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2018-12-13Zeitschriftenartikel DOI: 10.18452/20138
Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults
dc.contributor.authorHamed, Azza
dc.contributor.authorBohm, Sebastian
dc.contributor.authorMersmann, Falk
dc.contributor.authorArampatzis, Adamantios
dc.date.accessioned2019-07-05T09:42:52Z
dc.date.available2019-07-05T09:42:52Z
dc.date.issued2018-12-13none
dc.identifier.issn2198-9761
dc.identifier.other10.1186/s40798-018-0170-z
dc.identifier.urihttp://edoc.hu-berlin.de/18452/20892
dc.description.abstractBackground: 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.eng
dc.language.isoengnone
dc.publisherHumboldt-Universität zu Berlin
dc.rights(CC BY-ND 4.0) Attribution-NoDerivatives 4.0 Internationalger
dc.rights.urihttps://creativecommons.org/licenses/by-nd/4.0/
dc.subjectFall preventioneng
dc.subjectPhysical training interventionseng
dc.subjectOlder adultseng
dc.subjectFall riskeng
dc.subjectFall incidenceeng
dc.subjectPostural and balance perturbationseng
dc.subject.ddc790 Freizeitgestaltung, darstellende Künste, Sportnone
dc.titleFollow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adultsnone
dc.typearticle
dc.subtitleA systematic review and meta-analysisnone
dc.identifier.urnurn:nbn:de:kobv:11-110-18452/20892-1
dc.identifier.doihttp://dx.doi.org/10.18452/20138
dc.type.versionpublishedVersionnone
local.edoc.container-titleSports Medicine - Opennone
local.edoc.pages19none
local.edoc.anmerkungThis article was supported by the German Research Foundation (DFG) and the Open Access Publication Fund of Humboldt-Universität zu Berlin.none
local.edoc.type-nameZeitschriftenartikel
local.edoc.institutionKultur-, Sozial- und Bildungswissenschaftliche Fakultätnone
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://link.springer.com/journal/40798none
local.edoc.container-publisher-nameSpringernone
local.edoc.container-publisher-placeBerlinnone
local.edoc.container-volume4none
local.edoc.container-issue1none
dc.description.versionPeer Reviewednone
local.edoc.container-articlenumber56

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