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Published in: Full Name Comment goes here. Are you sure you want to Yes No. Results The prevalence of all falls in the past year was Non-accidental falls had an estimated prevalence of 5.
The prevalence for syncope was estimated to be 4. Conclusions The prevalence of all falls and non-accidental falls increases with age but the same pattern was not consistently observed for syncope.
There is an increased odds of reporting all three outcomes with increasing number of self-reported cardiovascular conditions. Further work is needed to uncover the interplay between cardiovascular disease and subsequent falls.
Introduction Falls and syncope are common in older adults. Given projected changes in global demographics and advancing age, the management of falls and syncope and their consequences will become even more pertinent in the near future[ 3 ]. Falls frequently occur due to the environment or accidental events such as trips or slips [ 4 ].
These accidental falls become more common with advancing age and are often due to age and disease associated reductions in physical, sensory and cognitive function which make an individual more susceptible to environmental hazards[ 4 ]. However, some falls are not accidental but rather are due to drops in blood pressure which may lead to either balance instability or, in some cases, loss of consciousness i.
Similar to syncope, non-accidental falls NAF have been linked to cardiovascular disorders with a possible common causal pathway and overlap[ 6 ].
Dynamic changes in blood pressure with higher rates of orthostatic hypotension have been associated with an increased risk of NAF and injurious falls in community-dwelling adults [ 7 ]. In addition to shared cardiovascular associations there is a higher reported prevalence of depression in patients with both NAF and syncope[ 13 , 14 ]. Despite the overlap, falls, NAF and syncope are generally reported separately, therefore studies which distinguish between them and examine them in more depth are required [ 15 ].
We hypothesise that the prevalence of all falls, NAF and syncope increase with age and share common demographic and cardiovascular risk factors. In order to show this, we calculated the prevalence of all reported falls, NAF and syncope in a population study of community-dwelling adults aged 50 years and over and examined the demographic and cardiovascular health variables associated with all falls, NAF and syncope.
TILDA is a prospective cohort study of the social, economic and health circumstances of community-dwelling adults aged 50 years and older resident in the Republic of Ireland. The sampling procedure and the study design have been described in detail previously [ 16 , 17 ].
Briefly, the sampling frame was the Irish Geodirectory, a listing of all residential addresses in the Republic of Ireland.