INDIANAPOLIS (WISH) — Thousands of older adults fall each year, with many leading to fractures, surgeries, disability, a decline in quality of life and death. From 2003-2023, death rates from unintentional falls in adults 65-74 years of age rose over 70%.

More than 40,000 Americans, ages 65 years and older, died of falls in 2023. With increasing age, the rate of death from falls continues to climb. It is important to know the risk factors and ways to prevent you and your loved one from being affected.

• RELATED: More older adults are dying from unintentional falls, CDC report shows

Risks factors for falls and death from a fall

• Caucasian race
• Male gender
• Vision problems
• Hearing difficulties
• Dementia
• Neuropathy
• Peripheral vascular disease
• Postural hypotension (blood pressure that drops too low when rising from a sitting or lying position)
• Age-related muscle loss (sarcopenia)
• Urinary incontinence
• Improper footwear (too big, too small, backless, heels)
• Diuretic use
• Sleeping pills
• Polypharmacy (taking multiple medications and increased risk of possible interactions between the medications)
• Uneven walking paths and poorly lit walking paths
• Osteoporosis

Fall prevention

• Stay physically active. Consider a referral to physical therapy from your primary care physician. Look into https://tools.silversneakers.com/.
• Have vision and hearing checked routinely and anytime that a change in baseline is noted.
• Vitamin D screening, adequate dietary calcium intake and direct sunlight exposure with supplementation as needed.
• Bone density scan to screen for osteoporosis.
• Light walking paths and keep these areas tidy.
• Install handrails and grab bars.
• Avoid the use of throw rugs.
• For those using mobility devices, get routine assessments by device company and/or therapist. 
• Store items in easy to reach locations.
• Set-up an emergency response system using your smart device, alert bracelet or necklace.
• Consider keeping your phone on you at all times, including when moving throughout your home and yard.
• Contact your local aging agency, health department and primary care team regarding assistance with home modifications.