Environmental factors, such as living in a barrier home, are critical for fall-related fractures, in addition to demographic and physical factors. A multidisciplinary approach that considers both physical and environmental factors is necessary for reducing the incidence of fall-related fractures among middle-aged and older Japanese adults. Geriatr Gerontol Int 2018; 18: 1372-1377.

In order to clarify the characteristics of places and injuries caused by falls in residential area, ambulance dispatch data of 2016 in Omuta city was analyzed. The number of elderly falls was large and many people fell in their houses. Furthermore, falls in houses got severe damage compared with falls in other area such as on the roads or in the facilities. Especially these falls in houses happened going to or back from the toilet. The results of this study indicated that architectural fall prevention in houses

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