Exercise and Sports Science Australia updated position statement on exercise for preventing falls in older people living in the community

Author: Anne Tiedemann1, Daina L Sturnieks2, Elissa Burton3, Jeannette M Thom4, Stephen R Lord2, Stacey Scott5, Catherine Sherrington6
Affiliation:
1 Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Australia; Institute for Musculoskeletal Health, Sydney Local Health District, Australia. Electronic address: anne.tiedemann@sydney.edu.au.
2 Neuroscience Research Australia, University of New South Wales, Australia.
3 Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Australia; enAble Institute, Faculty of Health Sciences, Curtin University, Australia.
4 School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia.
5 School of Medical and Health Sciences, Edith Cowan University, Australia.
6 Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Australia; Institute for Musculoskeletal Health, Sydney Local Health District, Australia.
Conference/Journal: J Sci Med Sport
Date published: 2025 Feb 1
Other: Volume ID: 28 , Issue ID: 2 , Pages: 87-94 , Special Notes: doi: 10.1016/j.jsams.2024.09.003. , Word Count: 217


Backgrounds:
Falls affect a significant number of older Australians and present a major challenge to health care providers and health systems with over 380 older Australians hospitalised for a fall each day.

Objectives:
This statement seeks to inform and guide exercise practitioners and health professionals in safe and effective prescription of exercise to prevent falls amongst community-dwelling older people.

Exercise prescription to prevent falls:
Exercise is crucial for preventing falls in older age. Research evidence has identified that programmes which include functional balance and muscle strength training are the most effective in preventing falls. It is also important for exercise to be progressively challenging, ongoing and of sufficient dose to maximise its benefits in reducing falls. Additional (non-exercise) interventions are necessary for people with complex medical conditions, recent hospitalisation and/or particular risk factors not improved by exercise. People at a higher risk of falls may need greater support to undertake safe and effective fall prevention exercise.

Summary:
Global guidelines for fall prevention and management recommend that all older adults should receive advice about exercise to prevent falls. Qualified exercise professionals are well placed to prescribe and supervise functional balance and muscle strength training to older people with varied functional abilities, including those with co-morbidities.

Keywords: Accidental falls; Aged; Exercise; Postural balance; Strength training.

PMID: 39341781 DOI: 10.1016/j.jsams.2024.09.003

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