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Centre for Policy on Ageing | |
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The effects of exercise on falls in elderly patients
— a preplanned meta-analysis of the FICSIT trials | | Author(s) | Michael A Province, Evan C Hadley, Mark C Hornbrook |
| Journal title | JAMA, (Journal of the American Medical Association), vol 273, no 17, 3 May 1995 |
| Pages | pp 1341-1347 |
| Keywords | Exercise ; Falls ; Injuries ; Evaluation ; United States of America. |
| Annotation | FICSIT (Frailty and Injuries: Cooperative Studies of Intervention Techniques) are independent, randomised, controlled clinical trials, and include an exercise component for 10 to 36 weeks. This study, based on two nursing homes and five community-dwelling sites in the US, aimed to determine if short-term exercise reduced falls and fall-related injuries. Exercise components varied across studies in character, duration, frequency and intensity. Training was performed in one area or more of endurance, flexibility, balance platform, Tai Chi (dynamic balance) and resistance. Some non-exercise components - such as behavioural components, medication changes, education, functional activity, or nutritional supplements - were also included. Using the Andersen-Gill extension of the Cox model that allows multiple fall outcomes, the adjusted fall incidence ratio where general exercise was included was 0.90 (95% confidence level, CL, 0.81, 0.99) and for those including balance 0.83 ((95% CL, 0.70, 0.98). No exercise component was significant for injurious falls, but power was low to detect this outcome. Treatments including exercise for older people reduce the risk of falls. (RH). |
| Accession Number | CPA-980108211 A |
| Classmark | CEA: OLF: CU: 4C: 7T * |
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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