![]() ![]() Overall, exercise interventions significantly reduced the risk of sustaining a fall‐related fracture (RR 0.34, 95% CI 0.18 to 0.63 6 trials 810 participants). For Tai Chi, the reduction in rate of falls bordered on statistical significance (RaR 0.72, 95% CI 0.52 to 1.00 5 trials 1563 participants) but Tai Chi did significantly reduce risk of falling (RR 0.71, 95% CI 0.57 to 0.87 6 trials 1625 participants). Multiple‐component group exercise significantly reduced rate of falls (RaR 0.71, 95% CI 0.63 to 0.82 16 trials 3622 participants) and risk of falling (RR 0.85, 95% CI 0.76 to 0.96 22 trials 5333 participants), as did multiple‐component home‐based exercise (RaR 0.68, 95% CI 0.58 to 0.80 7 trials 951 participants and RR 0.78, 95% CI 0.64 to 0.94 6 trials 714 participants). Sixty‐two per cent (99/159) of trials were at low risk of bias for sequence generation, 60% for attrition bias for falls (66/110), 73% for attrition bias for fallers (96/131), and only 38% (60/159) for allocation concealment. ![]() ![]() The most common interventions tested were exercise as a single intervention (59 trials) and multifactorial programmes (40 trials). Most trials compared a fall prevention intervention with no intervention or an intervention not expected to reduce falls. We included 159 trials with 79,193 participants.
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