ArticleBMC geriatrics2013
Sex differences in circumstances and consequences of outdoor and indoor falls in older adults in the MOBILIZE Boston cohort study.
Article in BMC geriatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
65 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outdoor Environmental Risk Factors for Falls and Fear of Falling: A Systematic Review.The Gerontologist · 2025Pooled it
- Gait Speed Modifies Efficacy of Home-Based Exercise for Falls in Older Adults With a Previous Fall: Secondary Analysis of a Randomized Controlled Trial.Physical therapy · 2025Trial
- Baseline health-related quality of life predicts falls: a secondary analysis of a randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Trial
- Falls Risk in Relation to Activity Exposure in High-Risk Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Trial
- Trial
- Degree of Trauma Differs for Major Osteoporotic Fracture Events in Older Men Versus Older Women.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016Trial
- Circumstances of fall-related fracture events among men in late life.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Toward An Improved Reporting of Fall Circumstances Among Community-Dwelling Older Adults: A Systematic Review and Reporting Guide for the 6 W's of Falls.Journal of frailty, sarcopenia and falls · 2026Review
- Characteristics of fall recurrence among persistent, quasi-persistent, and transient fallers: a 3-year analysis from the SCOPE study.European geriatric medicine · 2026Article
- Impact of coexisting lumbar spinal stenosis and sleep disorders on fall risk: a cross-sectional study of community-dwelling residents (locomotive syndrome and health outcome in Aizu cohort study).European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- A multidimensional analysis of fall risk among older adults in India: evidence from the longitudinal ageing study in India (LASI).European geriatric medicine · 2026Article
- Discriminating Between Fallers and Non-Fallers Using Kinematic Data from the Heel2Toe™ Wearable Sensor.Sensors (Basel, Switzerland) · 2026Article
- Geographic and seasonal variations in hip fracture incidence in Sweden: a nationwide population-based study.Archives of osteoporosis · 2026Article
- Sex differences in fall circumstances and injury biomechanics among older adults: A narrative review.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2026Review
- Risk factors associated with injurious falls on snow or ice: results from the Canadian Longitudinal Study on Aging.Innovation in aging · 2026Article
- Prevalence of insufficient outdoor activity and caregiver-related correlates among school-aged children in Beijing, China: a cross-sectional analysis.Frontiers in public health · 2026Article
- Fall Frequency, Risk Factors, and Outcomes in Parkinson's Disease: A Cross-Sectional Analysis.medRxiv : the preprint server for health sciences · 2025Article
- Delayed orthostatic hypotension in Parkinson's disease and in the general ageing population.Age and ageing · 2025Article
- Dynamic balance control in healthy young women during stair descent: a plantar pressure-based study.Frontiers in bioengineering and biotechnology · 2025Article
- Gender differences in the associations of recreational walking with indoor and outdoor falls among older adults-the Healthy Aging and Neighborhood Study (HANS).AIMS public health · 2025Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundDespite extensive research on risk factors associated with falling in older adults, and current fall prevention interventions focusing on modifiable risk factors, there is a lack of detailed accounts of sex differences in risk factors, circumstances and consequences of falls in the literature. We examined the circumstances, consequences and resulting injuries of indoor and outdoor falls according to sex in a population study of older adults.
methodsMen and women 65 years and older (N = 743) were followed for fall events from the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly (MOBILIZE) Boston prospective cohort study. Baseline measurements were collected by comprehensive clinical assessments, home visits and questionnaires. During the follow-up (median = 2.9 years), participants recorded daily fall occurrences on a monthly calendar, and fall circumstances were determined by a telephone interview. Falls were categorized by activity and place of falling. Circumstance-specific annualized fall rates were calculated and compared between men and women using negative binomial regression models.
resultsWomen had lower rates of outdoor falls overall (Crude Rate Ratio (RR): 0.72, 95% Confidence Interval (CI): 0.56-0.92), in locations of recreation (RR: 0.34, 95% CI: 0.17-0.70), during vigorous activity (RR: 0.38, 95% CI: 0.18-0.81) and on snowy or icy surfaces (RR: 0.55, 95% CI: 0.36-0.86) compared to men. Women and men did not differ significantly in their rates of falls outdoors on sidewalks, streets, and curbs, and during walking. Compared to men, women had greater fall rates in the kitchen (RR: 1.88, 95% CI: 1.04-3.40) and while performing household activities (RR: 3.68, 95% CI: 1.50-8.98). The injurious outdoor fall rates were equivalent in both sexes. Women's overall rate of injurious indoor falls was nearly twice that of men's (RR: 1.98, 95% CI: 1.44-2.72), especially in the kitchen (RR: 6.83, 95% CI: 2.05-22.79), their own home (RR: 1.84, 95% CI: 1.30-2.59) and another residential home (RR: 4.65, 95% CI: 1.05-20.66) or other buildings (RR: 2.29, 95% CI: 1.18-4.44).
conclusionsSignificant sex differences exist in the circumstances and injury potential when older adults fall indoors and outdoors, highlighting a need for focused prevention strategies for men and women.
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