We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Clinical Evidence Synopsis | Clinician's Corner

Fall Prevention in Community-Dwelling Older Adults

M. Clare Robertson, PhD; Lesley D. Gillespie, MMSc
JAMA. 2013;309(13):1406-1407. doi:10.1001/jama.2013.3130.
Text Size: A A A
Published online

Clinical Question Which types of interventions reduce falls in older people living in the community?

Bottom Line Fall-prevention exercise programs, usually including muscle strengthening and balance retraining, were associated with lower fall rates in community-dwelling older people whether or not individuals were selected on the basis of fall risk. Home safety interventions, vitamin D supplementation in people with lower vitamin D levels, and individually targeted multifactorial interventions were associated with fewer falls in community-dwelling people with risk factors for falling.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?


Place holder to copy figure label and caption
Figure. Rate Ratios (All Falls) for Selected Fall-Prevention Interventions vs Control in Community-Dwelling Older Peoplea
Graphic Jump Location

aBased on data from Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Sys Rev. 2012;(9):CD007146. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007146.pub3/abstract doi:R10.1002/14651858.CD007146.pub3. Absolute numbers for analyses are not provided because the absolute number of falls in each group was not always available. For these analyses, the “absolute number” was a rate of falls, eg, falls per person-year, or in some cases a reported rate ratio.
bControl groups received no intervention, usual care, or an intervention that was not expected to reduce falls, eg, social visits.
cThe number of trials does not add to 159 because not all of the trials evaluated in the Cochrane review are summarized here.
dVariation across the results from individual studies due to clinical and/or statistical diversity. A P value <.10 represents a statistically significant variation. I2 measures the variation in results between studies that is due to heterogeneity rather than sampling error (chance) (range, 0%-100%).
eFor people with carotid sinus hypersensitivity and history of syncope and/or falls.



Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

10 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Falls, Older Adults

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Does This Older Adult With Lower Extremity Pain Have the Clinical Syndrome of Lumbar Spinal Stenosis?