Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot181010.32687/0869-866X-2023-31-3-400-404Научная статьяTHE SOCIAL AND MEDICAL ASPECTS OF FALLS IN ELDERLY AND SENILE AGE UNDER EYESIGHT DEFICIENCYAgarkovN. M.GurkoT. S.LevI. V.The State Budget Educational Institution of Higher Education “The South-Western State University”, 305040, Kursk, RussiaThe Federal State Autonomous Educational Institution of Higher Education “The Belgorod State National Research University”, 308015, Belgorod, RussiaThe Tambov Branch of the Interbranch Scientific and Technical Complex “The Academician S. N. Fedorov Microsurgery of Eye”, 392000, Tambov, Russia2906202331340040403072025Copyright © 2023,2023The aging of population is accompanied by simultaneous increasing of rate of age-associated ophthalmic diseases resulting in vision decreasing. However, visual impairment in elderly and senile age is rarely considered in the epidemiology of falls in these groups. The purpose of the study is to investigate medical social aspects of falls in older age groups with visual impairment. The retrospective methodology was applied to study falls in 4832 elderly and senile patients with visual impairment due to cataract glaucoma, diabetic retinopathy and age-related macular degeneration. The high incidence of falls in men and women aged 80 and older, amounting to 82.6 and 125.7 cases per 1000 of population of corresponding age respectively was established. The falls in elderly patients with low vision is more often registered in case of diabetic retinopathy than of glaucoma, cataract and age-related macular degeneration without significant differences at the age 50–59 years and 60–69 years. The diabetic retinopathy is the most common cause of falls requiring hospitalization in all age groups. To In reducing prevalence of falls and resulted hospitalization, to optimize traumatological care of patients of older age groups, the priority is for early identification and treatment of people with diabetic retinopathy.fallselder and senile ageophthalmic diseasesпаденияпожилой и старческий возрастофтальмологические заболевания[Limon M. A. Envejecimiento activo: Un cambio de paradigma sobre el envejecimiento y la vejez. Aula Abierta. 2018;47(1):45—54. doi: 10.17811/rifie.47.1.2018.45-54][Tornero-Quinones I., Saez-Padilla J., Diaz A. E., Robles M. T., Robles A. S. Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living. Int. J. Environ. Res. Public Health. 2020;17(3):1006. doi: 10.3390/ijerph17031006][Донцов В. И. Изменение смертности и скорости старения во второй половине XX столетия в России. Здравоохранение Российской Федерации. 2019;63(1):42—7. doi: 10.18821/0044-197X-2019-63-1-42-47][World Health Organization. Envejecimiento activo: Un marco político. Rev. Esp. Geriatr. Gerontol. 2002;37:74—105.][Агарков Н. М., Фабрикантов О. Л., Николашин С. И., Аксёнов В. В., Прощаев К. И. Общественное здоровье и здравоохранение. М.; 2021.][Williams J. S., Kowal P., Hestekin H., O’Driscoll. Prevalence, risk factors and disability associated with fall-related injury in older adults in low- and middle-incomecountries: results from the WHO Study on global AGEing and adult health (SAGE). BMC Med. 2015;13:147. doi: 10.1186/s12916-015-0390-8][Dipietro L., Campbell W. W., Buchner D. M., Erickson K. I. Physical Activity, Injurious Falls, and Physical Function in Aging: An Umbrella Review. Med. Sci. Sports Exers. 2019;51(6):1303—13. doi: 10.1249/MSS.0000000000001942][Коняев Д. А. Взаимосвязь показателей интерлейкинового профиля и оксидантной системы крови у пожилых больных возрастной макулярной дегенерацией с поздней стадией. Научные результаты биомедицинских исследований. 2020;6(1):118—25. doi: 10.18413/2658-6533-2020-6-1-0-10][Ильницкий А. Н., Бахмутова Ю. В., Литвинов А. Е., Алтухов А. А. Клиническая эпидемиология падений в пожилом и старческом возрасте при сахарном диабете. Научные ведомости Белгородского государственного университета. 2011;22(1):77—81.][Skalska A., Wizner B., Piotrowicz K. The prevalence of falls and their relation to visual and hearing impairments among a nationwide cohort of older Poles. Exp. Gerontol. 2013;48(2);140—6. doi: 10.1016/j.exger.2012.12.003][To K. G., Meuleners L., Bulsara M., Fraser M. L. A longitudinal cohort study of the impact of first- and both-eye cataract surgery on falls and other injuries in Vietnam. Clin. Interv. Aging. 2014;9:743—51. doi: 10.2147/CIA.S61224][Dai W., Tham Y. C., Chee M. L., Tan N. Y. Falls and Recurrent Falls among Adults in A Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study. Sci. Rep. 2018;8(1):7575. doi: 10.1038/s41598-018-25894-8][Deandrea S., Lucenteforte E., Bravi F., Foschi R. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010;21(5):658—68. doi: 10.1097/EDE.0b013e3181e89905]