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Evidence-Based Resource Summary

Strength of Evidence: 
4 out of 4
4 out of 4
Year Published: 
2012

Interventions for Preventing Falls in Older People Living in the Community

Description of Resource: 
About 30% of adults age 65 and older fall each year. This systematic review aimed to assess the effects of interventions to reduce the incidence of falls in older people living in the community. It identified 159 trials with a total of 79,193 participants. The most common interventions were exercise and multifactorial programs that assess fall risk and then address identified risks. It found evidence that group or home-based exercise programs and home safety interventions reduce fall risk and rates of falls. Multifactorial interventions reduce rate of falls but not fall risk. Tai chi reduces fall risk. Vitamin D supplementation may reduce falls in people who have lower vitamin D levels before treatment. While some medications can increase fall risk, medication review may be effective in reducing falls. Cataract surgery reduces falls in women having the operation on the first affected eye. Insertion of a pacemaker can reduce falls in people with frequent falls associated with carotid sinus hypersensitivity, a condition that causes sudden changes in heart rate and blood pressure.

Evidence-Based Resource Details

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Developed By: 
Cochrane Review
Developer Type: 
Non-Federal Government
Healthy People 2020 Topic Area(s): 
Older Adults
Healthy People 2020 Objectives: 
Resource Type: 
Systematic Review
Citation: 
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev [Internet]. 2012 [cited 2018 Apr 30];(9). Art. No.: CD007146. doi: 10.1002/14651858.CD007146.pub3. Available from: http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD007146.pub3/full