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Systematic review
Exercise interventions reduce the risk of injurious falls among older adults
  1. Anne-Marie Hill
  1. School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia
  1. Correspondence to Associate Professor Anne-Marie Hill, School of Physiotherapy and Exercise Science, Curtin University, Perth, WA 6845, Australia; anne-marie.hill{at}curtin.edu.au

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Commentary on: Tricco AC, Thomas SM, Areti AV, et al. Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. JAMA 2017;17:1687–99.

Implications for practice and research

  • Exercise programmes with sufficient intensity should be delivered to older community-dwelling people to reduce injurious falls, and combined multifactorial strategies are also effective.

  • Tailored multifactorial interventions that may include calcium and vitamin D supplementation should be delivered with care to high-risk populations.

  • Effectiveness trials that investigate how to translate falls prevention evidence into practice are urgently required.

Context

Falls are the leading cause of injury and death from injury among older people.1 Injurious falls rates are much higher in hospitals and nursing homes reflecting the vulnerability of these populations.2 Poor bone health compounds the risk of sustaining an injury from a fall, …

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