title: [Accidental falls in the elderly].
abstract: 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%).
authors.affiliation: Universitäres Zentrum für Altersmedizin und Rehabilitation, Felix Platter-Spital Basel.
authors.forename: Niklas B
authors.initials: NB
authors.lastname: Heinimann
authors.affiliation: Universitäres Zentrum für Altersmedizin und Rehabilitation, Felix Platter-Spital Basel.
authors.forename: Reto W
authors.initials: RW
authors.lastname: Kressig
mesh_terms: D000058:Accidental Falls / Q000401:mortality* / Q000517:prevention & control; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D003704:Dementia / Q000150:complications / Q000175:diagnosis / Q000401:mortality; D006801:Humans; D051346:Mobility Limitation; D004856:Postural Balance; D012307:Risk Factors; D055948:Sarcopenia / Q000150:complications / Q000175:diagnosis / Q000401:mortality; D013557:Switzerland; D014947:Wounds and Injuries / Q000209:etiology / Q000401:mortality* / Q000517:prevention & control
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