2019
DOI: 10.1123/japa.2017-0413
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Physical Activity Level and Risk of Falling in Community-Dwelling Older Adults: Systematic Review and Meta-Analysis

Abstract: This systematic review examines the association between physical activity (PA) level and risk of falling in community-dwelling older adults. A search of PubMed, Embase, CINAHL, SPORTDiscus, and Web of Science was performed in January 2017. Four prospective cohort studies investigating the incidence of falls in a period of at least 12 months and its association with the level of PA in people aged 60 years and older were reviewed and pooled for meta-analysis. The pooled risk ratio (RR) for being a recurrent fall… Show more

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Cited by 22 publications
(15 citation statements)
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“…A high‐quality systematic review and meta‐analysis of population‐based and longitudinal studies for the association of physical activity and risk of falling in community dwelling older adults concluded that the risk of being a recurrent faller (two or more self‐reported falls over the follow‐up period of 12‐36 months) was 39% higher in those older adults with the lowest levels of physical activity. However, the association between any fall and physical activity level was inconclusive (Table ) …”
Section: Resultsmentioning
confidence: 99%
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“…A high‐quality systematic review and meta‐analysis of population‐based and longitudinal studies for the association of physical activity and risk of falling in community dwelling older adults concluded that the risk of being a recurrent faller (two or more self‐reported falls over the follow‐up period of 12‐36 months) was 39% higher in those older adults with the lowest levels of physical activity. However, the association between any fall and physical activity level was inconclusive (Table ) …”
Section: Resultsmentioning
confidence: 99%
“…Physical activity has been identified as a lifestyle factor that may influence the risk of falls and fractures in adults through maintaining mobility, physical functioning, bone mineral density, muscle strength, and balance . The risk of recurrent falls was reduced in older adults with higher levels of physical activity, and although the association of falling (any fall) with physical activity was inconclusive, other reviews evaluating the association of usual physical activity with the risk of falling in the general population have suggested a general decrease in risk, and a strong positive relationship between fall‐related efficacy (perceived self‐confidence at avoiding falls during essential, relatively non‐hazardous activities) and activity . Increasing levels of physical activity within an appropriate range has been shown to reduce the risk of hip fractures in general population studies of men and women .…”
Section: Discussionmentioning
confidence: 99%
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“…Environmental gerontology has focused on the outdoor environment as one of its major attributes of older persons' needs within the area of urban design studies [1]. Outdoor environments have been recognized as having a positive influence on physical activities [2]. Indeed, physical activity is an important healthy lifestyle behavior associated with maximum physical potential, and healthy living while ameliorating the effects of age such as a decline in physical functioning and impact of comorbid chronic conditions [3].…”
Section: Introductionmentioning
confidence: 99%
“…A recent systematic review and meta-analysis examined the association of physical activity and the risk of falling for older adults. It concluded that the risk of being a recurrent faller (two or more self-reported falls over the follow-up period of 12-36 months) was 39% higher in those older adults with the lowest levels of physical activity (4). Each year in the USA, the cost of nonfatal fall injuries among adults age 65 and over is about $50 billion.…”
Section: Introductionmentioning
confidence: 99%