# Detection of Falls and Frailty in Older Adults with Oldfry: Associated Risk Factors

## TL;DR

The Oldfry device helps detect frailty and fall risk in older adults, with factors like functional dependence and comorbidities increasing fall risk.

## Contribution

Oldfry is introduced as a novel technological tool for assessing frailty and fall risk in elderly populations.

## Key findings

- Oldfry detects frailty and fall risk with statistically significant results.
- Functional dependence and comorbidities are linked to higher fall risk.
- Good nutritional status is associated with lower fall risk.

## Abstract

What are the main findings?

The Oldfry device effectively detects frailty and fall risk in older adults, showing statistically significant results.

Functional dependence and comorbidities are directly associated with a higher risk of falls, while good nutritional status is linked to a lower risk.

What is the implication of the main finding?

Technological tools like Oldfry can enhance the assessment and monitoring of frailty and fall risk in elderly populations.

Implementing such tools in residential care settings may improve fall prevention strategies and promote better health outcomes.

Objective: To describe the characteristics and outcomes of using the Oldfry technology application in older adults, analyzing changes in frailty and fall risk after its implementation. Design and Methods: Observational, analytical, prospective, cross-sectional, and multicenter study conducted in residential centers in Plana Baja (Castellón, Spain). A total of 156 older adults over 65 years old participated, selected based on specific criteria and voluntary consent. Sociodemographic, anthropometric, and clinical variables were collected, including fall history, sensory problems, medication use, and standardized cognitive, nutritional, and functional assessment scales. The study was approved by the Ethics Committee of Universitat Jaume I. Results: The sample included 156 individuals (median age: 84 years). Women showed greater functional dependence (Barthel scale) and cognitive impairment (Pfeiffer scale). The Oldfry device detected frailty with statistically significant differences. A direct relationship was found between greater functional dependence and higher fall risk, as well as between higher comorbidity and increased fall risk. An adequate nutritional status was associated with a lower fall risk. Conclusion: The use of Oldfry is crucial for assessing frailty and fall risk in older adults. Factors such as functionality, comorbidities, and nutritional status directly influence fall prevention, highlighting the importance of technological tools in monitoring these risks.