Effect of home-based exercise on falls in community-dwelling older adults: an umbrella review

Review written by Dr Mariana Wingood info

Key Points

  1. Home and community-based exercise interventions require minimum supervision from healthcare providers and are a safe, effective, and feasible method of preventing falls.
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BACKGROUND & OBJECTIVE

Many older adults are unable to leave their homes secondary to mobility limitations, lack of transportation, or social isolation due to the COVID-19 pandemic. Being unable to leave one’s home is associated with decreased physical activity and access to healthcare providers. This reduction increases the risk of physical deconditioning, loss of muscle mass, poor strength, reduction in activities of daily living (ADL), impaired balance, frailty, and falls.

Since the United States preventative taskforce recommends that older adults at risk of falling participate in a multi-component exercise program (1), it is essential that older adults who cannot leave their homes can still achieve this recommendation. However, there is limited evidence regarding the effectiveness of home and community-based exercise programs.

The objective of this study was to examine home and community-based exercise programs’ effectiveness in reducing falls and improving physical function among community-dwelling older adults.

Being unable to leave one’s home is associated with decreased physical activity and access to healthcare providers.
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Home and community-based exercise interventions effectively reduced the number of falls and the risk of falling among community-dwelling older adults.

METHODS

Design: Umbrella Review.

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