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Group based exercise reduced falls in community dwelling people ≥70 years of age

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 QUESTION: In community dwelling people 70 years of age, is exercise, home hazard management, or vision improvement more effective than no intervention for reducing falls?


Randomised (allocation concealed*), unblinded,* full factorial, controlled trial with 18 months of follow up.


Urban community in Melbourne, Victoria, Australia.


1090 participants ≥70 years of age (mean age 76 y, 60% women) who were living in their own accommodation and allowed to make modifications. Exclusion criteria included people expecting to move within 2 years; participation in regular to moderate physical activity with a balance improvement component in the previous 2 months; inability to walk 10–20 metres without rest, help, or experiencing angina; and serious comorbidity. Follow up was 89%.


Participants were allocated to group based exercise (exercise) (n=135), home hazard management (home hazard) (n=136), vision improvement (n=139), …

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  • For correspondence: Dr L Day, Monash University, Clayton, Victoria, Australia. Lesley.Day{at}

  • Sources of funding: National Health and Medical Research Council; Victorian Department of Human Services; City of Whitehorse; Victorian Health Promotion Foundation; Rotary; and National Safety Council.

  • *See glossary.