Exercise, vitamin D and timing
In 2018, the U.S. Preventive Services Task Force updated its recommendations for preventing falls in community-dwelling older adults. Based on the findings of several trials, the task force recommends exercise interventions for adults age 65 and older who are at increased risk for falls. Gait, balance and functional training were studied in 17 trials, resistance training in 13, flexibility in eight, endurance training in five and tai chi in three, with five studies including general physical activity. Exercise interventions most commonly took place for three sessions per week for 12 months (range two to 42 months).
The task force also recommends against vitamin D supplementation for fall prevention in community-dwelling adults age 65 or older who are not known to have osteoporosis or vitamin D deficiency.
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