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Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations

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Catherine Sherrington, Anne Tiedemann, Nicola Fairhall, Jacqueline C.T. Close and Stephen R. Lord

Abstract: This systematic review update includes 54 randomised controlled trials and confirms that exercise as a single intervention can prevent falls (pooled rate ratio 0.84, 95% CI 0.77–0.91). Metaregression revealed programs that included balance training, contained a higher dose of exercise and did not include walking training to have the greatest effect on reducing falls. We therefore recommend that exercise for falls prevention should provide a  moderate or high challenge to balance and be undertaken for at least 2 hours per week on an ongoing basis. Additionally, we recommend that: falls prevention exercise should target both the general community and those at high risk for falls; exercise may be undertaken in a group or home-based setting; strength and walking training may be included in addition to balance training but high risk individuals should not be prescribed brisk walking programs; and other health-related risk factors should also be addressed.

Resource:  Vol. 22(3–4) 2011 NSW Public Health Bulletin