Balance Archive

A 2022 study found a 31% reduction in Americans' use of prescription sleep aids from 2013 to 2018. The drop-off was even sharper among people 80 and older, who were 86% less likely to use FDA-approved sleep drugs by the end of the study period.

Cardiovascular conditions can increase a person's risk of falling. Such falls are usually related to a lack of blood flow to the brain that causes a person to faint. The most common cause is orthostatic hypotension, but severe aortic stenosis and the heart rhythm disorder known as atrial fibrillation can also cause a person to faint. Other falls may result from cerebral microvascular disease, a type of blood vessel damage in the brain that develops over time.

People with orthostatic hypotension experience a drop in blood pressure when they stand, which increases the risk for falls. Ways to manage the condition include keeping up blood volume by taking in at least 3 liters of fluid and 4 to 6 grams of salt per day; taking medication to alleviate lightheadedness; avoiding hot environments; getting up slowly from a sitting or standing position; and sleeping with the bed on a slant. Someone who feels lightheaded upon standing should sit down immediately. If that's not possible, it may help to tense the muscles.

Being unable to stand on one leg for 10 seconds in middle and later life is associated with a sharply increased risk of premature death, according to a study published online June 21, 2022, by the British Journal of Sports Medicine.

Non-contact boxing has been shown to help many people with Parkinson's disease improve their balance, hand-eye coordination, mental focus, muscle strength, and body rhythm. Older adults also can benefit from this type of exercise, as they face many of the same physical and mental challenges as they age. Most boxing fitness workouts are done using punching bags and hitting oversized boxing mitts worn by coaches. The moves involve punches and sequences based on crosses, hooks, uppercuts, and jabs.

Hiking continues to be one of the safest activities people can enjoy during COVID because it is done outside and away from confined group settings. The outdoor adventure also is one of the best exercises for both body and mind, as it can improve lower-body strength and endurance, increase balancing skills that can protect against falls, lower levels of stress and anxiety, and reduce the risk of depression.

The fear of falling can lead to a heightened sense of caution and less physical activity—which can actually increase the risk of falling. To reduce the fear of falling, a person must address underlying conditions, such as poor eyesight or joint problems. It also helps to work with a physical therapist to improve balance, gait (walking pattern), muscle strength, flexibility, and range of motion. When physical therapy ends, one must continue doing strength, stretching, and balance exercises at home in order to keep fear at bay and reduce fall risk.

Many people experience dizziness, or a feeling of being woozy or lightheaded, from time to time. In most instances it's triggered by a minor underlying problem, such as dehydration, a medication, or blood pressure fluctuations. Only rarely is dizziness caused by something more serious, such as a heart rhythm disturbance or stroke. However, even if dizziness isn't caused by something serious, it can lead to a dangerous fall, so it's important to prevent these episodes when possible. People should get emergency help for dizziness that is long-lasting, severe, or accompanied by other symptoms, such as difficulty walking or numbness.

Hiking is similar to walking but can be more challenging and can provide a nice change of pace. Walking over uneven terrain typically burns more calories than a walk on a flat surface. It also builds muscle strength and improves balance. A wilderness walk also brings mental health benefits. Choosing a path to a scenic destination may motivate people to go farther and climb higher and increase fitness gains.

Two categories of shoulder injuries are particularly common among older adults: rotator cuff injuries and shoulder bone fractures. The key to warding off shoulder injuries is to keep the joints healthy, strong, and flexible. Many of the strategies to do this are the same ones that will reduce fall or fracture risk. Examples include weight-bearing activity, stretching, improving balance, and eating a healthy diet. Other strategies include strengthening the shoulder muscles, stretching the shoulders right before activity that requires shoulder power, and removing fall hazards from the home.