Preventive Medicine Research & Reviews · Sep 8, 2026
Prevention of Fracture Risk among Older Long-term Care Residents: A Prospective Study from India
By Nanda SN, Tripathy S, Gachhayat A et al.
Abstract Background: Older adults in long-term care (LTC) facilities are at high risk for fragility fractures due to bone loss, impaired mobility, cognitive decline and polypharmacy. Such fractures increase morbidity, mortality and healthcare costs. Objective: This prospective study evaluated the effectiveness of a multifaceted intervention programme for fracture prevention amongst older adults in LTC. Methods: A prospective, 24-month interventional study (January 2022–December 2023) was conducted in 10 LTC homes across three districts with 520 residents aged ≥65 years. Outcomes were compared with a matched historical control cohort drawn from the same LTC facilities during 2020–2022, using identical inclusion criteria and outcome definitions. The intervention included Vitamin D and calcium supplementation, structured exercise, medication review, fall prevention strategies and environmental modifications. Fracture incidence, fall rates and functional status were compared to a historical control. Results: Hip and non-hip fractures decreased by 36% and 28%, respectively. Vitamin D supplementation improved serum 25(OH) D levels ( P < 0.01). Exercise enhanced balance and strength ( P < 0.05). Psychotropic use declined by 18% following polypharmacy review. Fall rates dropped by 31%. Conclusion: A comprehensive, multidisciplinary intervention significantly reduced fracture risk in LTC residents, supporting its broader implementation to improve musculoskeletal health and safety in geriatric care.