Meta-analysis2019 · Cochrane Database Syst Rev · Sherrington C et al.
Sherrington (Cochrane): exercise programmes mean 23% fewer falls in older people
Who, how long
108 RCTs, 23,407 community-dwelling adults 60+, 25 countries
What they found
Exercise programmes gave –23% fall rate and –15% people falling; balance and functional exercises –24%, combined with strength training –34%, tai chi –19%. 3+ hours a week and balance challenge are the keys to effectiveness; walking alone doesn't reduce falls.
⚠ Caveat
Evidence for fractures and hospital admission is weaker (fewer studies); applies to community-dwelling, independently mobile older people, not those in care homes.
Related in the knowledge base
Last reviewed: 6 September 2026
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