Deaths from falls among older Americans are on the rise

FILE - In this Nov. 6, 2015 file photo, an elderly couple walks down a hall of a nursing home in Easton, Pa. Research released on Tuesday, June 4, 2019 shows fatal falls have nearly tripled in older Americans in recent years, rising to more than 25,000 deaths yearly. (AP Photo/Matt Rourke, File)
FILE - In this Nov. 6, 2015 file photo, an elderly couple walks down a hall of a nursing home in Easton, Pa. Research released on Tuesday, June 4, 2019 shows fatal falls have nearly tripled in older Americans in recent years, rising to more than 25,000 deaths yearly. (AP Photo/Matt Rourke, File)

CHICAGO - New research shows fatal falls have nearly tripled in older Americans in recent years, rising to more than 25,000 deaths yearly.

The findings highlight the importance of fall prevention. A separate study bolsters evidence that programs focusing on improving muscle strength and balance can help achieve that goal.

Both studies were published Tuesday in the Journal of the American Medical Association.

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Community partners across Southeast Tennessee offer several evidence-based falls prevention classes. “A Matter of Balance” is an eight-session course that addresses fear of falling and helps to improve strength, flexibility and balance to reduce fall risk. “Tai Chi for Arthritis and Fall Prevention” is another eight-session class providing benefits that can reduce fall risk, such as improved coordination, increased muscle strength and decreased stress. For more information about falls prevention resources, call the Southeast Tennessee Area Agency on Aging and Disability at 866-836-6678.

Circumstances weren't included in the data, but traumatic brain injuries and hip fractures leading to steep health declines are among causes of death in older adults who fall.

"Deaths from falls may have increased because older people are living longer, living longer independently, and are living longer with chronic conditions," said Elizabeth Burns, a study co-author and health scientist at the U.S. Centers for Disease Control and Prevention's injury center.

She noted that some medications also make older adults prone to falls. That includes prescription drugs affecting balance. Burns said research shows their use of certain psychiatric medications that can cause drowsiness and vision problems has increased substantially in recent years.

The new analysis included 16 years of U.S. vital statistics data on adults aged 75. Fatal falls increased from 8,600 in 2000 to 25,190 in 2016. Separate CDC data show they climbed even higher in 2017, to almost 26,440 fatal falls in Americans aged 75 and older.

The rate in the study more than doubled, from 51 fatal falls per 100,000 people to 122 falls per 100,000. The results echo studies of fatal fall trends in the Netherlands and other European countries.

Weight-bearing exercise such as walking; balance exercises; and resistance exercises to strengthen muscles can reduce risks for falls, said Dr. Marco Pahor of the University of Florida's aging and geriatric research department, who wrote an accompanying journal editorial.

The program studied in the second study involved exercises three times a week at home for a year, with five sessions led by a physical therapist. These include seated and standing leg lifts, knee bends and backward walking, plus walking half an hour at least twice weekly.

Participants were 344 Canadian adults aged 70 and older who had experienced a recent fall. Half were randomly assigned to the program plus usual care by a doctor; the remainder received only usual care.

There were 236 falls during the study among the exercise group compared with 366 falls among the others.

Pahor said many older adults aren't aware of programs that can help them. Many U.S. communities offer fall prevention exercise programs at senior centers, and the National Council on Aging offers tips online.

Chattanooga is also feeling the effects of fall increases.

In 2018, Erlanger Health System treated 2,282 falls - more than any other trauma - followed by 1,402 motor vehicle crashes and 240 assaults, according to the hospital's trauma reports.

Staff writer Elizabeth Fite contributed to this story.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content.

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