PMID- 22868837 OWN - NLM STAT- MEDLINE DCOM- 20121012 LR - 20220331 IS - 1539-3704 (Electronic) IS - 0003-4819 (Linking) VI - 157 IP - 3 DP - 2012 Aug 7 TI - Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement. PG - 197-204 AB - DESCRIPTION: Update of the 1996 U.S. Preventive Services Task Force (USPSTF) recommendation statement on counseling to prevent household and recreational injuries, including falls. METHODS: The USPSTF reviewed new evidence on the effectiveness and harms of primary care-relevant interventions to prevent falls in community-dwelling older adults. The interventions were grouped into 5 main categories: multifactorial clinical assessment (with or without direct intervention), clinical management (with or without screening), clinical education or behavioral counseling, home hazard modification, and exercise or physical therapy. RECOMMENDATIONS: The USPSTF recommends exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling adults aged 65 years or older who are at increased risk for falls. (Grade B recommendation)The USPSTF does not recommend automatically performing an in-depth multifactorial risk assessment in conjunction with comprehensive management of identified risks to prevent falls in community-dwelling adults aged 65 years or older because the likelihood of benefit is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of the circumstances of prior falls, comorbid medical conditions, and patient values. (Grade C recommendation). FAU - Moyer, Virginia A AU - Moyer VA AD - U.S. Preventive Services Task Force, Rockville, Maryland, USA. CN - U.S. Preventive Services Task Force LA - eng PT - Journal Article PT - Practice Guideline PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Ann Intern Med JT - Annals of internal medicine JID - 0372351 RN - 1406-16-2 (Vitamin D) SB - IM SPIN- Ann Intern Med. 2012 Aug 7;157(3):I-40. PMID: 22868856 MH - Accidental Falls/*prevention & control MH - Age Factors MH - Aged MH - Dietary Supplements MH - Exercise MH - Humans MH - Independent Living MH - Physical Therapy Modalities MH - Risk Assessment MH - Vitamin D/administration & dosage FIR - Moyer, Virginia A IR - Moyer VA FIR - LeFevre, Michael L IR - LeFevre ML FIR - Siu, Albert L IR - Siu AL FIR - Baumann, Linda Ciofu IR - Baumann LC FIR - Bibbins-Domingo, Kirsten IR - Bibbins-Domingo K FIR - Curry, Susan J IR - Curry SJ FIR - Ebell, Mark IR - Ebell M FIR - Flores, Glenn IR - Flores G FIR - Cantu, Adelita Gonzales IR - Cantu AG FIR - Grossman, David C IR - Grossman DC FIR - Herzstein, Jessica IR - Herzstein J FIR - Nicholson, Wanda K IR - Nicholson WK FIR - Owens, Douglas K IR - Owens DK FIR - Reyes, Carolina IR - Reyes C FIR - Wilt, Timothy J IR - Wilt TJ FIR - Calonge, Ned IR - Calonge N FIR - Leipzig, Rosanne IR - Leipzig R FIR - Ockene, Judith IR - Ockene J FIR - Petitti, Diana IR - Petitti D EDAT- 2012/08/08 06:00 MHDA- 2012/10/13 06:00 CRDT- 2012/08/08 06:00 PHST- 2012/08/08 06:00 [entrez] PHST- 2012/08/08 06:00 [pubmed] PHST- 2012/10/13 06:00 [medline] AID - 1305528 [pii] AID - 10.7326/0003-4819-157-3-201208070-00462 [doi] PST - ppublish SO - Ann Intern Med. 2012 Aug 7;157(3):197-204. doi: 10.7326/0003-4819-157-3-201208070-00462.