Adherence and effectiveness of multicomponent exercise fall prevention programmes across delivery formats in community-dwelling older adults: a systematic review and multilevel meta-analysis.
Yugui Hua, Yikun Yang, Yaxuan Chen et al.
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In 30 seconds
This systematic review and multilevel meta-analysis evaluated the effectiveness of multicomponent exercise programmes for fall prevention in community-dwelling adults aged 60 and older. The analysis included 41 publications with 20,202 participants, revealing that these programmes significantly reduced fall incidence (IRR = 0.776) and risk of experiencing at least one fall (RR = 0.914).
Key findings
- Multicomponent exercise programmes reduced fall incidence (IRR = 0.776, 95% CI 0.641-0.939).
- Risk of experiencing at least one fall decreased (RR = 0.914, 95% CI 0.858-0.974).
- Adherence ≥75% was linked to greater reductions in fall incidence (IRR = 0.501, 95% CI 0.336-0.747).
- Mean adherence was highest in combined individual and group delivery formats.
Why it matters
Understanding the effectiveness of multicomponent exercise programmes and the role of adherence can help clinicians design better fall prevention strategies for older adults, potentially reducing fall-related injuries and improving overall health outcomes.