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Exercise to Prevent Falls in Older Adults with Cognitive Impairment

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Falls and Cognition in Older Persons

Abstract

Falls are the third leading cause of chonic disability worldwide. Exercise can effectively reduce falls in community-dwelling older adults; the Cochrane Collaboration explicitly identifies a program of balance and strength training exercises has the strongest evidence for falls reduction. However, to date, there is a lack of consistent evidence for fall prevention in older adults with cognitive impairment – a population at high-risk for falls. Approximately 60% of older people with cognitive impairment fall annually; this incidence is approximately twice that of cognitively intact peers.

This chapter focuses on the role of cognition in falls and the role of exercise to prevent falls in older adults with cognitive impairment. In addition, we discuss potential underlying mechanisms by which exercise reduces falls among older fallers with cognitive impairment and conclude with future directions.

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Authors and Affiliations

  1. Aging, Mobility, and Cognitive Neuroscience Lab, University of British Columbia, Vancouver, BC, Canada

    Teresa Liu-Ambrose & Chun Liang Hsu

  2. Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada

    Teresa Liu-Ambrose & Chun Liang Hsu

  3. Djavad Mowafaghian Center for Brain Health, University of British Columbia, Vancouver, BC, Canada

    Teresa Liu-Ambrose & Chun Liang Hsu

  4. Center for Hip Health and Mobility, Vancouver, BC, Canada

    Teresa Liu-Ambrose, Jennifer C. Davis & Chun Liang Hsu

  5. Faculty of Management, University of British Columbia Okanagan, Kelowna, BC, Canada

    Jennifer C. Davis

Authors
  1. Teresa Liu-Ambrose
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  2. Jennifer C. Davis
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  3. Chun Liang Hsu
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Correspondence to Teresa Liu-Ambrose .

Editor information

Editors and Affiliations

  1. Division of Geriatric Medicine, University of Western Ontario, London, ON, Canada

    Manuel Montero-Odasso

  2. Division of Neurology, University of Alberta, Edmonton, AB, Canada

    Richard Camicioli

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Liu-Ambrose, T., Davis, J.C., Hsu, C.L. (2020). Exercise to Prevent Falls in Older Adults with Cognitive Impairment. In: Montero-Odasso, M., Camicioli, R. (eds) Falls and Cognition in Older Persons. Springer, Cham. https://doi.org/10.1007/978-3-030-24233-6_16

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  • DOI: https://doi.org/10.1007/978-3-030-24233-6_16

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