Chronic care and safety

This randomized trial tested a home-based, mobile-guided breathing and meditation package for older hypertensive adults and reported larger improvements in blood pressure and sleep quality than standard care.

This outpatient randomized trial addressed medication nonadherence in older hypertensive adults and linked a package intervention to better adherence, quality of life, and blood pressure outcomes.

This trial showed that educating caregivers can improve oral-hygiene outcomes in institutionalized elders, making oral care a concrete preventive workflow rather than an afterthought.

This systematic review and meta-analysis quantifies the scale of polypharmacy and inappropriate prescribing in older adults in India, giving health systems a clearer medication-safety prevention target.

This national analysis builds a frailty index and links frailty burden to age, sex, socioeconomic position, and healthcare use across India.

This community study argues that grip strength, gait speed, and simple frailty screening can be deployed as practical field tools for older adults in India.

This rural South India study links frailty to falls and fear of falling, making a strong case for integrated screening rather than treating each problem separately.

This decomposition analysis shows how frailty and disability are unevenly distributed by sex and residence, helping planners target scarce prevention resources.

Open-label RCT evidence in Elderly diabetics in rural geriatric clinics focused on visual monitoring chart plus education and tracked hba1c improvement. A low-cost, primary-care-friendly chronic disease prevention tool rather than a specialist intervention.

This Delphi study develops an India-specific deprescribing tool that accounts for local prescribing realities such as fixed-dose combinations and herb-drug interactions.

Tool development / validation evidence in Indian community elders focused on frailty screening and tracked predictive validity and accuracy. Frailty screening is a high-value triage tool for prevention and prioritization in primary care.

Pilot RCT evidence in Older adults in India with NCDs focused on education and behavioral adherence program and tracked adherence feasibility and effect. Prevention here works through better chronic disease control rather than through a single screening or exercise program.

Cross-sectional evidence in Older adults in LASI Wave 1 national survey focused on national sarcopenia-phenotype and diabetes risk stratification analysis and tracked associations between diabetes and sarcopenia phenotype distributions. Useful for integrating sarcopenia screening into diabetes care where muscle loss and metabolic risk intersect.

Cross-sectional evidence in Older adults aged 60 and above in LASI Wave 1 focused on national sarcopenia prevalence and determinant analysis and tracked prevalence and determinants of sarcopenia in india. Important for defining the target population for strength, nutrition, and frailty-prevention programs at state scale.

Cross-sectional evidence in Older adults across six Indian cities focused on medication-safety risk mapping and tracked polypharmacy prevalence and risk factors. Directly informs deprescribing and medication-safety prevention planning.

Randomized supplementation trial evidence in Vitamin D-deficient Asian Indians including older adults focused on cholecalciferol plus calcium and tracked strength and physical performance. Relevant to sarcopenia and falls prevention, even though it sits outside the stronger recent lifestyle and screening clusters.

This review maps why preventive oral care still fails older adults in India and argues that service pathways and caregiver support matter as much as clinical knowledge.

Cross-sectional risk assessment evidence in Urban Indian adults and older adults focused on fracture risk screening and tracked risk stratification. Supports proactive fracture prevention planning rather than reactive treatment after injury.

Cross-sectional evidence in India elderly population focused on nutrition screening baseline and tracked malnutrition prevalence. Useful for targeting nutrition services and understanding the baseline scale of risk.

Cross-sectional evidence in Urban Coimbatore elders focused on nutrition screening baseline and tracked correlates of malnutrition. Highly useful for targeting nutrition-risk programs even though it is not interventional evidence.

Cross-sectional evidence in Rural Haryana older adults focused on disability screening and measurement and tracked disability prevalence. Foundational for targeting ADL and disability prevention services in rural settings.

Clinical trial evidence in Edentulous elderly in India focused on vitamin d therapy and tracked mandibular ridge dimensions. More niche than the highest-ranked studies, but still relevant to geriatric oral and bone-health prevention.

Cross-sectional evidence in India elderly population focused on access and uptake behavior as prevention systems issue and tracked determinants of care-seeking. Useful for understanding why screening and chronic-care pathways fail to convert into real care continuity.

Double-blind RCT evidence in Healthy elderly adults in India focused on curcumin supplementation and tracked strength and fatigue markers. Included with caution because it is a smaller supplement trial rather than a broad systems-level prevention strategy.