title: Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement.
abstract: METHODS
  Update of the 1996 U.S. Preventive Services Task Force (USPSTF) recommendation statement on counseling to prevent household and recreational injuries, including falls.
  
  
  METHODS
  The USPSTF reviewed new evidence on the effectiveness and harms of primary care-relevant interventions to prevent falls in community-dwelling older adults. The interventions were grouped into 5 main categories: multifactorial clinical assessment (with or without direct intervention), clinical management (with or without screening), clinical education or behavioral counseling, home hazard modification, and exercise or physical therapy.
  
  
  CONCLUSIONS
  The USPSTF recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (Grade B recommendation)The USPSTF does not recommend automatically performing an in-depth multifactorial risk assessment in conjunction with comprehensive management of identified risks to prevent falls in community-dwelling adults aged 65 years or older because the likelihood of benefit is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of the circumstances of prior falls, comorbid medical conditions, and patient values. (Grade C recommendation).
authors.affiliation: U.S. Preventive Services Task Force, Rockville, Maryland, USA.
authors.forename: Virginia A
authors.initials: VA
authors.lastname: Moyer
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000367:Age Factors; D000368:Aged; D019587:Dietary Supplements; D015444:Exercise; D006801:Humans; D057187:Independent Living; D026741:Physical Therapy Modalities; D018570:Risk Assessment; D014807:Vitamin D / Q000008:administration & dosage
chemical_list: D014807:Vitamin D