{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:02:14Z","timestamp":1788782534971,"version":"build-2803163510"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The label \u2018faller\u2019 and the associated stigma may reduce healthcare-seeking behaviours. However, falls are not inevitably progressive and many drivers are modifiable. This observational study described the 8-year longitudinal trajectories of self-reported falls in The Irish Longitudinal Study on Ageing (TILDA) and studied associations with factors, including mobility, cognition, orthostatic hypotension (OH), fear of falling (FOF) and use of antihypertensive and antidepressant medications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants aged \u226550\u00a0years at each wave were categorised by whether they averaged \u22652 falls in the previous year (recurrent fallers) or not (\u22641 fall). Next-wave transition probabilities were estimated with multi-state models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>8,157 (54.2% female) participants were included, of whom 586 reported \u22652 falls at Wave 1. Those reporting \u22652 falls in the past year had a 63% probability of moving to the more favourable state of \u22641 fall. Those reporting \u22641 fall had a 2% probability of transitioning to \u22652 falls. Besides older age and higher number of chronic conditions, factors that increased the risk of transitioning from \u22641 fall to \u22652 falls were lower Montreal Cognitive Assessment score, FOF and taking antidepressants. Conversely, male sex, higher timed up and go time, the presence of OH and being on antidepressants reduced the probability of improving from \u22652 falls to \u22641 fall.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The majority of recurrent fallers experienced favourable transitions. Improvements in cognitive and psychological status, psychotropic prescribing, mobility and OH may help improve trajectories. Findings may help combat stigma associated with falling and promote preventative healthcare-seeking behaviours.<\/jats:p><\/jats:sec>","DOI":"10.1093\/ageing\/afad037","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T22:11:59Z","timestamp":1680214319000},"source":"Crossref","is-referenced-by-count":14,"title":["Eight-year longitudinal falls trajectories and associations with modifiable risk factors: evidence from The Irish Longitudinal Study on Ageing (TILDA)"],"prefix":"10.1093","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1033-5897","authenticated-orcid":false,"given":"Peter","family":"Hartley","sequence":"first","affiliation":[{"name":"The Irish Longitudinal Study on Ageing, Trinity College Dublin , Dublin,\u00a0D02 R590 , Ireland"},{"name":"Department of Public Health and Primary Care, University of Cambridge , Cambridge, CB2 0SZ , UK"},{"name":"Department of Physiotherapy, Cambridge University Hospital NHS Foundation Trust 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