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Core content of this comment article: Balance exercise intensity is an under-researched dosage variable compared to strength and aerobic training, limiting evidence-based exercise guidance for older adults. A standardised balance intensity metric and feasible sampling approaches could accelerate research to identify the optimal intensity of balance exercise informing, clinical recommendations for preventing falls and promoting functional independence in older adults. Establishing this optimal level of balance intensity involves defining how balance effort is best described and measured, so that exercise programs can be tailored more precisely to target what matters most to older adult exercisers. This article provides commentary on various ways to conceptualise and measure exercise intensity, and discusses the strengths, limitations, and assumptions of each approach.
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Farlie et al. (2026) studied this question.
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