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Falls? Falls! Ugh! Here’s What Matters in Prevention…

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Falls? Falls! Ugh! Here’s What Matters in Prevention…

You may think winter – with its snow and slippery ice – is the only time when the majority of falls occur.  Think again.  And as we and our loved ones age, falls loom large on the list of preventable injuries.

So it’s time – right now – to think about how to prevent falls.

According to the Centers for Disease Control (CDC):

  • One out of five falls causes a serious injury such as broken bones or a head injury.

    AFL’s Dr. Mache Seibel

  • Each year, 2.8 million older people are treated in emergency departments for fall injuries.
  • Over 800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture.
  • Each year at least 300,000 older people are hospitalized for hip fractures.
  • More than 95% of hip fractures are caused by falling, usually by falling sideways.
  • Falls are the most common cause of traumatic brain injuries (TBI).
  • Adjusted for inflation, the direct medical costs for fall injuries are $31 billion annually. Hospital costs account for two-thirds of the total.

According to Dr. Neil Binkley, a geriatrician at the University of Wisconsin-Madison whom I interviewed at the Annual Meeting of the North American Menopause Society (NAMS), “Around a third of adults over age 65 fall every year and after age 75 it’s almost 50%.” Many falls do not cause injuries. But one out of five falls does cause a serious injury such as a broken bone or a head injury.

One of the important things people can do is to prevent falls before they happen because one of the things that people don’t think about as a real consequence of falling is that they can lose their independence.

According to Dr. Binkley, some of the things that people can do to prevent falls is simply common sense. “One of the biggest factors leading to falls risk is muscle weakness with advancing age. The $95 word for that is sarcopenia, which means loss of muscles.”

We all have recognized older adults who have difficulty climbing steps, getting out of the chair, getting off of the toilet, etc. and those individuals in essence have sarcopenia. So we need to do things to keep our muscles strong.

Dr. Binkley said that, “Exercise is obviously the cornerstone of that and it doesn’t have to be going to the gym and putting 50 lbs on your back.”  Just walking or climbing steps is all that is needed.

Another important part of maintaining muscle strength is protein intake. And it probably doesn’t matter whether the protein comes from animals or vegetables, in that they’re broken down to amino acids and those are the building blocks of our muscles. So activity and protein intake, as well as enough vitamin D to keep our bones strong, are all important.

Another thing that is really important to prevent falls risk is looking at all of the medications a person takes. As we age we tend to see multiple healthcare providers and we get prescribed drug X, Y and Z, and pretty soon we’re on 10 medications that are interacting. In fact, the average person is on 8 to 13 medicines.

And even over the counter ones can make you fall. One in particular are antihistamines such as Benadryl, which are common in cold and flu seasons. “Antihistamines have anticholinergic effects that can affect thinking and balance and cause us to be more likely to fall, Dr. Binkley commented, “so minimize medications, diet and exercise are really common sense things that we can do.”

Women who are on estrogen therapy often have stronger bones because estrogen can slow down or prevent the loss of calcium from the bones if taken in the earlier years after menopause, according to research provided in a recently released book, The Estrogen Fix.

Another important part of falling, assuming no bones are broken, is getting up. So rather than waiting until you fall and then saying, “How do I get up?” think about getting up off the floor ahead of time.

Dr. Binkley commented that there’s a wonderful document that you can find online from the Ministry of Health in New Zealand called, “Love your Independence,” and it’s written for the public. There are nice pictures that describe what to do. One key idea is to scoot over to a solid chair to get into a sitting position, grab on to the chair and sit down on the chair and then get up from there.

For more information on keeping your bones strong visit

“It’s better to stay well than to get well!”  Mache Seibel, MD.

Dr. Machelle (Mache) Seibel is America’s health expert, addressing the critical needs of consumers from stress and weight control to menopause and beyond. He served on the Harvard Medical School faculty for almost 20 years and is a pioneer in many areas of women’s health and more. He works with companies and organizations to bring exciting educational content to consumers. His professional experiences include:

– Host for PBS and NBC TV episodes, frequent media expert;

– Repeatedly voted into Best Doctors in America;

– Past Editor-in-Chief of the medical journal Sexuality, Reproduction & Menopause;

– Distinguished Alumnus Award, the University of Texas Medical Branch’s highest honor 2008;

– Multiple national awards for research, writing, music writing and patient education;

– Professor, University of Massachusetts Medical School 2004-present;

– Director, Complicated Menopause Program, University of Massachusetts Medical School 2004-2011;

– Founder of HealthRock®, reshaping health education with health songs and entertainment;

– Past Medical Director, Inverness Medical Innovations (now Alere);

– Corporate Consultant and Corporate Health Expert Nationally and Internationally;

– Author/editor 14 books, over 200 scientific articles;

– American Cancer Society New England Division Medical Advisory Network;

– Advisory board of Dr. Mehmet Oz’s HealthCorps initiative to fight childhood obesity; and

– Nationally known guest speaker, key note speaker.

Visit his award-winning website and sign up for his free monthly newsletter.

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