne

Western Health

³¹

Australian Institute for Musculoskeletal Science (AIMSS) , The University of Melbourne and Western Health, St Albans, VIC, Australia

University of Melbourne

Western Health

Australian Institute for Musculoskeletal Science

³²

Melbourne School of Health Sciences The University of Melbourne , Parkville, Australia |

³³

Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District , Sydney, Australia |

³⁴

School of Health and Life Sciences, Research Centre for Health (ReaCH) , Glasgow Caledonian University, Cowcaddens Road, Glasgow, Scotland, UK |

³⁵

Division of Geriatrics and Palliative Medicine, Department of Medicine , Jacobs School of Medicine & Biomedical Sciences, University of Buffalo; Research Service, Veterans Affairs Western New York Healthcare System, Buffalo, New York, USA |

³⁶

Li Ka Shing Knowledge Institute, St. Michael’s Hospital , Toronto, ON, Canada |

³⁷

Department of Medicine, University of Toronto , Toronto, ON, Canada |

Publication type: Journal Article

Publication date: 2022-09-30

Oxford University Press

Age and Ageing

scimago Q1

wos Q1

SJR: 1.993

CiteScore: 10.7

Impact factor: 7.1

ISSN: 00020729, 14682834

DOI: 10.1093/ageing/afac205

Copy DOI

PubMed ID: 36178003

General Medicine

Geriatrics and Gerontology

Aging

Abstract

Background

falls and fall-related injuries are common in older adults, have negative effects on functional independence and quality of life and are associated with increased morbidity, mortality and health related costs. Current guidelines are inconsistent, with no up-to-date, globally applicable ones present.

Objectives

to create a set of evidence- and expert consensus-based falls prevention and management recommendations applicable to older adults for use by healthcare and other professionals that consider: (i) a person-centred approach that includes the perspectives of older adults with lived experience, caregivers and other stakeholders; (ii) gaps in previous guidelines; (iii) recent developments in e-health and (iv) implementation across locations with limited access to resources such as low- and middle-income countries.

Methods

a steering committee and a worldwide multidisciplinary group of experts and stakeholders, including older adults, were assembled. Geriatrics and gerontological societies were represented. Using a modified Delphi process, recommendations from 11 topic-specific working groups (WGs), 10 ad-hoc WGs and a WG dealing with the perspectives of older adults were reviewed and refined. The final recommendations were determined by voting.

Recommendations

all older adults should be advised on falls prevention and physical activity. Opportunistic case finding for falls risk is recommended for community-dwelling older adults. Those considered at high risk should be offered a comprehensive multifactorial falls risk assessment with a view to co-design and implement personalised multidomain interventions. Other recommendations cover details of assessment and intervention components and combinations, and recommendations for specific settings and populations.

Conclusions

the core set of recommendations provided will require flexible implementation strategies that consider both local context and resources.

Found

2 citations

Gallou-Guyot Matthieu

🥼 🤝

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Ochanomizu University

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Brorson Stig

150 publications, 5 630 citations, 54 reviews

h-index: 30

Zealand University Hospital Køge

University of Copenhagen

1 citation

Wittich Walter

220 publications, 2 727 citations, 8 reviews

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Université de Montréal

1 citation

Moles Rebekah

168 publications, 3 598 citations, 2 reviews

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1 citation

Congiu Patrizia

29 publications, 340 citations

h-index: 11

University of Cagliari

1 citation

DESCHAMPS Thibault

17 publications, 84 citations, 8 reviews

h-index: 6

University of Nantes

Centre Hospitalier Universitaire de Nantes

1 citation

Amrouch Cheima

7 publications, 61 citations

h-index: 4

Ghent University

1 citation

Montecino Hector

14 publications, 80 citations, 1 review

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Universidad de Talca

1 citation

Sathian Brijesh

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PhD in Health sciences, professor

419 publications, 84 867 citations, 1 review

h-index: 63

Hamad Medical Corporation

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Medicine

Public health

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GOST |

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GOST Copy

Montero-Odasso M. et al. World guidelines for falls prevention and management for older adults: a global initiative // Age and Ageing. 2022. Vol. 51. No. 9.

GOST all authors (up to 50) Copy

Montero-Odasso M., Martin F. C., Tan M., Ryg J., Aguilar Navarro S., Blain H., Bourke R., Cameron I. D., Duque G. R., Dyer S. M., Gómez F., Hausdorff J. M., Hunter S. M. W., Jauregui J. R., Kenny R. A., Lamb S. E., Latham N. K., Lipsitz L. A., Lord S. R., Marsh D., Milisen K., Perracini M. R., Said C., Sherrington C., Skelton D. A., Troen B., Watt J. A. World guidelines for falls prevention and management for older adults: a global initiative // Age and Ageing. 2022. Vol. 51. No. 9.

RIS |

Cite this

RIS Copy

TY - JOUR

DO - 10.1093/ageing/afac205

UR - https://doi.org/10.1093/ageing/afac205

TI - World guidelines for falls prevention and management for older adults: a global initiative

T2 - Age and Ageing

AU - Montero-Odasso, Manuel

AU - Martin, Finbarr C.

AU - Tan, Maw-Pin

AU - Ryg, Jesper

AU - Aguilar Navarro, Sara

AU - Blain, Hubert

AU - Bourke, Robbie

AU - Cameron, Ian D

AU - Duque, Gustavo Reyes

AU - Dyer, Suzanne M

AU - Gómez, Fernando

AU - Hausdorff, Jeffrey M.

AU - Hunter, Susan M W

AU - Jauregui, Jose R

AU - Kenny, Rose Anne

AU - Lamb, Sarah E.

AU - Latham, Nancy K.

AU - Lipsitz, Lewis A.

AU - Lord, Stephen R.

AU - Marsh, David

AU - Milisen, Koen

AU - Perracini, Monica Rodrigues

AU - Said, Catherine

AU - Sherrington, Catherine

AU - Skelton, Dawn A.

AU - Troen, Bruce R.

AU - Watt, Jennifer A

PY - 2022

DA - 2022/09/30

PB - Oxford University Press

IS - 9

VL - 51

PMID - 36178003

SN - 0002-0729

SN - 1468-2834

ER -

BibTex

Cite this

BibTex (up to 50 authors) Copy

@article{2022_Montero-Odasso,

author = {Manuel Montero-Odasso and Finbarr C. Martin and Maw-Pin Tan and Jesper Ryg and Sara Aguilar Navarro and Hubert Blain and Robbie Bourke and Ian D Cameron and Gustavo Reyes Duque and Suzanne M Dyer and Fernando Gómez and Jeffrey M. Hausdorff and Susan M W Hunter and Jose R Jauregui and Rose Anne Kenny and Sarah E. Lamb and Nancy K. Latham and Lewis A. Lipsitz and Stephen R. Lord and David Marsh and Koen Milisen and Monica Rodrigues Perracini and Catherine Said and Catherine Sherrington and Dawn A. Skelton and Bruce R. Troen and Jennifer A Watt},

title = {World guidelines for falls prevention and management for older adults: a global initiative},

journal = {Age and Ageing},

year = {2022},

volume = {51},

publisher = {Oxford University Press},

month = {sep},

url = {https://doi.org/10.1093/ageing/afac205},

number = {9},

doi = {10.1093/ageing/afac205}

}

Publisher

Oxford University Press

Journal

Age and Ageing

scimago Q1

wos Q1

SJR

1.993

CiteScore

10.7

Impact factor

7.1

ISSN

00020729 (Print)

14682834 (Electronic)

Profiles

Rogelio Moctezuma-Gallegos