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Comment & Response
October 8, 2019

Exercise to Prevent Falls in Older Adults—Reply

Author Affiliations
  • 1Department of Physical Therapy, University of British Columbia, Vancouver, Canada
  • 2University of British Columbia, Okanagan, Kelowna, Canada
  • 3Center for Hip Health and Mobility, University of British Columbia, Vancouver, Canada
JAMA. 2019;322(14):1415-1416. doi:10.1001/jama.2019.12192

In Reply Dr Cummings suggests that exercise has little benefit in preventing falls because “the risk ratio for any fall in the current study was 1.01”.1 However, the primary objective of our trial was to examine whether exercise reduced the rate of falls, not the number of people who experienced a fall. All participants had experienced at least 1 fall during the year prior to study entry, and 70% were recurrent fallers. Reducing fall rate in recurrent fallers is important.