Why Do Older Adults Experience More Falls?

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Medical Guardian

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Posted on

Aug 13, 2025

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National

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As the years go by, the body naturally changes—sometimes in ways that are hardly noticeable, and other times in ways that make daily activities more challenging. Many older adults still feel young at heart, but physical changes related to aging can increase the risk of falling.

Falls are a serious concern. According to the Centers for Disease Control and Prevention (CDC), 1 in 4 adults over age 65 experiences a fall each year, making falls the leading cause of injury and injury-related death in this age group.

But why do older adults tend to fall more often? Let’s take a closer look.

 

Common Reasons Seniors Fall

The risk of falling doesn’t suddenly begin at a certain age—it develops gradually as age-related changes occur. Some of the most common contributing factors include:

 • Balance changes: Age, neurological conditions, or lack of physical activity can affect balance and stability, raising the risk of falls.

 • Muscle and bone loss: Reduced muscle strength and bone density make it harder to stay steady and increase the risk of fractures.

 • Vision problems: Declining eyesight, especially in low light, can make it harder to navigate safely.

 • Medications: Certain prescriptions—or combinations of them—may cause dizziness, drowsiness, or unsteadiness.

 • Chronic conditions: Health issues like diabetes, heart disease, or arthritis can interfere with mobility and coordination.

 • Cognitive decline: Dementia and other memory-related conditions can impact judgment, balance, and body control.

 • Environmental hazards: Clutter, dim lighting, loose rugs, and slippery surfaces inside the home often contribute to falls.

These risks add up. The CDC reported that in 2018 alone, older Americans experienced more than 35 million falls, resulting in over 8 million injuries.

 

Fall Prevention Tips for Older Adults

The good news is that while aging is inevitable, there are proactive steps to reduce fall risk and stay safe:

1. Stay on Top of Health Care

Regular checkups with your primary doctor and specialists—such as eye doctors or neurologists—are essential. Be open about any health changes, balance issues, or medication side effects so adjustments can be made.

2. Stay Active

Exercise helps maintain strength, flexibility, and coordination. Strength training, yoga, tai chi, and balance-focused activities are excellent for fall prevention. Even light movement each day can make a big difference.

3. Make Your Home Safer

Since most falls occur at home, simple changes can prevent accidents. Remove clutter, secure loose rugs, add brighter lighting, install grab bars in bathrooms, and consider handrails on both sides of stairways.

4. Use Supportive Tools

Mobility aids such as canes or walkers, when recommended by a healthcare provider, can greatly reduce risk. Some older adults also choose to wear fall-detection devices for added peace of mind.

 

The Bottom Line

Falls are common among older adults, but they don’t have to be inevitable. By staying active, managing health conditions, and making smart changes at home, seniors can lower their fall risk and maintain independence for longer.

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