OBJECTIVES: Falls are a common problem and cause considerable morbidity in older people. The overall effect of various programs for preventing falls including exercise or multifactorial programs in in the community remains controversial. The aim of this study was to determine the effect of several prevention programs on fall rates, number of fallers and fall-related injuries in the community. METHODS: We searched Medline, EMBASE, CINAHL, Cochrane, Korea med systematically to Mar 2016 for randomised controlled trials to reduce falls among older people residing in in the community. The outcomes were fall rates, number of falls, fallers. RESULTS: The computerized search strategy found 828 potential articles, thirty of which met the inclusion criteria. Fourty four trials were eligible. Meta analysis found that multifactorial interventions significantly reduced fall rates (RR = 0.83, 95% CI = 0.74-0.92), while exercise tended to reduce fall rates but did not achieve a significant reduction (RR=0.94, 95% CI = 0.76 – 1.17). CONCLUSIONS: The study show that a multifactorial intervention to reduce the risk of falling among elderly people living in the community. However, the exercise was not significant to prevent falls. It needs more explorations considering the components and intensities of exercise programs.