Physical Activity Level and Risk of Falling in Community-Dwelling Older Adults: Systematic Review and Meta-Analysis

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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 faller (2,420 participants) was 39% higher among those who were in the lowest PA level (RR = 1.39; 95% confidence interval [1.17, 1.65]; I2 = 0%, p = .43; p < .0001). The association between being a faller (7,927 participants) and PA level was inconclusive. This review identified that the benefit of general PA for preventing falls is associated with the adopted PA level.

Soares, Nogueira, Candido, de Moraes, and Perracini are with the Dept. of Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil. Lopes is with the Dept. of Physical Therapy, Zuckerberg College of Health Sciences, University of Massachusetts Lowell, Lowell, MA. Perracini is with Gerontology, Faculty of Medical Sciences, Universidade de Campinas, Campinas, Brazil.

Address author correspondence to Monica R. Perracini at monica.perracini@unicid.edu.br.
Journal of Aging and Physical Activity
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