TY - JOUR PY - 2018// TI - Adherence and attrition in fall prevention exercise programs for community-dwelling older adults: a systematic review and meta-analysis JO - Journal of aging and physical activity A1 - Osho, Oluwaseyi A1 - Owoeye, Oluwatoyosi A1 - Armijo-Olivo, Susan SP - 304 EP - 326 VL - 26 IS - 2 N2 - Fall prevention exercise programs have been reported to be effective in minimizing falls in older adults. However, adherence and attrition in exercise programs remain a challenge. This study reviewed the evidence on how levels of adherence and attrition in fall prevention exercise programs may affect magnitude of effect of fall risk reduction in community-dwelling older adults. A systematic review and meta-analysis of randomized controlled trials on fall prevention exercise programs for community-dwelling older adults aged 65+ years published between 2005 and 2016 from six databases were undertaken. Twenty articles met inclusion criteria.

RESULTS showed that program adherence >80% may result in greater fall risk reduction compared to lower levels of adherence. A possible inverse relationship exists between attrition levels and effect sizes of fall prevention exercise programs. Future studies should properly report falls/fallers and a consensus on a standardized measure for reporting adherence to fall prevention exercise programs is recommended.

Language: en

LA - en SN - 1063-8652 UR - http://dx.doi.org/10.1123/japa.2016-0326 ID - ref1 ER -