Evidence map›Paper›PMID 41174600›Full record

ArticleBMC public health2025

Global and national burden of falls among individuals aged 55 years and older (1990-2021): analysis of the global burden of disease study 2021.

Weiwei Wu, Bole Zhang, Jinbo Li, Yeting Zhao, Liyuan Wang, Jing Zhao, Weixuan Hu, Yulin Li, Yongliang Feng, Suping Wang

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Weiwei Wu *Department of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China. weiwei.wu@sxmu.edu.cn.
Bole Zhang *Department of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.
Jinbo Li *Department of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.
Yeting ZhaoDepartment of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.
Liyuan WangDepartment of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.
Jing ZhaoDepartment of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.
Weixuan HuDepartment of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.
Yulin LiDepartment of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.
Yongliang FengDepartment of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China. yongliang.feng@sxmu.edu.cn.
Suping WangDepartment of Epidemiology, School of Public Health, Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, 56 Xinjian South Road, Taiyuan, 030001, China.

Funding

The National Natural Science Foundation 82373677the Research Project Supported by Shanxi Scholarship Council of China 2023-099
6 · The paper itself

Abstract

objectiveTo comprehensively evaluate the epidemiological burden, temporal trends, socio-demographic inequalities, and long-term forecasting of fall-related injuries in older adults (aged ≥ 55 years) through systematic analysis of the Global Burden of Disease (GBD) 2021 dataset.

methodsWe extracted data on fall-related incidence, prevalence, deaths, and disability-adjusted life years (DALYs) for adults aged ≥ 55 from the GBD database (1990-2021). Temporal trends were assessed using estimated annual percentage changes (EAPCs) and joinpoint regression. Age-period-cohort modeling was applied to disentangle the effects of age, time period, and birth cohort. Socioeconomic inequalities were evaluated using the slope index of inequality and concentration index. Future projections to 2046 were generated via Bayesian Age-Period-Cohort analysis.

resultsBetween 1990 and 2021, the absolute number of fall-related incidence, deaths, and DALYs among older adults doubled globally. While age-standardized rates remained relatively stable, distinct patterns emerged across Socio-demographic Index (SDI) regions: high SDI regions had the highest incidence and prevalence, whereas low SDI regions experienced higher mortality. Joinpoint regression identified sex-specific acceleration phases, notably 2005-2021 for incidence (APC = 3.747), with women demonstrating higher ASIR but men showing elevated ASPR/ASDR. Significant socioeconomic inequalities were observed and have widened over time. Projections indicate a continued increase in the absolute burden of falls through 2046, despite stable or declining age-standardized rates.

conclusionsFalls represent a major and growing public health challenge among older adults worldwide, with pronounced disparities across sex and socioeconomic levels. There is an urgent need for targeted prevention strategies and enhanced resource allocation-particularly in low SDI settings-to reduce the health impact of falls in aging populations.

Indexed as

Accidental FallsGlobal Burden of DiseaseGlobal HealthAgedAged, 80 and overDisability-Adjusted Life YearsFemaleHumansIncidenceMaleMiddle AgedPrevalenceSocioeconomic FactorsBurden of diseaseFallsHealth inequalitiesTrends

Identifiers

PMID41174600
PMCPMC12577235

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.