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The role of physical activity (PA) in mitigating fall risk among adults with cardiovascular disease (CVD) is unclear. We examined the associations of CVD–PA phenotypes with falls. Adults ≥ 45 years (n = 295,282; N = 130,103,093) from the 2018 Behavioral Risk Factor Surveillance System who self-reported CVD, leisure-time PA, and falls were examined. The weighted prevalence ratio (PR) of any, recurrent, and injurious falls across CVD–PA phenotypes (no CVD–PA, no CVD–no PA, CVD–PA, CVD–no PA) was estimated. The likelihood of any, recurrent, and injurious falls was higher across unhealthier CVD–PA phenotypes in fully adjusted models. In the total sample, no CVD–no PA (PR: 1.30; 95% CI: 1.10, 1.50), CVD–PA (PR: 1.35; 95% CI: 1.10, 1.60), and CVD–no PA (PR: 1.39; 95% CI: 1.11, 1.67) phenotypes were more likely to report injurious falls than no CVD–PA phenotype. Engaging in leisure-time PA may be an important lifestyle strategy for fall prevention in midlife and older adults who are at risk of CVD. Our findings could be useful for health education in providing evidence on future fall prevention programs in adults who are at risk for CVD and falls.

american journal of health education

Association of Cardiovascular Disease and Physical Activity Phenotypes with Falls among Midlife and Older Adults: 2018 Behavioral Risk Factor Surveillance System