Evidence map›Paper›PMID 27707740›Full record

SynthesisBritish journal of sports medicine2017

Exercise to prevent falls in older adults: an updated systematic review and meta-analysis.

Catherine Sherrington, Zoe A Michaleff, Nicola Fairhall, Serene S Paul, Anne Tiedemann, Julie Whitney, Robert G Cumming, Robert D Herbert, Jacqueline C T Close, Stephen R Lord

6 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in British journal of sports medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 485 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
485citing papers in PubMed, 17 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03484351 nacompletednot on this mapstarted 2018, after this paper: background citation

Evaluating the Feasibility of Providing a Newly Developed Multifactorial Falls Prevention Programme for Community-dwelling Patients After Stroke.

TypeinterventionalSponsorCurtin UniversityRan2018 to 2018Enrolled5ConditionsStrokeArmsFall Monty Activity Programme (FallMAP)
NCT03824106 narecruitingnot on this mapstarted 2022, after this paper: background citation

Frailty Rehabilitation: A Community-based Intervention to Promote Healthy Aging

TypeinterventionalSponsorMcMaster UniversityRan2022 to 2025Enrolled324ConditionsFrailtyArmsControl, Group Exercise, Nutrition and Medication review, Protein Supplement, Vitamin D
NCT04037436 nacompletednot on this mapstarted 2019, after this paper: background citation

A Model for Delivering Strength Training and Nutrition Education for Older Adults (MoveStrong): A Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of WaterlooRan2019 to 2020Enrolled44ConditionsChronic Disease, Frail, Diabetes Mellitus, CancerArmsStrength and Balance Training & Nutrition Education, Usual Care
NCT05682872 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Multifactorial Fall Prevention Program in People Aged 65 or Over of an Urban Area of Talavera de la Reina

TypeinterventionalSponsorCastilla-La Mancha Health ServiceRan2021 to 2026Enrolled264ConditionsFrail Elderly SyndromeArmsPhysical exercise program (VIVIFRAIL) supervised by a physiotherapist, Adequacy of the environment, Polypharmacy review, Health education related to falls prevention (4 sessions), General Assement
NCT06210828 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effectiveness of Telerehabilitation in Balance Training Program Among Elderly at Risk of Falling, a Randomized Controlled Trial

TypeinterventionalSponsorSiriraj HospitalRan2023 to 2025Enrolled48ConditionsPostural Balance, FallArmsTelerehabilitation, Control
NCT07369440 narecruitingnot on this mapstarted 2024, after this paper: background citation

Community-based Power Training in Faller and Non-faller Older Adults: a Feasibility and Fall Risk Study.

TypeinterventionalSponsorUniversity of MaiaRan2024 to 2027Enrolled120ConditionsFall Prevention, Muscle Power Performance, Functional Mobility, Balance Control in ElderlyArmsMulti-component exercise program focused on muscle power, Multi-component exercise program focused on traditional resistance training
3 · Its place in the literature

Who cites it

485 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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  11. Interventions for preventing falls in older people in care facilities.The Cochrane database of systematic reviews · 2025
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425 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Catherine SherringtonThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Zoe A MichaleffThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Nicola FairhallThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Serene S PaulThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Anne TiedemannThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Julie WhitneyClinical Age Research Unit, King's College Hospital, London, UK.
Robert G CummingSchool of Public Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Robert D HerbertNeuroscience Research Australia, University of New South Wales, Sydney, New South Wales, Australia.
Jacqueline C T CloseNeuroscience Research Australia, University of New South Wales, Sydney, New South Wales, Australia.
Stephen R LordNeuroscience Research Australia, University of New South Wales, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious meta-analyses have found that exercise prevents falls in older people. This study aimed to test whether this effect is still present when new trials are added, and it explores whether characteristics of the trial design, sample or intervention are associated with greater fall prevention effects.

designUpdate of a systematic review with random effects meta-analysis and meta-regression. DATA SOURCES: Cochrane Library, CINAHL, MEDLINE, EMBASE, PubMed, PEDro and SafetyLit were searched from January 2010 to January 2016. STUDY ELIGIBILITY CRITERIA: We included randomised controlled trials that compared fall rates in older people randomised to receive exercise as a single intervention with fall rates in those randomised to a control group.

results99 comparisons from 88 trials with 19 478 participants were available for meta-analysis. Overall, exercise reduced the rate of falls in community-dwelling older people by 21% (pooled rate ratio 0.79, 95% CI 0.73 to 0.85, p<0.001, I SUMMARY/

conclusionsExercise as a single intervention can prevent falls in community-dwelling older people. Exercise programmes that challenge balance and are of a higher dose have larger effects. The impact of exercise as a single intervention in clinical groups and aged care facility residents requires further investigation, but promising results are evident for people with Parkinson's disease and cognitive impairment.

Indexed as

ExerciseExercise TherapyAccidental FallsAgedCognitive DysfunctionHumansParkinson DiseasePostural BalanceRandomized Controlled Trials as TopicAging/ageingExercise rehabilitationFall

Identifiers

PMID27707740

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.