Exercise for preventing falls in older people living in the community: an abridged Cochrane Systematic Review
<br/><strong>Objectives: </strong>To assess the effects of exercise interventions for preventing falls in older people living in the community.<br/><strong>Selection criteria: </strong>We included randomised controlled trials evaluating the effects of any form of...
| Main Authors: | , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
BMJ Publishing Group
2019
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| _version_ | 1797063588198744064 |
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| author | Sherrington, C Fairhall, N Wallbank, G Tiedemann, A Michaleff, Z Howard, K Clemson, L Hopewell, S Lamb, S |
| author_facet | Sherrington, C Fairhall, N Wallbank, G Tiedemann, A Michaleff, Z Howard, K Clemson, L Hopewell, S Lamb, S |
| author_sort | Sherrington, C |
| collection | OXFORD |
| description | <br/><strong>Objectives: </strong>To assess the effects of exercise interventions for preventing falls in older people living in the community.<br/><strong>Selection criteria: </strong>We included randomised controlled trials evaluating the effects of any form of exercise as a single intervention on falls in people aged 60+years living in the community.<br/><strong>Results: </strong>Exercise reduces the rate of falls by 23% (rate ratio (RaR) 0.77, 95% CI 0.71 to 0.83; 12 981 participants, 59 studies; high-certainty evidence). Subgroup analyses showed no evidence of a difference in effect on falls on the basis of risk of falling as a trial inclusion criterion, participant age 75 years+ or group versus individual exercise but revealed a larger effect of exercise in trials where interventions were delivered by a health professional (usually a physiotherapist). Different forms of exercise had different impacts on falls. Compared with control, balance and functional exercises reduce the rate of falls by 24% (RaR 0.76, 95% CI 0.70 to 0.81; 7920 participants, 39 studies; high-certainty evidence). Multiple types of exercise (commonly balance and functional exercises plus resistance exercises) probably reduce the rate of falls by 34% (RaR 0.66, 95% CI 0.50 to 0.88; 1374 participants, 11 studies; moderate-certainty evidence). Tai Chi may reduce the rate of falls by 19% (RaR 0.81, 95% CI 0.67 to 0.99; 2655 participants, 7 studies; low-certainty evidence). We are uncertain of the effects of programmes that primarily involve resistance training, dance or walking.<br/><strong>Conclusions and implications: </strong>Given the certainty of evidence, effective programmes should now be implemented. |
| first_indexed | 2024-03-06T21:02:03Z |
| format | Journal article |
| id | oxford-uuid:3b3648b8-389c-49e5-b7d9-d3b71eaf41c0 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T21:02:03Z |
| publishDate | 2019 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oxford-uuid:3b3648b8-389c-49e5-b7d9-d3b71eaf41c02022-03-26T14:06:18ZExercise for preventing falls in older people living in the community: an abridged Cochrane Systematic ReviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3b3648b8-389c-49e5-b7d9-d3b71eaf41c0EnglishSymplectic Elements at OxfordBMJ Publishing Group2019Sherrington, CFairhall, NWallbank, GTiedemann, AMichaleff, ZHoward, KClemson, LHopewell, SLamb, S<br/><strong>Objectives: </strong>To assess the effects of exercise interventions for preventing falls in older people living in the community.<br/><strong>Selection criteria: </strong>We included randomised controlled trials evaluating the effects of any form of exercise as a single intervention on falls in people aged 60+years living in the community.<br/><strong>Results: </strong>Exercise reduces the rate of falls by 23% (rate ratio (RaR) 0.77, 95% CI 0.71 to 0.83; 12 981 participants, 59 studies; high-certainty evidence). Subgroup analyses showed no evidence of a difference in effect on falls on the basis of risk of falling as a trial inclusion criterion, participant age 75 years+ or group versus individual exercise but revealed a larger effect of exercise in trials where interventions were delivered by a health professional (usually a physiotherapist). Different forms of exercise had different impacts on falls. Compared with control, balance and functional exercises reduce the rate of falls by 24% (RaR 0.76, 95% CI 0.70 to 0.81; 7920 participants, 39 studies; high-certainty evidence). Multiple types of exercise (commonly balance and functional exercises plus resistance exercises) probably reduce the rate of falls by 34% (RaR 0.66, 95% CI 0.50 to 0.88; 1374 participants, 11 studies; moderate-certainty evidence). Tai Chi may reduce the rate of falls by 19% (RaR 0.81, 95% CI 0.67 to 0.99; 2655 participants, 7 studies; low-certainty evidence). We are uncertain of the effects of programmes that primarily involve resistance training, dance or walking.<br/><strong>Conclusions and implications: </strong>Given the certainty of evidence, effective programmes should now be implemented. |
| spellingShingle | Sherrington, C Fairhall, N Wallbank, G Tiedemann, A Michaleff, Z Howard, K Clemson, L Hopewell, S Lamb, S Exercise for preventing falls in older people living in the community: an abridged Cochrane Systematic Review |
| title | Exercise for preventing falls in older people living in the community: an abridged Cochrane Systematic Review |
| title_full | Exercise for preventing falls in older people living in the community: an abridged Cochrane Systematic Review |
| title_fullStr | Exercise for preventing falls in older people living in the community: an abridged Cochrane Systematic Review |
| title_full_unstemmed | Exercise for preventing falls in older people living in the community: an abridged Cochrane Systematic Review |
| title_short | Exercise for preventing falls in older people living in the community: an abridged Cochrane Systematic Review |
| title_sort | exercise for preventing falls in older people living in the community an abridged cochrane systematic review |
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