Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis
Abstract Background The risk of falling and associated injuries increases with age. Therefore, the prevention of falls is a key priority in geriatrics and is particularly based on physical exercising, aiming to improve the age-related decline in motor performance, which is crucial in response to pos...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2018-12-01
|
| Series: | Sports Medicine - Open |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40798-018-0170-z |
| _version_ | 1819079986735218688 |
|---|---|
| author | Azza Hamed Sebastian Bohm Falk Mersmann Adamantios Arampatzis |
| author_facet | Azza Hamed Sebastian Bohm Falk Mersmann Adamantios Arampatzis |
| author_sort | Azza Hamed |
| collection | DOAJ |
| description | Abstract Background The risk of falling and associated injuries increases with age. Therefore, the prevention of falls is a key priority in geriatrics and is particularly based on physical exercising, aiming to improve the age-related decline in motor performance, which is crucial in response to postural threats. Although the benefits and specifications of effective exercise programs have been well documented in pre-post design studies, that is during the treatment, the definitive retention and transfer of these fall-related exercise benefits to the daily life fall risk during follow-up periods remains largely unclear. Accordingly, this meta-analysis investigates the efficacy of exercise interventions on the follow-up risk of falling. Methods A systematic database search was conducted. A study was considered eligible if it examined the number of falls (fall rate) and fallers (fall risk) of healthy older adults (≥ 65 years) during a follow-up period after participating in a randomized controlled physical exercise intervention. The pooled estimates of the fall rate and fall risk ratios were calculated using a random-effects meta-analysis. Furthermore, the methodological quality and the risk of bias were assessed. Results Twenty-six studies with 31 different intervention groups were included (4739 participants). The number of falls was significantly (p <0.001) reduced by 32% (rate ratio 0.68, 95% confidence interval 0.58 to 0.80) and the number of fallers by 22% (risk ratio 0.78, 95% confidence interval 0.68 to 0.89) following exercising when compared with controls. Interventions that applied posture-challenging exercises showed the highest effects. The methodological quality score was acceptable (73 ± 11%) and risk of bias low. Conclusions The present review and meta-analysis provide evidence that physical exercise interventions have the potential to significantly reduce fall rate and risk in healthy older adults. Posture-challenging exercises might be particularly considered when designing fall prevention interventions. |
| first_indexed | 2024-12-21T19:37:42Z |
| format | Article |
| id | doaj.art-76dacb08f69344f0aff53e4f7bb641dd |
| institution | Directory Open Access Journal |
| issn | 2199-1170 2198-9761 |
| language | English |
| last_indexed | 2024-12-21T19:37:42Z |
| publishDate | 2018-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Sports Medicine - Open |
| spelling | doaj.art-76dacb08f69344f0aff53e4f7bb641dd2022-12-21T18:52:34ZengSpringerOpenSports Medicine - Open2199-11702198-97612018-12-014111910.1186/s40798-018-0170-zFollow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysisAzza Hamed0Sebastian Bohm1Falk Mersmann2Adamantios Arampatzis3Department of Training and Movement Sciences, Humboldt-Universität zu BerlinDepartment of Training and Movement Sciences, Humboldt-Universität zu BerlinDepartment of Training and Movement Sciences, Humboldt-Universität zu BerlinDepartment of Training and Movement Sciences, Humboldt-Universität zu BerlinAbstract Background The risk of falling and associated injuries increases with age. Therefore, the prevention of falls is a key priority in geriatrics and is particularly based on physical exercising, aiming to improve the age-related decline in motor performance, which is crucial in response to postural threats. Although the benefits and specifications of effective exercise programs have been well documented in pre-post design studies, that is during the treatment, the definitive retention and transfer of these fall-related exercise benefits to the daily life fall risk during follow-up periods remains largely unclear. Accordingly, this meta-analysis investigates the efficacy of exercise interventions on the follow-up risk of falling. Methods A systematic database search was conducted. A study was considered eligible if it examined the number of falls (fall rate) and fallers (fall risk) of healthy older adults (≥ 65 years) during a follow-up period after participating in a randomized controlled physical exercise intervention. The pooled estimates of the fall rate and fall risk ratios were calculated using a random-effects meta-analysis. Furthermore, the methodological quality and the risk of bias were assessed. Results Twenty-six studies with 31 different intervention groups were included (4739 participants). The number of falls was significantly (p <0.001) reduced by 32% (rate ratio 0.68, 95% confidence interval 0.58 to 0.80) and the number of fallers by 22% (risk ratio 0.78, 95% confidence interval 0.68 to 0.89) following exercising when compared with controls. Interventions that applied posture-challenging exercises showed the highest effects. The methodological quality score was acceptable (73 ± 11%) and risk of bias low. Conclusions The present review and meta-analysis provide evidence that physical exercise interventions have the potential to significantly reduce fall rate and risk in healthy older adults. Posture-challenging exercises might be particularly considered when designing fall prevention interventions.http://link.springer.com/article/10.1186/s40798-018-0170-zFall preventionPhysical training interventionsOlder adultsFall riskFall incidencePostural and balance perturbations |
| spellingShingle | Azza Hamed Sebastian Bohm Falk Mersmann Adamantios Arampatzis Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis Sports Medicine - Open Fall prevention Physical training interventions Older adults Fall risk Fall incidence Postural and balance perturbations |
| title | Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis |
| title_full | Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis |
| title_fullStr | Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis |
| title_full_unstemmed | Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis |
| title_short | Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis |
| title_sort | follow up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults a systematic review and meta analysis |
| topic | Fall prevention Physical training interventions Older adults Fall risk Fall incidence Postural and balance perturbations |
| url | http://link.springer.com/article/10.1186/s40798-018-0170-z |
| work_keys_str_mv | AT azzahamed followupefficacyofphysicalexerciseinterventionsonfallincidenceandfallriskinhealthyolderadultsasystematicreviewandmetaanalysis AT sebastianbohm followupefficacyofphysicalexerciseinterventionsonfallincidenceandfallriskinhealthyolderadultsasystematicreviewandmetaanalysis AT falkmersmann followupefficacyofphysicalexerciseinterventionsonfallincidenceandfallriskinhealthyolderadultsasystematicreviewandmetaanalysis AT adamantiosarampatzis followupefficacyofphysicalexerciseinterventionsonfallincidenceandfallriskinhealthyolderadultsasystematicreviewandmetaanalysis |