USPSTF Recommends Exercise to Prevent Falls in Older Adults

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USPSTF Recommends Exercise to Prevent Falls in Older Adults
ExercisePhysical ActivityGeriatrics
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Exercise is recommended to help prevent falls and fall-related morbidity in community-dwelling adults aged 65 years and older who are at increased risk for falls.

Exercise interventions are recommended to help prevent falls and fall-related morbidity in community-dwelling adults aged 65 years and older who are at increased risk of falls, according to a newFalls remain the leading cause of injury-related morbidity and mortality among older adults in the United States, with approximately 27% of community-dwelling individuals aged 65 years and older reporting at least one fall in the past year, wrote lead author Wanda K.

The exercise intervention could include individual or group activity, although most of the studies in the systematic review involved group exercise, the authors noted.. The task force reviewed data from 83 randomized trials published between January 1, 2016, and May 8, 2023, deemed fair to good quality that examined six types of fall prevention interventions in a total of 48,839 individuals. Of these, 28 studies involved multifactorial interventions and 27 involved exercise interventions.

Although teasing out the specific exercise components that are most effective for fall prevention is challenging, the most commonly studied components associated with reduced risk of falls included gait training, balance training, and functional training, followed by strength and resistance training, the task force noted.

The results of the review were limited by several factors, including the focus on studies with a primary or secondary aim of fall prevention, the fact that the recommendation does not apply to many subgroups of older adults, and the lack of data on health outcomes unrelated to falls that were associated with the interventions, the authors noted.

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