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This research investigates the impact of falls on transitions between different states of frailty and mortality in older adults.

Falls and frailty transitions in older adults: A multi-state analysis of a national longitudinal cohort

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Longitudinal study examines fall impacts on frailty transitions and mortality in older adults, suggesting prevention strategies.

This research investigates the impact of falls on transitions between different states of frailty and mortality in older adults.
Analyzed longitudinal data from the China Health and Retirement Longitudinal Study (2011–2020)
Included participants aged ≥60 years with at least two survey waves
Used multi-state survival framework to model frailty transitions and incidence rate ratios.
Falls increased the likelihood of transitioning from robust to pre-frail (IRR 1.18, 95% CI 1.09–1.27) and from pre-frail to frail (IRR 1.51, 95% CI 1.42–1.60)
Falls were linked to higher mortality from pre-frail and frail states, with women accumulating frailty faster and men having higher mortality post-fall
Chronic pain, advancing age, and socioeconomic disadvantage accelerated frailty progression.

Liu et al. (2026) studied this question.

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