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You have full access to this open access article. Muscle strengthening, balance improvement, and mobility training are effective in reducing the FoF of frail and pre-frail older adults. Physical-activity interventions have a positive role in FoF reduction while improving the quality of life of frail and pre-frail older adults and promoting healthy aging.

Frailty in older adults leads to progressive deterioration of their physical condition and makes them prone to develop Fear of Falling FoF. Physical-activity interventions appear to be effective in managing the components of frailty but there is no clear evidence to determine whether physical-activity may affect FoF in frail and pre-frail older adults.

Studies assessing physical-activity interventions for frail and pre-frail older adults aged 60 years and older were identified in English through searches in PubMed, ScienceDirect, and Cochrane Central Register of Controlled Trials databases till February Study quality was assessed, and a qualitative synthesis of results was performed.

A total of 13 studies published were included. Six studies were assessed as having a low risk of bias. Cumulatively, the findings of this review indicate that physical-activity interventions are effective in reducing the FoF of frail and pre-frail older adults. The results are encouraging and recapitulate the positive role of physical interventions in FoF reduction. However, future research would benefit from longer follow-up periods, longer intervention duration, and participation of interdisciplinary teams.