2017/08/03 by Oluwaseyi Osho, Oluwatoyosi Owoeye, Oluwatoyosi B. A. Owoeye +2
Health Professions · Medicine · #Balance, Gait, and Falls Prevention #Cerebral Palsy and Movement Disorders #Injury Epidemiology and Prevention
paper · doi:10.1123/japa.2016-0326
openalex publication_date 2017/08/03 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/29
Fall prevention exercise programs have been reported to be effective in minimizing falls in older adults. However, adherence and attrition in exercise programs remain a challenge. This study reviewed the evidence on how levels of adherence and attrition in fall prevention exercise programs may affect magnitude of effect of fall risk reduction in community-dwelling older adults. A systematic review and meta-analysis of randomized controlled trials on fall prevention exercise programs for community-dwelling older adults aged 65+ years published between 2005 and 2016 from six databases were undertaken. Twenty articles met inclusion criteria. Results showed that program adherence >80% may result in greater fall risk reduction compared to lower levels of adherence. A possible inverse relationship exists between attrition levels and effect sizes of fall prevention exercise programs. Future studies should properly report falls/fallers and a consensus on a standardized measure for reporting adherence to fall prevention exercise programs is recommended.