Evidence map›Paper›PMID 37097767›Full record

Trial reportAge and ageing2023

Effectiveness of exercise on fall prevention in community-dwelling older adults: a 2-year randomized controlled study of 914 women.

Toni Rikkonen, Reijo Sund, Heli Koivumaa-Honkanen, Joonas Sirola, Risto Honkanen, Heikki Kröger

Erratum issuedOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
19.0field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 6 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. The Effect of Vitamin DJournal of the American Geriatrics Society · 2026
    Trial
  8. Trial
  9. Trial
  10. Body composition, balance, functional capacity and falls in older women.Aging clinical and experimental research · 2024
    Trial
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Burden and Determinants of Fall and its Related Injuries in the Elderly Population of Uttarakhand, India: A Community-based Cross-sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  16. Physical activity, falls, and dementia risk in adults aged ≥ 60: evidence from three cohorts.The international journal of behavioral nutrition and physical activity · 2026
    Article
  17. Article
  18. Burden of accumulating fragility fractures on health service usage and costs among post-menopausal women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  19. What to Know About Falls in Older Adults? Risk Factors, Predictors, and Therapeutic Interventions.International journal of environmental research and public health · 2025
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Toni RikkonenKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland Kuopio, Finland.
Reijo SundKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland Kuopio, Finland.
Heli Koivumaa-HonkanenInstitute of Clinical Medicine (Psychiatry), University of Eastern Finland, Kuopio, Finland.
Joonas SirolaKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland Kuopio, Finland.
Risto HonkanenKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland Kuopio, Finland.
Heikki KrögerKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland Kuopio, Finland.
University of Eastern Finland · FIKuopio University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunal exercise interventions may help prevent falls and injuries. However, pragmatic trials demonstrating the effectiveness of such strategies are sparse.

methodsWe determined whether a cost-free 12-month admission to the city's recreational sports facilities including initial 6 months of supervised weekly gym and Tai Chi sessions decreases the number of falls and related injuries. The mean (SD) follow-up time was 22·6 (4.8) months in 2016-19. A total of 914 women from a population-based sample with a mean age of 76.5 (SD 3.3, range 71.1-84.8) years were randomized into exercise intervention (n = 457) and control (n = 457) groups. Fall information was collected through biweekly short message (SMS) queries and fall diaries. Altogether 1,380 falls were recorded for the intention-to-treat analysis, with 1,281 (92.8%) being verified by telephone.

resultsA 14.3% fall rate reduction was detected in the exercise group (Incidence rate ratio (IRR) = 0.86; CI 95% 0.77-0.95) compared with the control group. Approximately half of the falls caused moderate (n = 678, 52.8%) or severe (n = 61, 4.8%) injury. In total, 13.2% (n = 166) of falls (including 73 fractures) required medical consultation with a 38% lower fracture rate in the exercise group (IRR = 0.62; CI 95% 0.39-0.99). Overall, the greatest reduction of 41% (IRR = 0.59; CI 95% 0.36-0.99) was observed in falls with severe injury and pain.

conclusionsA community-based approach for a 6-month exercise period combined with a 12-month free use of sports premises can reduce falls, fractures and other fall-related injuries in aging women.

Indexed as

Accidental FallsExerciseIndependent LivingAgedAged, 80 and overExercise TherapyFemaleFractures, BoneHumansIntention to Treat AnalysisTreatment Outcomeagingexercisefall injuryfall preventionfractureolder people

Identifiers

PMID37097767
PMCPMC10128158
OpenAlexW4366993041

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.