- Balanced disorders, muscular strength, movement and/or mobility: These factors affect the postural control required for daily movements. A training program accompanied by a healthcare professional can help, both individually and in group.
- Cognitive disorders: Dementia, delirium and depression increase the risk of falling. Treatment of these disorders is important but not always possible. Fall prevention strategies should be adapted to elderly with cognitive impairments.
- Visual impairment: Regular eye checks, use of custom glasses and environmental adjustments can reduce the risk.
- A low blood pressure or a sudden fall in blood pressure upon recuperation (orthostatic hypotension): Discuss dizziness with the GP, avoid rapid changes in body position and take sufficient moisture and salt.
- Valangst: Exercise programs and activities such as Tai Chi can reduce anxiety, but long-term effects are not always proven.
- Pain: Treatment of pain symptoms, including foot problems, may reduce the risk of falling.
- Urinary incontinence: Treatment of underlying factors such as urinary tract infections and use of a toilet seat can help.
- Low vitamin D content: Supplements are recommended for vulnerable elderly and deprived elderly.
- Risk behaviour: Risky behaviour in daily activities increases the risk of falling.
- High age: Ageing increases the risk of falling due to physical deterioration and multimorbidity.
- Fall history: Elderly people who have fallen before are at higher risk of falling again.
- Medicine: Discuss medication use with the GP to reduce the risk of falling.
- Insecure environment: Remove obstacles and make the environment safer, for example by providing good lighting and firm handles.
- Unadapted footwear: Wear shoes with a sturdy, flat sole and avoid high heels.
- Underweight (low BMI): A low BMI may increase the risk of falling due to decreased muscle strength and osteoporosis.
- Sleep disorders: Treat underlying causes of sleep disorders to reduce the risk of falling.
- Osteoporosis Low bone density increases the risk of fall fractures.
- Alcohol: Limit alcohol consumption due to possible negative effects on cognition and balance, although it is not considered as a prominent risk factor according to the guidelines.
Identifying and addressing these risk factors may significantly reduce the risk of falling in the elderly.