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Interpretation of the 2024 US Preventive Services Task Force Recommendation Statement on Fall Prevention in Community-Dwelling Older Adults

  

  1. 1.General Practice Ward/International Medical Center Ward/Teaching&Research Section/General Practice Research Institute,General Practice Medical Center, West China Hospital, Sichuan University, Chengdu 610000, China 2.Department of Medical Affairs / Teaching and Research Office of General Practice and Family Medicine, Wanchun Town Central Hospital, Chengdu, Sichuan 611130, China 3.West China School of Nursing, West China Hospital, Sichuan University, Chengdu 610000, China 4.Department of health policy and management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610000, China 5.Department of General Practice, Yulin Community Health Service Center, Chengdu, Sichuan 610000, China
  • Received:2025-07-28 Revised:2025-11-09 Accepted:2025-12-12
  • Contact: YANG Rong,Attending physician;E-mail:976925601@qq.com LIAO Xiaoyang, Chief physician/Professor/Doctoral supervisor;E-mail: 625880796@qq.com

美国预防临床服务指南工作组《社区老年人跌倒的预防措施》推荐声明解读

  

  1. 1.610000 四川省成都市,四川大学华西医院全科医学中心全科特需病房/ 全科医学教研室/ 全科医学研究室 2.611130 四川省成都市,万春镇中心卫生院医务部/ 全科家庭医生教研室 3.610000 四川省成都市,四川大学华西医院护理学院 4.610000 四川省成都市,四川大学华西公共卫生学院/ 华西第四医院卫生政策与管理学系 5.610000 四川省成都市,玉林社区卫生服务中心全科医学科
  • 通讯作者: 杨荣,主治医师;E-mail:976925601@qq.com 廖晓阳,主任医师/ 教授/ 博士生导师;E-mail:625880796@qq.com
  • 基金资助:
    “主动健康和人口老龄化科技应对”重点专项(2024YFC3607700);癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项常规项目(2024ZD0524703,2024ZD0524705,2024ZD0524706)

Abstract: Falls are the leading cause of injury-related death among adults aged 65 years and older in China. In 2018, the U.S. Preventive Services Task Force (USPSTF) released the Recommendation Statement on "Interventions to Prevent Falls in Community-Dwelling Older Adults" based on a systematic review of the latest evidence and an evaluation of the benefits and harms of interventions for falls in community-dwelling older adults, and this statement was updated in 2024. Drawing on China's2022 Expert Consensus on the Comprehensive Management of Fall Risk in Older Adults, this article interprets the updated 2024 USPSTF Recommendation Statement, aiming to provide general practitioners in China with the latest evidence and reference for implementing fall prevention measures in older adults.

Key words: Falls, Aged, Community, Exercise intervention, Multifactorial intervention, USPSTF, contextualization

摘要: 跌倒是我国65岁以上老年人因伤害死亡的首位原因,2018年美国预防临床服务指南工作组(USPSTF)通过评估最新研究证据并分析干预措施对社区老年人跌倒的获益与危害,发布了《社区老年人跌倒的预防措施》推荐声明,并于2024年进行更新。本文结合我国2022年《老年人跌倒风险综合管理专家共识》,解读最新2024年美国预防服务工作组《社区老年人跌倒的预防措施》推荐声明,旨在为我国全科医生提供预防老年人跌倒措施的最新依据和参考。

关键词: 跌倒, 老年人, 社区, 运动干预, 多因素干预, 美国预防服务工作组, 情境化

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