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Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community : a systematic review and meta-analysis
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Finnegan, Susanne, Seers, Kate and Bruce, J. (Julie) (2019) Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community : a systematic review and meta-analysis. Physiotherapy, 105 (2). pp. 187-199. doi:10.1016/j.physio.2018.09.002 ISSN 0031-9406.
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Official URL: https://doi.org/10.1016/j.physio.2018.09.002
Abstract
Background
Fall related injuries are the leading cause of accident - related mortality for older adults, with 30% of those aged 65 years and over falling annually. Exercise is effective in reducing rate and risk of falls in community - dwelling adults; however, there is lack of evidence for the long - term effects of exercise.
Objectives
To assess the long-term effect of exercise interventions on preventing falls in community - dwelling older adults.
Data Sources
Searches were undertaken on MEDLINE, EMBASE, AMED, CINAHL, psycINFO, the Physiotherapy Evidence Database (PEDro) and The Cochrane Library from inception to April 2017.
Study selection
Randomised controlled trials (RCTs), cohort studies or secondary analyses of RCTs with long - term follow - up (>12 months) of exercise interventions involving community - dwelling older adults (65 and over) compared to a control group.
Data extraction/Data synthesis
Pairs of review authors independently extracted data. Review Manager (RevMan 5.1) was used for meta - analysis and data were extracted using rate ratio (RaR) and risk ratio (RR).
Results
Twenty - four studies (7818 participants) were included. The overall pooled estimate of the effect of exercise on rate of falling beyond 12 - month follow - up was rate ratio (RaR) 0.79 (95% confidence interval (CI) 0.71 to 0.88) and risk of falling was risk ratio (RR) 0.83 (95% CI 0.76 to 0.92) Subgroup analyses revealed that there was no sustained effect on rate or risk of falling beyond two years post - intervention.
Conclusions
Falls prevention exercise programmes have sustained long - term effects on the number of people falling and the number of falls for up to two years after an exercise intervention.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing |
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Library of Congress Subject Headings (LCSH): | Falls (Accidents) in old age -- Prevention, Older people -- Wounds and injuries | ||||||||
Journal or Publication Title: | Physiotherapy | ||||||||
Publisher: | Elsevier Science Ltd. | ||||||||
ISSN: | 0031-9406 | ||||||||
Official Date: | 1 June 2019 | ||||||||
Dates: |
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Volume: | 105 | ||||||||
Number: | 2 | ||||||||
Page Range: | pp. 187-199 | ||||||||
DOI: | 10.1016/j.physio.2018.09.002 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 24 September 2018 | ||||||||
Date of first compliant Open Access: | 24 September 2018 | ||||||||
RIOXX Funder/Project Grant: |
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