Exercise, Not Vitamin D for Fall Prevention

The US Preventive Services Task Force has updated recommendations of exercise, but not vitamin D for fall prevention interventions in community-dwelling older adults. According to a systematically review of 62 randomized clinical trials (N = 35 058), multifactorial intervention trials were associated with a reduction in falls (incidence rate ratio [IRR], 0.79). Exercise trials were associated with statistically significant reductions in people experiencing a fall (relative risk, 0.89) and injurious falls (IRR, 0.81). Seven heterogeneous trials of vitamin D formulations (with or without calcium) showed mixed results. Harms of multifactorial and exercise trials were rarely reported but generally included minor musculoskeletal injuries. Source: https://jamanetwork.com/