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Centre for Policy on Ageing | |
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The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults
— systematic review and meta-analysis of randomised controlled trials | | Author(s) | Fabienne El-Khoury, Bernard Cassou, Marie-Aline Charles, Patricia Dargent-Molina |
| Journal title | British Medical Journal, vol 347, 29 October 2013 |
| Publisher | British Medical Association, London, 29 October 2013 |
| Pages | pp f6234 |
| Source | http://www.bmj.com |
| Keywords | Exercise ; Falls ; Preventative medicine ; Injuries ; Living in the community ; Clinical surveys ; Literature reviews. |
| Annotation | The extent to which fall prevention exercise interventions for older community-dwelling people are effective in preventing different types of fall-related injuries was examined. The authors searched electronic databases (PubMed, the Cochrane Library, Embase, and CINAHL) and reference lists of included studies and relevant reviews from inception to July 2013. They selected randomised controlled trials (RCTs) of fall prevention exercise interventions that targeted older (>60 years) community-dwelling people and provided quantitative data on injurious falls, serious falls, or fall related fractures. Based on a systematic review of the case definitions used in the selected studies, the authors grouped the definitions of injurious falls into more homogeneous categories, to allow comparisons of results across studies and the pooling of data. For each study, they extracted or calculated the rate ratio of injurious falls. Depending on the available data, a given study could contribute data relevant to one or more categories of injurious falls. A pooled rate ratio was estimated for each category of injurious falls based on random effects models. 17 trials involving 4305 participants were eligible for meta-analysis. Four categories of falls were identified: all injurious falls, falls resulting in medical care, severe injurious falls, and falls resulting in fractures. Exercise had a significant effect in all categories, with pooled estimates of the rate ratios of 0.63 (95% confidence interval 0.51 to 0.77, 10 trials) for all injurious falls, 0.70 (0.54 to 0.92, 8 trials) for falls resulting in medical care, 0.57 (0.36 to 0.90, 7 trials) for severe injurious falls, and 0.39 (0.22 to 0.66, 6 trials) for falls resulting in fractures, but significant heterogeneity was observed between studies of all injurious falls (I2=50%, P=0.04). The authors conclude that exercise programmes designed to prevent falls in older adults also seem to prevent injuries caused by falls, including the most severe ones. Such programmes also reduce the rate of falls leading to medical care. (OFFPRINT.) (RH). |
| Accession Number | CPA-131108218 E |
| Classmark | CEA: OLF: LK2: CU: K4: 3G: 64A * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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