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Exercise Recommendations for Preventing Falls and Fractures in Older Adults


From the 2023 Clinical practice guidelines here are some exercise recommendations to help prevent falls and fractures in older adults, particularly postmenopausal females and males aged 50 years and older:

  • Functional and Balance Training: Evidence suggests that exercises focusing on balance and functional abilities, like standing on one leg, can significantly reduce the risk of falling and the number of people who fall in this age group. This kind of training may also improve your quality of life and how well you can perform physical tasks.
  • Resistance Training: Doing resistance exercises, which involve using weights or resistance bands, can improve your quality of life, physical abilities, bone density, and even reduce the risk of mortality. When combined with balance training, it can also lower the chances of falling.
  • Targeted Exercises for Specific Conditions: If you have issues like hyperkyphosis (excessive forward curvature of the spine), exercises that target your abdominal, back extensor, and shoulder muscles may help improve spinal curvature, quality of life, physical functioning, and strength.
  • Walking: Regular walking might lower the risk of death in older adults. However, it's not clear how walking affects the risk of fractures, falls, quality of life, physical abilities, or potential harm in people who are at risk of fractures.
  • Impact Exercise: Certain forms of high-impact exercise can improve bone density, physical abilities, and may even reduce the risk of death. But the full benefits of these exercises are not clear when done alone, as they are often combined with other types of exercise.
  • Yoga and Pilates: These exercises can enhance physical functioning and quality of life in older adults. However, their effects on bone density, falls, and fractures are uncertain, especially for those at risk of fractures.

Specific Recommendations

Recommendations provide guidance on exercise and nutrition for fall and fracture prevention in postmenopausal females and males aged 50 years and older, based on the strength of the evidence and expert consensus.


Available Resources

Too Fit To Fracture single page

Physiotherapy help, stretching band and doctor with senior man for physical therapy, rehabilitation and healthcare support. Black woman chiropractor or physiotherapy doctor consulting elderly patient

Upcoming news and information resources for physiotherapist

Exercise and Osteoporosis from IOF

Infographic on osteoporosis from IOF

Resources available for fall prevention for seniors