Pub Date : 2026-03-18DOI: 10.1186/s12877-026-07319-8
Felicia Marian Dhananjee Chellapillai, Thusharika Dilrukshi Dissanayaka, Ishanka Weerasekara, Anne Tiedemann, Keith David Hill, Sobika Sivarasa, Abdul Majeed Mohamed Rikas, Dawake Leemagaskotuwe Gedara Heshani Madhuwanthi Samarasekara, Ziad Mohamed Fathima Zahra Safinaz, Anula Kariyawasam
Background: Falls are a major cause of disability and mortality in older age. There is clear evidence of effective fall prevention interventions that have informed global guidelines, however much of the evidence comes from high-income countries. The objective of this study was to identify and assess the effectiveness of fall prevention interventions for community-dwelling older people living in low- and middle-income countries (LMICs).
Methods: Studies published up to March 2025, in Medline, Embase, the Cochrane Library, Scopus, CINAHL and references of previous reviews were searched. A study was included if an intervention was used to prevent falls or to improve fall-related outcomes among community-dwelling older adults in LMICs. Titles, abstracts, full texts and study quality were screened by two independent reviewers and conflicts were resolved by a third reviewer. Data were extracted by two independent reviewers and studies which had sufficient data were included for meta-analysis.
Results: Among the retrieved 2013 studies, 30 relevant studies with 9817 participants (65% female) from 12 LMICs were included. The participants' ages ranged from 60 to 94 years. Nine studies were eligible for meta-analysis and only two to four studies were able to be pooled for each outcome. According to the meta-analysis, exercise significantly improved balance (standardised mean difference (SMD) = 1.18, [0.30,2.06], p = 0.008), while it had no effect on falls (SMD=-0.4, [-1.08,0.29], p = 0.18) and fall-related outcomes such as mobility (SMD=-0.50, [-1.13,0.12], p = 0.11), and fear of falling (SMD=-0.04, [-0.69,0.61], p = 0.90). According to the narrative synthesis interventions such as exercise, dance, and education programs may reduce falls and fall-related outcomes.
Conclusion: Exercise, a senior dance program, Thai traditional dance, and education programs were among the interventions identified in the included studies. Exercises could improve balance in community-dwelling older adults living in the LMICs. However, the effectiveness of these interventions in reducing falls or other fall-related outcomes is uncertain due to the limited number of studies with small samples available from LMICs.
背景：跌倒是老年人致残和死亡的主要原因。有明确的证据表明，有效的预防跌倒干预措施为全球指南提供了依据，尽管其中大部分证据来自高收入国家。本研究的目的是确定和评估生活在低收入和中等收入国家（LMICs）社区居住的老年人预防跌倒干预措施的有效性。方法：检索截至2025年3月在Medline、Embase、Cochrane Library、Scopus、CINAHL以及文献综述中发表的研究。如果干预措施用于预防跌倒或改善低收入中国家社区居住老年人跌倒相关结果，则纳入一项研究。题目、摘要、全文和研究质量由两名独立审稿人筛选，冲突由第三名审稿人解决。数据由两名独立审稿人提取，并纳入有足够数据的研究进行meta分析。结果：在检索到的2013项研究中，纳入了来自12个低收入国家的30项相关研究，共9817名受试者（65%为女性）。参与者的年龄从60岁到94岁不等。9项研究符合荟萃分析的条件，每个结果只有2到4项研究能够汇总。根据荟萃分析，运动显著改善了平衡（标准化平均差(SMD) = 1.18, [0.30,2.06], p = 0.008），而对跌倒（SMD=-0.4, [-1.08,0.29], p = 0.18）和跌倒相关的结局，如活动能力（SMD=-0.50, [-1.13,0.12], p = 0.11）和害怕跌倒（SMD=-0.04, [-0.69,0.61], p = 0.90）没有影响。根据叙述综合干预，如运动，舞蹈和教育计划可以减少跌倒和跌倒相关的后果。结论：运动、高级舞蹈项目、泰国传统舞蹈和教育项目是纳入研究的干预措施之一。锻炼可以改善中低收入国家社区老年人的平衡能力。然而，由于中低收入国家的小样本研究数量有限，这些干预措施在减少跌倒或其他与跌倒相关的结果方面的有效性尚不确定。试验注册：CRD42022335448, 2022年6月7日。
{"title":"Effectiveness of fall prevention interventions for community-dwelling adults aged 60 years and above in low- and middle-income countries: a systematic review and meta-analysis.","authors":"Felicia Marian Dhananjee Chellapillai, Thusharika Dilrukshi Dissanayaka, Ishanka Weerasekara, Anne Tiedemann, Keith David Hill, Sobika Sivarasa, Abdul Majeed Mohamed Rikas, Dawake Leemagaskotuwe Gedara Heshani Madhuwanthi Samarasekara, Ziad Mohamed Fathima Zahra Safinaz, Anula Kariyawasam","doi":"10.1186/s12877-026-07319-8","DOIUrl":"https://doi.org/10.1186/s12877-026-07319-8","url":null,"abstract":"<p><strong>Background: </strong>Falls are a major cause of disability and mortality in older age. There is clear evidence of effective fall prevention interventions that have informed global guidelines, however much of the evidence comes from high-income countries. The objective of this study was to identify and assess the effectiveness of fall prevention interventions for community-dwelling older people living in low- and middle-income countries (LMICs).</p><p><strong>Methods: </strong>Studies published up to March 2025, in Medline, Embase, the Cochrane Library, Scopus, CINAHL and references of previous reviews were searched. A study was included if an intervention was used to prevent falls or to improve fall-related outcomes among community-dwelling older adults in LMICs. Titles, abstracts, full texts and study quality were screened by two independent reviewers and conflicts were resolved by a third reviewer. Data were extracted by two independent reviewers and studies which had sufficient data were included for meta-analysis.</p><p><strong>Results: </strong>Among the retrieved 2013 studies, 30 relevant studies with 9817 participants (65% female) from 12 LMICs were included. The participants' ages ranged from 60 to 94 years. Nine studies were eligible for meta-analysis and only two to four studies were able to be pooled for each outcome. According to the meta-analysis, exercise significantly improved balance (standardised mean difference (SMD) = 1.18, [0.30,2.06], p = 0.008), while it had no effect on falls (SMD=-0.4, [-1.08,0.29], p = 0.18) and fall-related outcomes such as mobility (SMD=-0.50, [-1.13,0.12], p = 0.11), and fear of falling (SMD=-0.04, [-0.69,0.61], p = 0.90). According to the narrative synthesis interventions such as exercise, dance, and education programs may reduce falls and fall-related outcomes.</p><p><strong>Conclusion: </strong>Exercise, a senior dance program, Thai traditional dance, and education programs were among the interventions identified in the included studies. Exercises could improve balance in community-dwelling older adults living in the LMICs. However, the effectiveness of these interventions in reducing falls or other fall-related outcomes is uncertain due to the limited number of studies with small samples available from LMICs.</p><p><strong>Trial registration: </strong>CRD42022335448, 07th June, 2022.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-18DOI: 10.1186/s12877-026-07350-9
Xuemei Tao, Feng Guo, Liang Wang, Hongyong Zhao
{"title":"Analysis of latent profiles and influencing factors of fall risk perception in elderly patients with hip fracture.","authors":"Xuemei Tao, Feng Guo, Liang Wang, Hongyong Zhao","doi":"10.1186/s12877-026-07350-9","DOIUrl":"https://doi.org/10.1186/s12877-026-07350-9","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-18DOI: 10.1186/s12877-026-07325-w
Maria Marques, Vanessa Nicolau, Susana Mendonça, José Moreira, Rute Pires, Miguel Pedrosa, César Fonseca, Lara Pinho, Ana Escoval, Margarida Goes, Henrique Oliveira, Claúdia Mendes, Isabel Bico
{"title":"Self-care needs in an aged population living with a chronic condition or multimorbidity: a systematic review.","authors":"Maria Marques, Vanessa Nicolau, Susana Mendonça, José Moreira, Rute Pires, Miguel Pedrosa, César Fonseca, Lara Pinho, Ana Escoval, Margarida Goes, Henrique Oliveira, Claúdia Mendes, Isabel Bico","doi":"10.1186/s12877-026-07325-w","DOIUrl":"https://doi.org/10.1186/s12877-026-07325-w","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-17DOI: 10.1186/s12877-026-07356-3
Maria Normann, Niklas Ekerstad, Mattias Prytz, Erika Björklund, Kristina Åhlund
{"title":"\"Having surgery is necessary\" - a qualitative analysis of the experiences of frail older adults treated with, and recovering from colorectal cancer surgery.","authors":"Maria Normann, Niklas Ekerstad, Mattias Prytz, Erika Björklund, Kristina Åhlund","doi":"10.1186/s12877-026-07356-3","DOIUrl":"https://doi.org/10.1186/s12877-026-07356-3","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-17DOI: 10.1186/s12877-026-07358-1
Andrew Milks, Mirana Rakotoarivony, Nicole Saur, Chelsia Gillis
{"title":"Prehabilitation as a litmus test for surgery in frail nonagenarians: a case series.","authors":"Andrew Milks, Mirana Rakotoarivony, Nicole Saur, Chelsia Gillis","doi":"10.1186/s12877-026-07358-1","DOIUrl":"https://doi.org/10.1186/s12877-026-07358-1","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-17DOI: 10.1186/s12877-026-07333-w
Nathanaël Bassas Letissier, Helena Mosbah, Pierre-Jean Saulnier, Xavier Piguel, Marc Paccalin, Evelyne Liuu
{"title":"Feasibility of continuous glucose monitoring in an acute geriatric unit - the GLYCOGER study.","authors":"Nathanaël Bassas Letissier, Helena Mosbah, Pierre-Jean Saulnier, Xavier Piguel, Marc Paccalin, Evelyne Liuu","doi":"10.1186/s12877-026-07333-w","DOIUrl":"https://doi.org/10.1186/s12877-026-07333-w","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-17DOI: 10.1186/s12877-026-07324-x
Covadonga Vázquez-Sánchez, Luz María Gigirey Prieto, Carlos Pío Del Oro-Sáez
{"title":"Severity of dual sensory loss and cognitive impairment in institutionalized older adults: a cross-sectional study in Galicia.","authors":"Covadonga Vázquez-Sánchez, Luz María Gigirey Prieto, Carlos Pío Del Oro-Sáez","doi":"10.1186/s12877-026-07324-x","DOIUrl":"https://doi.org/10.1186/s12877-026-07324-x","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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