Falls, walking speed and staying independent

Mobility, Balance & Bone

After 65, mobility is the outcome that predicts independence. Here is what the evidence supports for bone strength, fall prevention and joint comfort — and what it does not.

What the evidence says

  • Correcting low vitamin D supports bone health; very high intermittent doses have been linked to more falls, not fewer.
  • Progressive resistance and balance training has better fall-prevention evidence than any supplement.
  • Adequate calcium and protein intake matter more than specialised joint formulas.

Supplements in this topic

Vitamins

Vitamin D

Moderate evidence

Essential for bone health and immune function. Supplementation helps people who are deficient, but routine mega-dosing shows mixed benefits for healthy adults.

Verdict: Worth taking if deficient; test levels first.

850 studies reviewed
Fat-soluble toxicity risk at very high doses
Protein

Collagen peptides

Mixed evidence

Some studies show improved skin elasticity and reduced joint discomfort, but evidence is industry-funded and effects are modest.

Verdict: Possible skin and joint benefits; evidence is mixed.

95 studies reviewed
Often derived from animal sources
Minerals

Magnesium

Moderate evidence

Improves sleep quality and reduces muscle cramps in people who are deficient. Many diets are low in magnesium.

Verdict: Helpful for deficiency; limited extra benefit for replete people.

410 studies reviewed
High doses can cause diarrhea

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