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Updated: Feb 13, 2026
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Published on: February 17, 2023
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Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network
Peixia Cheng1, Liheng Tan2, Peishan Ning3
1Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. chengpeixia92@163.com.
Summary
Multifactorial interventions (MFI) and exercise programs are most effective for preventing falls in older adults. These strategies should be prioritized for community-dwelling seniors to reduce fall risks and improve safety.
Area of Science:
- Gerontology
- Public Health
- Evidence-Based Medicine
Background:
- Falls pose a significant global health risk for the elderly population.
- Existing fall prevention interventions lack comparative effectiveness data.
Purpose of the Study:
- To systematically compare the effectiveness of various interventions for preventing falls in community-dwelling adults aged 60 and over.
- To identify the most efficacious fall prevention strategies through network meta-analysis.
Main Methods:
- A systematic review and network meta-analysis of 49 randomized controlled trials.
- Inclusion of 27,740 participants and 9271 fallers.
- Calculation of combined odds ratios (OR) and 95% credible intervals (95% CrI) to compare intervention effectiveness.
Main Results:
- Multifactorial interventions (MFI) showed the highest efficacy (OR: 0.64, 95% CrI: 0.53 to 0.77) compared to usual care.
- Interventions combining education and exercise (EDU + EXC) and exercise with hazard assessment and modification (EXC + HAM) were also effective.
- Medical care interventions demonstrated the least effectiveness (OR: 1.02, 95% CrI: 0.78 to 1.34).
Conclusions:
- Multifactorial interventions and exercise-based programs are recommended as primary strategies for fall prevention in older adults.
- Further research is needed to confirm the effectiveness and suitability of these interventions for specific at-risk populations.
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