Comparative effectiveness of exercise interventions for preventing falls in older adults: A secondary analysis of a systematic review with network meta-analysis

Sibley, Kathryn M.; Thomas, Sonia M.; Veroniki, Areti Angeliki; Rodrigues, Myanca; Hamid, Jemila S.; Lachance, Chantelle C.; Cogo, Elise; Khan, Paul A.; Riva, John J.; Thavorn, Kednapa; MacDonald, Heather; Holroyd‐Leduc, Jayna; Feldman, Fabio; Kerr, Gillian D.; Jaglal, Susan; Straus, Sharon E.; Tricco, Andrea C.

doi:10.1016/j.exger.2020.111151

Cited by 30 publications

(31 citation statements)

References 25 publications

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“…For example, two recent studies performed by the research group of Tricco et al explored the effects of different quality improvement strategies and exercise interventions on falls. 25 , 26 …”

Section: Discussionmentioning

confidence: 99%

Interventions for preventing falls and fall‐related fractures in community‐dwelling older adults: A systematic review and network meta‐analysis

Dautzenberg

Beglinger

Tsokani

et al. 2021

J American Geriatrics Society

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Objective: To compare the effectiveness of single, multiple, and multifactorial interventions to prevent falls and fall-related fractures in community-dwelling older persons. Methods: MEDLINE, Embase, and Cochrane Central Register of Controlled Trials were systematically searched for randomized controlled trials (RCTs) evaluating the effectiveness of fall prevention interventions in communitydwelling adults aged ≥65 years, from inception until February 27, 2019. Two large RCTs (published in 2020 after the search closed) were included in post hoc analyses. Pairwise meta-analysis and network meta-analysis (NMA) were conducted. Results: NMA including 192 studies revealed that the following single interventions, compared with usual care, were associated with reductions in number of fallers: exercise (risk ratio [RR] 0.83; 95% confidence interval [CI] 0.77-0.89) and quality improvement strategies (e.g., patient education) (RR 0.90; 95% CI 0.83-0.98). Exercise as a single intervention was associated with a reduction in falls rate (RR 0.79; 95% CI 0.73-0.86). Common components of multiple interventions significantly associated with a reduction in number of fallers and falls rate were exercise, assistive technology, environmental assessment and modifications, quality improvement strategies, and

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Section: Discussionmentioning

confidence: 99%

Interventions for preventing falls and fall‐related fractures in community‐dwelling older adults: A systematic review and network meta‐analysis

Dautzenberg

Beglinger

Tsokani

et al. 2021

J American Geriatrics Society

Self Cite

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“…Sports include not only physical training, but also Tai Chi, Baduan Jin, yoga, Muay Thai dance and other events. However, our research includes as much exercise as possible [ 22 ]. Some scholars reported that compound exercises and Tai Chi are an evaluation of the effect of reducing the risk of falls in the elderly, but they did not mention the effect of the length of exercise intervention and the frequency of exercise on reducing the risk of falls in the elderly.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Exercise Intervention on Reducing the Fall Risk in Older Adults: A Meta-Analysis of Randomized Controlled Trials

Sun

Min

et al. 2021

IJERPH

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Exercise intervention has a positive effect on reducing the fall risk in older adults. To investigate the effect of different factors of exercise intervention (type, duration, and frequency) on reducing the fall risk in older adults, a meta-analysis was performed in this study. According to the PRISMA®, two researchers independently searched PubMed, Web of Science, and the China National Knowledge Infrastructure databases to assess the quality of the studies using the PEDro scale. A total of 648 subjects in 10 randomized controlled trials were included in this study, and the exercise interventions included integrated training (resistance training, core training, and balance training), balance training, core training, Pilates, Ba Duan Jin, and Tai Chi. These studies show that exercise intervention has a huge and significant impact on reducing the risk of falls of the elderly. In conclusion, an integrated intervention with a frequency of more than five times a week and a duration of more than 32 weeks are more effective in reducing the fall risk.

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“…This would, however, require individual educational interventions to personalize them, by helping patients to recognize and integrate all activities that can benefit them through movement in their daily lives. In order for physical activity to be effective, it should include four components of balance (functional stability, dynamic stability, anticipatory control, reactive control) and flexibility (Sibley et al., 2021). In addition, follow‐up should be provided over time.…”

Section: Discussionmentioning

confidence: 99%

Effective, sustainable, and transferable physical exercise interventions for fall prevention among older people

Campani

Caristia

Amariglio

et al. 2021

Public Health Nursing

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Introduction Falls among older people are preventable through exercise‐based programs. However, scientific evidence must be translated into practice to support professionals who implement such programs. Aim This study aimed to identify physical exercise interventions for fall prevention and to determine the best practice for implementing them in local community‐dwelling older adults. Method We used a narrative synthesis method to produce Effective, Sustainable, and Transferable Preventive Interventions. We reviewed guidelines, systematic reviews, and randomized controlled trials (RCT) to find the best evidence supporting physical exercises to prevent falls, followed by discussing the evidence with clinical experts to evaluate the best strategy for implementing them into the local context. These steps resulted in the development of a user manual. Results We included two guidelines, one systematic review with a meta‐analysis, and one RCT. The developed draft manual includes activities, methods, infrastructural resources, human capital, stakeholders, frequency, and duration of the intervention, information, and educational materials, and implementation models. Our discussion of the intervention with a panel of experts considered resources, barriers, and similar experiences to ensure effectiveness and economic, social, and time sustainability. Conclusion The developed manual could be implemented in the local context and adapted to the needs of the population while considering available resources.

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Comparative effectiveness of exercise interventions for preventing falls in older adults: A secondary analysis of a systematic review with network meta-analysis

Cited by 30 publications

References 25 publications

Interventions for preventing falls and fall‐related fractures in community‐dwelling older adults: A systematic review and network meta‐analysis

Interventions for preventing falls and fall‐related fractures in community‐dwelling older adults: A systematic review and network meta‐analysis

The Effect of Exercise Intervention on Reducing the Fall Risk in Older Adults: A Meta-Analysis of Randomized Controlled Trials

Effective, sustainable, and transferable physical exercise interventions for fall prevention among older people

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