Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults
dc.contributor.author | Hamed, Azza | |
dc.contributor.author | Bohm, Sebastian | |
dc.contributor.author | Mersmann, Falk | |
dc.contributor.author | Arampatzis, Adamantios | |
dc.date.accessioned | 2019-07-05T09:42:52Z | |
dc.date.available | 2019-07-05T09:42:52Z | |
dc.date.issued | 2018-12-13 | none |
dc.identifier.issn | 2198-9761 | |
dc.identifier.uri | http://edoc.hu-berlin.de/18452/20892 | |
dc.description | This article was supported by the German Research Foundation (DFG) and the Open Access Publication Fund of Humboldt-Universität zu Berlin. | none |
dc.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. | eng |
dc.language.iso | eng | none |
dc.publisher | Humboldt-Universität zu Berlin | |
dc.rights | (CC BY-ND 4.0) Attribution-NoDerivatives 4.0 International | ger |
dc.rights.uri | https://creativecommons.org/licenses/by-nd/4.0/ | |
dc.subject | Fall prevention | eng |
dc.subject | Physical training interventions | eng |
dc.subject | Older adults | eng |
dc.subject | Fall risk | eng |
dc.subject | Fall incidence | eng |
dc.subject | Postural and balance perturbations | eng |
dc.subject.ddc | 790 Freizeitgestaltung, darstellende Künste, Sport | none |
dc.title | Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults | none |
dc.type | article | |
dc.identifier.urn | urn:nbn:de:kobv:11-110-18452/20892-1 | |
dc.identifier.doi | http://dx.doi.org/10.18452/20138 | |
dc.type.version | publishedVersion | none |
local.edoc.pages | 19 | none |
local.edoc.type-name | Zeitschriftenartikel | |
local.edoc.container-type | periodical | |
local.edoc.container-type-name | Zeitschrift | |
dc.description.version | Peer Reviewed | none |
dc.title.subtitle | A systematic review and meta-analysis | none |
dcterms.bibliographicCitation.doi | 10.1186/s40798-018-0170-z | |
dcterms.bibliographicCitation.journaltitle | Sports Medicine - Open | none |
dcterms.bibliographicCitation.volume | 4 | none |
dcterms.bibliographicCitation.issue | 1 | none |
dcterms.bibliographicCitation.articlenumber | 56 | |
dcterms.bibliographicCitation.originalpublishername | Springer | none |
dcterms.bibliographicCitation.originalpublisherplace | Berlin | none |
bua.department | Kultur-, Sozial- und Bildungswissenschaftliche Fakultät | none |