SynthesisBMC geriatrics2025
Association of lower-limb strength with different fall histories or prospective falls in community-dwelling older people: a systematic review and meta-analysis.
Synthesis in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quadriceps and ankle weakness in inclusion body myositis: impact on descending balance control and rehabilitation strategies - a systematic review.BMC musculoskeletal disorders · 2026Pooled it
- Remote exercise snacking and fall-related functional outcomes in older adults: a systematic review including a meta-analysis.Frontiers in physiology · 2026Pooled it
- Optimal resistance training prescriptions to improve muscle strength, physical function, and muscle mass in older adults diagnosed with sarcopenia: a systematic review and meta-analysis.Aging clinical and experimental research · 2025Pooled it
- A Smartphone Platform for Remote Motor Fitness Assessment and AI-Generated Personalized Exercise Programs for Older Adults: Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Article
- Multi-trajectory patterns of ADL, cognition, and depression with fall risk: evidence from a longitudinal study in China.BMC geriatrics · 2026Article
- Functional fitness tests and their association with upper-limb isokinetic strength in older adults.Aging clinical and experimental research · 2026Article
- Observational
- Article
- Functional differences between lower limbs during gait in relation to fall risk.Frontiers in physiology · 2026Article
- Sex-specific mediating role of serum uric acid in the association between dietary diversity and muscle strength in urban community-dwelling older adults.Frontiers in public health · 2026Article
- What to Know About Falls in Older Adults? Risk Factors, Predictors, and Therapeutic Interventions.International journal of environmental research and public health · 2025Review
- Association Between Muscle Quality Assessed by the 5-Repetition Sit-to-Stand Test and Falls in Community-Dwelling Older Adults in Japan: A Cross-Sectional Study.Geriatrics (Basel, Switzerland) · 2025Article
- Multicomponent Exercise and Functional Fitness: Strategies for Fall Prevention in Aging Women.Sports (Basel, Switzerland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundFall is a major health threat to older people. The lower-limb power and rate of torque or force development (RTD or RFD) are prominently affected by aging and are crucial for maintaining postural balance. However, there have been inconsistent findings regarding the association of such aspects of lower-limb strength with falls among community-dwelling older adults. Comprehensive synthesis and appraisal are needed to examine what deficits in lower-limb rapid force generation could identify the fallers (i.e., those with a fall history or prospective falls).
methodsThis systematic review searched six databases, including PubMed, Web of Science, EMBASE, Scopus, CINAHL, and Cochrane CENTRAL. Meta-analysis was conducted to aggregate standardized mean differences (SMD) or odds ratios (OR). The quality of evidence regarding each strength parameter's ability to identify fallers was assessed using the GRADE approach.
resultsTwenty observational studies with 8,231 community-dwelling older adults were included (mean age: 73.5 years; male to female ratio: approximately 6:1). Moderate quality of evidence showed that the lower average leg-press power (SMD & 95% CI: -0.17 [-0.23, -0.12]; OR & 95% CI: 0.84 [0.79, 0.89]) and lower peak sit-to-stand power (Cohen's d = 0.41) could predict prospective falls in older adults, especially the injurious/recurrent falls. Low quality of evidence showed that the lower peak sit-to-stand power could also discern fall history (SMD & 95% CI: -0.58 [-0.96, -0.20]). Conversely, low to very low quality of evidence showed that the RTD of a single muscle group could not predict prospective falls and was generally unable to identify fall history in older adults. DISCUSSIONS AND
conclusionThe decline of entire lower-limb power appears a good indicator of prospective falls in community-dwelling older adults. Tests of entire lower-limb power required the cumulative and coordinated contractions of more leg muscles, possibly explaining why they could identify the fallers whereas the RTD or power of a single muscle group could not. Future studies are warranted to determine cut-point values of the entire lower-limb power measurements in fall-risk assessment and explore rapid force generation of a single muscle group in predicting the injurious falls among older adults.
trial registrationRegistration No.: CRD42021237091.
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