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Five years later, 3316 surviving subjects were reexamined in AGES\u2010RS II. Participants were asked about BDP, falls, usual activities, and health conditions. BDP symptoms during the past 12\u2009months included: vertigo (spinning\/moving sensation); floating\/spacey sensation; light\u2010headedness (no moving sensation); near fainting (presyncope) or fainting (syncope); blurred vision with head movement (oscillopsia); and feeling off\u2010balance\/unsteady. Clinical assessments included hand grip and leg strength plus steps and time to walk 6\u2009m.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the past 12\u2009months in AGES\u2010RS II, BDP prevalence was 40.1% (males 35.2%, females 43.7%) and the prevalence of falling was 23.0% (males 20.9%, females 24.8%). BDP increased steps and time to walk 6\u2009m. BDP increased the risk of falls (adjusted prevalence ratio [PR]\u2009=\u20091.53; 95% confidence interval [CI]: 1.34\u20131.76 for AGES\u2010RS I, PR\u2009=\u20091.77, 95% CI: 1.55\u20132.03 for AGES\u2010RS II). The prevalence of \u2265\u20092 falls was 8.9% (15.6% with BDP vs. 4.4% without BDP). Among those who fell \u2265\u20092 times, 70.4% reported BDP in the past 12\u2009months. Additional risk of falling was associated with fear\/panic attacks, memory loss, hearing loss, and other health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BDP are common in older adults and associated with 50% to 80% increased risk of falling and even greater risk of falling \u2265\u20092 times. Quantitative estimates are provided for contributing factors that further increase the risk of falls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>2 (prospective cohort study).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70266","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T09:29:44Z","timestamp":1763371784000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of Balance and Dizziness Problems on Falls in Older Adults: The Longitudinal\n                    <scp>AGES<\/scp>\n                    \u2010Reykjavik Study"],"prefix":"10.1002","volume":"10","author":[{"given":"Chuan\u2010Ming","family":"Li","sequence":"first","affiliation":[{"name":"Epidemiology, Statistics, and Population Sciences National Institute on Deafness and Other Communication Disorders, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4105-0808","authenticated-orcid":false,"given":"Howard J.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Epidemiology, Statistics, and Population Sciences National Institute on Deafness and Other Communication Disorders, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5201-6117","authenticated-orcid":false,"given":"Bryan K.","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles C. Della","family":"Santina","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Frances","family":"Cotch","sequence":"additional","affiliation":[{"name":"Office of Vision Health and Population Sciences National Eye Institute, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"May S.","family":"Chiu","sequence":"additional","affiliation":[{"name":"Epidemiology, Statistics, and Population Sciences National Institute on Deafness and Other Communication Disorders, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katalin G.","family":"Losonczy","sequence":"additional","affiliation":[{"name":"Stephenson and Stephenson, Research and Consulting (SASRAC), LLC  Batavia Ohio 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