Falls among older adults pose significant public health challenges associated with severe physical, psychological, and economic consequences. Exercise interventions are crucial for reducing fall risk through diverse biomechanical, physiological, and psychological mechanisms. This integrative review synthesizes evidence from systematic reviews, meta-analyses, randomized controlled trials, and cohort studies published between 2004 and 2024, sourced from databases including PubMed, MEDLINE, EBSCO (EDS), and Google Scholar. Key findings highlight that balance and strength training enhances postural control, gait stability, and joint mobility while promoting neuromuscular coordination. Resistance training is particularly effective in mitigating sarcopenia and improving muscle strength and joint function, aiding quick responses to balance perturbations. Cognitive exercises enhance attention, spatial awareness, and decision-making, reinforcing fall prevention. Psychological benefits include reduced fear of falling, increased confidence, improved mood, support adherence and social engagement, and sustaining physical activity. Holistic models demonstrate the efficacy of integrating physical, cognitive, and social elements for comprehensive fall prevention. The review emphasizes the importance of multidisciplinary strategies and underscores the need for continued cross-disciplinary research to refine evidence-based practices that optimize outcomes for older adults, thereby highlighting the ongoing nature of the research and the potential for further advancements in the field.