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JAMA Clinical Evidence Synopsis
Clinician's Corner
April 3, 2013

Fall Prevention in Community-Dwelling Older Adults

Author Affiliations

JAMA Clinical Evidence Synopsis Section Editor: Mary McGrae McDermott, MD, Contributing Editor. We encourage authors to submit papers for consideration as a JAMA Clinical Evidence Synopsis. Please contact Dr McDermott at mdm608@northwestern.edu

Author Affiliations: Department of Medicine, Dunedin School of Medicine, Dunedin, New Zealand.

JAMA. 2013;309(13):1406-1407. doi:10.1001/jama.2013.3130

Clinical Question Which types of interventions reduce falls in older people living in the community?

Bottom Line Fall-prevention exercise programs, usually including muscle strengthening and balance retraining, were associated with lower fall rates in community-dwelling older people whether or not individuals were selected on the basis of fall risk. Home safety interventions, vitamin D supplementation in people with lower vitamin D levels, and individually targeted multifactorial interventions were associated with fewer falls in community-dwelling people with risk factors for falling.