Document Detail


What works better for community-dwelling older people at risk to fall?: a meta-analysis of multifactorial versus physical exercise-alone interventions.
MedLine Citation:
PMID:  19494361     Owner:  HSR     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare and quantify the effectiveness of multifactorial versus exercise-alone interventions in reducing recurrent falls among community-dwelling older people. METHOD: A meta-analysis of recently published studies on fall prevention interventions was conducted. Measure of the overall effectiveness was the combined risk ratio for recurrent falls, whereas heterogeneity was explored via metaregression analyses. RESULTS: Ten of the 52 identified studies met the preset criteria and were included in the analysis. The exercise-alone interventions were about 5 times more effective compared to multifactorial ones. Short-term interventions, smaller samples, and younger age related to better outcomes. DISCUSSION: From cost-efficiency and public health perspectives, exercise-alone interventions can be considered valuable, as they are more likely to be implemented in countries with less resources. Further qualitative research is needed, however, to explore determinants of willingness to participate and comply with interventions aiming to prevent recurrent falls among older people.
Authors:
Eleni Th Petridou; Eirini G Manti; Athanasios G Ntinapogias; Eva Negri; Katarzyna Szczerbinska
Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't     Date:  2009-06-03
Journal Detail:
Title:  Journal of aging and health     Volume:  21     ISSN:  0898-2643     ISO Abbreviation:  J Aging Health     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-08     Completed Date:  2009-07-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912686     Medline TA:  J Aging Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  713-29     Citation Subset:  T    
Affiliation:
Department of Hygiene, Epidemiology, and Medical Statistics, University of Athens School of Medicine, 75 Mikras Asias Street, Goudi, Athens 115 27, Greece. epetrid@med.uoa.gr
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / prevention & control*,  statistics & numerical data
Aged
Aged, 80 and over
Exercise*
Exercise Therapy*
Geriatric Assessment
Humans
Incidence
Occupational Therapy
Outcome and Process Assessment (Health Care)
Patient Compliance
Patient Participation
Physical Therapy Modalities*
Referral and Consultation
Self Care
Vision Screening
Walking*

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