CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-08-26. AI was used for research and drafting; the existence of all 1 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v0.8.
Verdict No. 2942 · Search date 2026-08-26 · Methodology v0.8

Supervised group balance training plus home exercise,
does it really help with Reduced injurious falls in women aged 75-85?

30-Second Summary
B
Evidence Grade B · 76 · Safety caution
Combined moderate and serious injurious falls declined, while serious falls alone remained uncertain
Five exercise-related injurious falls were reported, supporting individualized supervision and environmental precautions.
What the
research shows
The grade is B. Among 706 community-dwelling women with impaired balance or gait, moderate-plus-serious injurious falls were 305 versus 397, HR 0.81 (95% CI 0.67-0.99), P=.04. Serious injurious falls alone were not significant: 68 versus 87, HR 0.83 (0.60-1.16).
What the
ads claim
Claims should describe fewer combined moderate and serious injurious falls in this high-risk population, not proven reduction of every serious fall.
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Useful facts when choosing a product

  • The program combined weekly supervised group sessions and home exercise for two years.
  • The primary outcome changed during recruitment.
  • Five exercise-related injurious falls occurred.
Gap Measurement · Verdict 2942 · B 76
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

Ossébo randomized 352 women to exercise and 354 to control for two years. About eight months after recruitment began, logistical and recruitment delays led investigators to reduce the target from 1,000 per arm and change the primary outcome from serious falls to moderate-plus-serious injurious falls. It was not reported as data-driven, but limits prespecification. Public support came from AP-HP, the French Ministry of Health, ANR, INPES, and Ile-de-France, with no funder role. Consistent comparison verdicts are [verdict 1812, A with 86 points](/verdicts/joint-bone/tai-ji-quan-fall-prevention-high-risk-older-adults/) and [verdict 1834, A with 86 points](/verdicts/joint-bone/otago-exercise-community-older-adult-fall-reduction/).

02

Why this is classified as B (76)

A large publicly funded randomized hard-outcome trial supports benefit, but it is one pivotal trial with an outcome-change limitation, giving B with 76 points.

Counterpoint. The serious-injury-only result was not statistically significant.

Rejudgment record. Cross-check applied — A large publicly funded randomized trial found fewer adjudicated injurious falls, with a mid-recruitment primary-outcome amendment

Scoring profile behind this grade
EndpointHHard endpoint - actual events such as death
ReplicationR1Single confirmatory trial
IndependenceI2Decisive evidence is publicly or non-profit funded
Effect sizeE+Meets the clinically important threshold

The scoring table and the verdict agree (B).

Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Reduced moderate-plus-serious injurious fallsBHR was 0.81, P=.04.
Reduced serious injurious fallsDThe HR 0.83 interval included 1.

Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Study 1Two-year 20-center randomized controlled trial354Public funding from AP-HP, French Ministry of Health, ANR, INPES, and Ile-de-FranceRate of moderate and serious injurious falls305 versus 397 events; HR 0.81 (95% CI 0.67-0.99), P=.04; serious-only HR 0.83 (0.60-1.16)Pivotal large hard-outcome evidence
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Receipt — 1 References

All 1 cited sources were verified for existence at the original page (as of 2026-08-26).

El-Khoury F, Cassou B, Latouche A, et al. Effectiveness of two year balance training programme on prevention of fall induced injuries in at risk women aged 75-85 living in community: Ossébo randomised controlled trial. BMJ. 2015;351:h3830. PMID: 26201510.
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Verification cutoff: 2026-08-26 · Corrections: none

Cite this verdict

Benefit of Two-Year Balance Training for Reducing Injurious Falls in At-Risk Older Women Evidence Grade B card
[Chamgap] Benefit of Two-Year Balance Training for Reducing Injurious Falls in At-Risk Older Women — Evidence Grade B·76. 1 cited sources checked. Source: https://chamgap.com/en/verdicts/sports/ossebo-balance-exercise-injurious-falls-older-women/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.