Osteoporosis, bone & mineral

Diminishing returns of fall reduction for hip fracture prevention in older age

Osteoporos IntPublished Secondary analysis of a meta-analysis of cohort studies

Authors' conclusion

As falls become more common with age, their predictive value for future hip fractures in women significantly decreases.

Study context

Population
Women aged ≥ 50 years from 40 cohorts with fall history in the past year and prospective information on hip fracture and death
Participants
606,715 women40 cohorts
Comparison
Fall history in the past year vs no fall history, by age stratum
Outcome
PAR (%) of hip fractures in the female population due to fall history-mediated risk increase, by age
Methodological detailspopulation-attributable risk analysis, age-stratified
  • Population-attributable risk analysis
  • Age-stratified

Pooled result

As reported in the abstract

PAR of hip fracture due to falls, by age

Population-attributable risk (PAR), women 50-54 years

23.9%

PAR, women 90-94 years

3.9%

Further pooled results

Proportion of fallers, by age

Age 50-54 years
24.6%
Age 90-94 years
45.5%
  • Increased progressively with age

Attributable risk (AR) of hip fracture due to falls, by age

Age 50-54 years
54.8%
Age 90-94 years
8.3%
  • Decreased with age

Original publication

Diminishing returns of fall reduction for hip fracture prevention in older age. Osteoporos Int. Published 6 August 2025. doi:10.1007/s00198-025-07630-x

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