Being afraid of falling can actually increase your risk of taking a tumble. That’s the takeaway from a new survey.

Researchers from the Ohio State University Wexner Medical Center surveyed more than 1,000 adults in the United States, and they identified the top three factors that increase your risk of falling:

Fear of falling, especially if you’ve fallen before,

Hearing loss, which can throw off your balance,

And an urgent need to use the bathroom.

That last one is because you might move too quickly to make it to the restroom in time, even leaving behind a cane or walker if you use one.

Researchers say physical therapy can improve your confidence and your balance. And make sure you get your hearing checked so you can correct any hearing loss issues. All those tips and tricks can all help keep you upright.

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