Abstract

Falls in older adults are amajor public health problem, affecting 1 in 3persons aged 65 and over at least once ayear. Consequences of falling include death, injuries, fear of falling, and subsequent loss of independence. The age-related loss of muscle mass and function (sarcopenia) as well as muscle strength are markers of the frailty syndrome. In addition, they are associated with physical function and are a risk factor for falling. Older adults should be screened for falls at least annually. If evaluated as at-risk, acomprehensive falls assessment should be conducted to determine an individual's risk profile. Physical exercise with balance and strength training play akey role in the prevention and management of functional decline and fall risk. Multifactorial interventions are indicated in at-risk individuals. In sarcopenic individuals, sufficient intake of protein must be taken into account and supplementation in combination with exercise appears to be useful.

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