Decision to recommend multifactorial interventions should be individualized for community-dwelling older adults at risk of fall<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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TUESDAY, Dec. 5, 2023 (HealthDay News) — The U.S Preventive Services Task Force (USPSTF) recommends exercise interventions and suggests individualizing recommendations for multifactorial interventions to prevent falls among community-dwelling seniors. These findings form the basis of a draft recommendation statement published online Dec. 5.<\/p>\n
Janelle M. Guirguis-Blake, M.D., from the Kaiser Permanente Center for Health Research in Portland, Oregon, and colleagues conducted a systematic review of the evidence on the effectiveness of interventions to prevent falls in community-dwelling older adults. Data were included from 83 fair- to good-quality randomized controlled trials with 48,839 participants. The researchers found that most studies examined the effectiveness of multifactorial and exercise interventions. Multifactorial interventions were associated with a significant reduction in the number of falls but not in the number of people with a fall, the number of falls resulting in injury, or the number of people with a fall resulting in injury. Exercise interventions were associated with a significant reduction in the number of falls, number of people with a fall, and number of falls resulting in injury, but no reduction in the number of people with a fall resulting in injury.<\/p>\n
Based on these findings, the USPSTF recommends exercise interventions to prevent falls in community-dwelling adults age 65 years or older at increased fall risk (Grade B). In addition, the decision to recommend multifactorial interventions for fall prevention should be individualized for community-dwelling adults age 65 years or older at increased fall risk (Grade C).<\/p>\n
The draft evidence review and draft recommendation statement have been posted for public comment. Comments can be submitted from Dec. 5, 2023, to Jan. 8, 2024.<\/p>\n
Draft Evidence Review<\/a><\/p>\n Draft Recommendation Statement<\/a><\/p>\n