A positive lifestyle can be the best defense against falling old people.
Waterfalls are a major cause of injury and death among the elderly. In 2014, about a third of adults age 65 and older reported falling, which was associated with 33,000 deaths.
If you want to reduce the risk of falls, regular exercise may be your best bet, according to the latest recommendations from the U.S. preventive services task force.
The influential group came to this conclusion after reviewing about 20 studies involving adults age 65 and older. Half of the studies recruited high-risk groups. When the USPSTF experts combined data from several studies, they found that exercise reduced the likelihood of falling and falling related injuries.
“All of these seem to work well with a series of exercise interventions,” Dr. Alex Krist, vice President of the USPSTF, said in an email.
The focus of the exercise program is strength and resistance training, as well as balance and gait. “They include individual and group exercises, and referral to a physical therapist or attend classes like tai chi,” Chris said, he is also in Richmond Virginia commonwealth university professor of family medicine and population health.
Most studies require participants to exercise three times a week for about a year. “Overall, the risk of a fall in someone who completed the exercise was reduced by 10 to 20 percent,” Krist said.
The USPSTF exercise was recommended on Tuesday in JAMA, the journal of the American medical association.
The task force also assessed evidence of vitamin D supplementation. After 2012 previously suggested, working group now suggest not vitamin D supplements to prevent people 65 and older falls, unless they are known to suffer from osteoporosis or vitamin D deficiency.
After reviewing several studies on the effects of vitamin D supplementation, the working group did not see a consistent benefit. “The combined analysis showed no significant decline in the rate of falls and no significant impact on the number of people taking vitamin D supplements,” the report’s authors wrote in the report.
Wisconsin seniors are second in the fall.
Crist says the proposal is suitable for the elderly without vitamin D deficiency: “we know that in this group, vitamin D does not prevent fall, the dose of vitamin D and calcium will not prevent fracture.”
Given that vitamin D deficiency is common in older people, with an estimated 20 percent or more of the population, I asked Chris what is the downside of recommending supplements to all older people? “We suggest that people try to through their way of life have a healthy dose of vitamin D and calcium, but now we still don’t know at this point they will be as supplements are beneficial or harmful,” he said.
A study found that women who consumed 400 IUs (or IUs) of vitamin D and 1,000 mg of calcium each day had a higher risk of kidney stones.
Next to the proposal published an editorial in JAMA, points out that “for the increased risk of osteoporosis patients, those with vitamin d deficiency, or both, it is reasonable to consider vitamin d supplementation (800-1000 IU/d above), consistent with other professional associations suggest… “.
The editorial was written by a group of experts, including Dr JoAnn Manson and Dr Shalender Bhasin, of the brigham and women’s hospital preventive medicine division, in the same hospital.
The editorial concludes that more evidence will be available in the next few years to determine whether higher doses of vitamin D supplements will help reduce fractures and falls. In the United States and Europe, two clinical trials are under way to test 2,000 IU of vitamin D and placebo daily. “So clinicians will have more data to guide their treatment decisions in these important areas,” the editor concluded.