| Trail-walking exercise and fall risk factors in community-dwelling older adults: preliminary results of a randomized controlled trial. | |
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MedLine Citation:
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PMID: 20831723 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate the effects of a trail-walking exercise (TWE) program on the rate of falls in community-dwelling older adults. DESIGN: Pilot randomized controlled trial (RCT). SETTING: This trial was conducted in Japan and involved community-dwelling older adults as participants. PARTICIPANTS: Sixty participants randomized into a TWE group (n=30) and a walking (W) group (n=30). INTERVENTION: Exercise class combined with multicomponent trail walking program, versus exercise class combined with simple indoor walking program. MEASUREMENT: Measurement was based on the difference in fall rates between the TWE and W groups. RESULTS: Six months after the intervention, the incidence rate ratio (IRR) of falls for the TWE group compared with the W group was 0.20 (95% confidence interval (CI)=0.04-0.91); 12 months after the intervention, the IRR of falls for the TWE group compared with the W group was 0.45 (95% CI=0.16-1.77). CONCLUSION: The results of this pilot RCT suggest that the TWE program was more effective in improving locomotion and cognitive performance under trail-walking task conditions than walking. In addition, participants who took part in the TWE demonstrated a decrease in the incidence rate of falls 6 months after trial completion. Further confirmation is needed, but this preliminary result may promote a new understanding of accidental falls in older adults. |
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Authors:
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Minoru Yamada; Buichi Tanaka; Koutatsu Nagai; Tomoki Aoyama; Noriaki Ichihashi |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2010-09-09 |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 58 ISSN: 1532-5415 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-08 Completed Date: 2010-10-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: 1946-51 Citation Subset: IM |
Copyright Information:
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© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society. |
Affiliation:
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Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan. yamada@hs.med.kyotou.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidental Falls
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prevention & control* Aged Aged, 80 and over Exercise Therapy / methods* Female Follow-Up Studies Humans Incidence Japan / epidemiology Male Pilot Projects Time Factors Treatment Outcome Walking* Wounds and Injuries / epidemiology, etiology, rehabilitation* |
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