Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: a systematic review and meta-analysis

Finnegan, Susanne; Seers, Kate; Bruce, Julie

doi:10.1016/j.physio.2018.09.002

Cited by 46 publications

(21 citation statements)

References 36 publications

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“…In the population with HBP, only 21.8% reported moderate to intense physical activity at least three times a week, the percentage being higher in men compared to women, 28.3% vs. 16.4%. Physical activity is one of the related factors, not only for the prevention of cardiovascular diseases 34 and falls, but also for n the overall well-being of the elderly 35 . In this population group, physical activity has been associated with a lower risk of fractures, which can range between 12% and 29%.…”

Section: Discussionmentioning

confidence: 99%

“…En población con PAE únicamente el 21.8% reportó realizar actividad física moderada a intensa al menos tres veces por semana, siendo mayor el porcentaje en hombres en comparación con mujeres, 28.3 % vs 16.4%. La realización de actividad física en uno de los factores relacionados no solo en la prevención de enfermedades cardiovasculares 34 , caídas sino el bienestar global del adulto mayor 35 . En este grupo poblacional la realización de la actividad física se ha asociado con un riesgo menor de fracturas que puede oscilar entre el 12% y el 29%.…”

Section: Discussionunclassified

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Prevalence, awareness, treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey

et al. 2019

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Introduction: High blood pressure (HBP) is the main cardiovascular risk factor, it is more prevalent in the older adult population, and the prevalence can vary between ethnic groups. Objective: To estimate the prevalence of HBP, knowledge, treatment and control in population aged ≥60 years, resident in Colombia, according to their ethnic condition. Methods: Population sample selected by multistage sampling. Ethnicity was defined based on skin color. HBP was defined as systolic blood pressure ≥140, and/or diastolic blood pressure ≥90 mm Hg, and/or the participants’ self-report. Controlled HBP at a blood pressure value <140/90, knowledge and treatment were identified by self-report. Results: 23,694 adults aged ≥ 60 years were included, of which 54.5%, 34.5% and 10.9% were respectively identified as having light, medium or dark skin color; 54.5% were women, and 78.1% resided in urban areas. The standardized prevalence of HBP, by age, was 57.7% (95% CI: 55.2 - 60.2); 51.4% (95% CI: 47.3-55. 5), in men; and 62.9% (60.9- 64.9), in women. The standardized prevalence for light, medium and dark skin in men was 53.2% (95% CI: 48.7-57.7), 49.6% (44.5-54.7), and 49.4% (95% CI: 41.0-57.8) respectively; and in women was 62.5% (95% CI: 60.5-64 , 5), 61.7% (95% CI: 57.8- 65.6), and 69.9% (95% CI: 63.6-76.2) respectively. 98% of the population received treatment, and 93.9% were aware of HBP diagnosis. 42.5% of men and 55.5% of women with HBP were under control. Only 21.8% performed regular physical activity. Conclusion: Half of the adult population aged over 60 years suffers from HBP; the prevalence is higher in women particularly in dark-skinned women. It is necessary to develop policies to increase physical activity in the elderly.

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Section: Discussionmentioning

confidence: 99%

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Prevalence, awareness, treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey

et al. 2019

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“…However, frequent walking might increase fracture risk in older adults because of increased exposure to fall hazards [ 12 ]. The association between exercise intervention and reduced fall risk in older adults has already studied [ 13 – 15 ]. Moreover, numerous systematic review and meta-analyses have already been performed to investigate the role of exercise interventions on the risk of falls, injurious falls, and fractures [ 16 – 21 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of exercise intervention on fall-related fractures in older adults: a systematic review and meta-analysis of randomized controlled trials

et al. 2020

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Background Exercise intervention can significantly improve physical function and bone strength; however, the effect of exercise on fall-related fractures in older adults remains controversial. This study aimed to assess the effectiveness of exercise intervention on fall-related fractures in older adults by conducting a meta-analysis of randomized controlled trials (RCTs). Methods PubMed, EMBASE, and Cochrane databases were systematically searched for RCTs through November 24, 2019 to investigate the effectiveness of exercise intervention on fall-related fractures in older adults. Pooled relative risk (RR) with 95% confidence interval (CI) was calculated using the random-effects model. Sensitivity, subgroup, and publication bias analyses were also conducted. Results A total of 7704 older adults and 428 fall-related fracture events from 20 RCTs were selected for the final meta-analysis. The follow-up duration across included trials ranged from 6.0 months to 7.0 years. The pooled RR suggested that exercise intervention was associated with a reduced fall-related fracture risk in older adults (RR: 0.74; 95% CI: 0.59–0.92; P = 0.007; I 2 = 12.6%). The pooled conclusion was robust and not affected by any individual trial. Subgroup analysis revealed that the significant effect of exercise intervention on fall-related fractures was mainly detected when the study reported results from both male and female subjects, when it did not report the baseline body mass index, when individuals received both home- and center-based interventions, when the follow-up duration was > 1.0 year, and when it was a high-quality study. Conclusions Regular exercise intervention could prevent fall-related fractures in older adults. Further large-scale RCTs should be conducted to assess the effectiveness of different exercise programs on fall-related fractures at various sites.

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“…However, we note that almost 45% of the chiropractors surveyed did not report the use of exercise to manage neck pain with or without headaches in the elderly (Table 2). The evidence for the effectiveness of exercise is clear for these conditions and we recommend that more chiropractors follow current guidelines that recommend exercise therapy [32, 33].…”

Section: Discussionmentioning

confidence: 99%

Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views

et al. 2019

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BackgroundNeck pain is a leading cause of individual and societal burden worldwide, affecting an estimated 1 in 5 people aged 70 years and older. The nature and outcomes of chiropractic care for older adults with neck pain, particularly those with co-morbid headaches, remains poorly understood. Therefore, we sought to ascertain: What proportion of Australian chiropractors’ caseload comprises older adults with neck pain (with or without headache); How are these conditions treated; What are the reported outcomes?MethodsAn online survey examining practitioner and practice characteristics, clinical patient presentations, chiropractic treatment methods and outcomes, and other health service use, was distributed to a random nationally representative sample of 800 Australian chiropractors. Quantitative methods were used to analyze the data.ResultsTwo hundred eighty-eight chiropractors (response rate = 36%) completed the survey between August and November 2017. Approximately one-third (M 28.5%, SD 14.2) of the chiropractors’ patients were older adults (i.e. aged ≥65 years), of which 45.5% (SD 20.6) presented with neck pain and 31.3% (SD 20.3) had co-morbid headache. Chiropractors reported to combine a range of physical and manual therapy treatments, exercises and self-management practices in their care of these patients particularly: manipulation of the thoracic spine (82.0%); activator adjustment of the neck (77.3%); and massage of the neck (76.5%). The average number of visits required to resolve headache symptoms was reported to be highest among those with migraine (M 11.2, SD 8.8). The majority of chiropractors (57.3%) reported a moderate response to treatment in reported dizziness amongst older adults with neck pain. Approximately 82% of older adult patients were estimated to use at least one other health service concurrently to chiropractic care to manage their neck pain.ConclusionThis is the first known study to investigate chiropractic care of older adults living with neck pain. Chiropractors report using well-established conservative techniques to manage neck pain in older adults. Our findings also indicate that this target group of patients may frequently integrate chiropractic care with other health services in order to manage their neck pain. Further research should provide in-depth investigation of older patients’ experience and other patient-reported outcomes of chiropractic treatment.

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Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: a systematic review and meta-analysis

Cited by 46 publications

References 36 publications

Prevalence, awareness, treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey

Prevalence, awareness, treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey

Effectiveness of exercise intervention on fall-related fractures in older adults: a systematic review and meta-analysis of randomized controlled trials

Chiropractic treatment of older adults with neck pain with or without headache or dizziness: analysis of 288 Australian chiropractors’ self-reported views

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