Sarcopenia is an age-related disease with quite high incidence in the elderly. Due to the loss of muscle mass, strength and physical performance, the risk of falling increases in elderly patients with sarcopenia, so they are commonly fear of falling. However, fear of falling thus leads them to avoid activities deliberately, which subsequently, increases the risk of falling and causes other adverse outcomes. In this article, we reviewed the current situation, influencing factors, evaluation tools and intervention measures of fear of falling in elderly sarcopenia patients in order to provide reference for clinical identification and early intervention for the fear.