What does the USPSTF recommend for preventing falls in community-dwelling adults aged 65 years and older who are at increased risk?

The recommendation from the USPSTF for preventing falls in community-dwelling adults aged 65 years and older who are at increased risk focuses on the importance of exercise or physical therapy. Engaging in regular physical activity helps improve muscle strength, balance, and overall mobility, which are critical factors in reducing the risk of falls among older adults.

Research has consistently shown that targeted exercise programs can effectively enhance physical function and decrease the likelihood of falls. These programs may include activities such as strength training, balance exercises, and flexibility training, all of which contribute to better stability and coordination.

In contrast, medication therapy is not typically a recommended primary intervention for fall prevention, as medications can sometimes contribute to dizziness or falls. Surgery may also be an option for specific conditions but is not a general recommendation for fall prevention. Isolation from physical activities would be counterproductive, as staying active is essential for maintaining physical health and minimizing fall risk. Therefore, exercise or physical therapy remains the most evidence-based and effective strategy for fall prevention in this population.