In 2018 the U.S. Preventive Services Task Force (USPSTF) found sufficient evidence to recommend exercise interventions (supervised individual and group classes and physical therapy) to prevent falls in community-dwelling adults age 65 or older who are at increased risk for falls.
It also found evidence to recommend that clinicians selectively offer this population customized multifactorial interventions based on a comprehensive individualized fall risk assessment.
In its 2012 report the USPSTF found insufficient evidence for or against the use of the following interventions for preventing falls: medication discontinuation, protein supplementation, education or counseling, hip protectors, and home hazard modification.
Although vitamin D supplementation was recommended in the past to prevent falls, in 2018 the USPSTF concluded that vitamin D supplementation not only offers no benefit in preventing falls in older adults but actually may result in a higher risk at very high dosages.
As a result, the USPSTF now recommends against vitamin D supplementation to prevent falls in community-dwelling adults age 65 or older.