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March 3, 2026Open Access

Fall Prevention Interventions and Fracture Risk in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis

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Authors

YAYazan Jumah AlalwaniKing Abdulaziz UniversityMAMunira Abdullah AldossariKing Saud bin Abdulaziz University for Health SciencesLALayan Adeeb AlzahraniPrincess Nourah bint Abdulrahman University

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Overview

A systematic review finds fall prevention reduces falls but not fractures in community-dwelling older adults, suggesting more integrated strategies are needed.

Key Points

  • This research aims to evaluate the effectiveness of fall prevention interventions on fracture outcomes in older adults living in the community.
  • Conducted a systematic review and meta-analysis following PRISMA 2020 guidelines.
  • Searched multiple databases for relevant studies up to June 2025.
  • Analyzed 17 studies involving over 25,000 participants focusing on hip fractures and other fracture outcomes.
  • Only two RCTs showed non-significant reductions in hip fractures favoring intervention (RR 0.80–0.87).
  • Five studies reported no significant effect on any fractures (RR 0.91, 95% CI 0.72–1.14; p-value = 0.40).
  • Fall prevention interventions significantly reduced falls across 14 studies with notable heterogeneity.

Cite This Study

Alalwani et al. (2026) studied this question.

synapsesocial.com/papers/69a67f4af353c071a6f0b217https://doi.org/10.3390/clinpract16030052
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Calcium, vitamin D, or combined supplementation to prevent fractures and falls: systematic review and meta-analysis2026 · 12 citations
  2. 2Breaking the Vicious Cycle? A Systematic Review of Interventions Targeting Both Falls and Fear of Falling in Older Adults2026
  3. 3Interventions to Prevent Falls in Community-Dwelling Older Adults2024 · 95 citations
  4. 4Effectiveness of Multifactorial and Exercise Programs in Preventing Falls Among Older Adults: A Systematic Review and Component Network Meta‐Analysis2026
  5. 5Preventing Hip (Proximal Femoral) Fractures: An Evidence-Based Review for Clinicians2026