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

作者：Catherine Sherrington, Anne Tiedemann, Nicola Fairhall, Jacqueline Close, Stephen R. Lord · 发表于：New South Wales Public Health Bulletin · 年份：2011 · DOI：10.1071/nb10056 · 被引用次数：809 · 研究领域：Balance, Gait, and Falls Prevention、Cerebral Palsy and Movement Disorders、Injury Epidemiology and Prevention

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). Meta-regression 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.