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Titre : | Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: a systematic review and meta-analysis (2019) |
Auteurs : | Susanne Finnegan ; Kate Seers ; Julie Bruce |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 105, n° 2, 2019) |
Article en page(s) : | p. 187-199 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Chutes accidentelles ; Exercice physique ; Prévention ; Prévention des accidents ; Sujet âgé ; Temps |
Résumé : |
Background
Fall-related injuries are the leading cause of accident-related mortality for older adults, with 30% of those aged 65 years and over falling annually. Exercise is effective in reducing rate and risk of falls in community-dwelling adults; however, there is lack of evidence for the long-term effects of exercise. Objectives To assess the long-term effect of exercise interventions on preventing falls in community-dwelling older adults. Data Sources Searches were undertaken on MEDLINE, EMBASE, AMED, CINAHL, psycINFO, the Physiotherapy Evidence Database (PEDro) and The Cochrane Library from inception to April 2017. Study selection Randomised controlled trials (RCTs), cohort studies or secondary analyses of RCTs with long-term follow-up (>12 months) of exercise interventions involving community-dwelling older adults (65 and over) compared to a control group. Data extraction/ Data synthesis Pairs of review authors independently extracted data. Review Manager (RevMan 5.1) was used for meta-analysis and data were extracted using rate ratio (RaR) and risk ratio (RR). Results Twenty-four studies (7818 participants) were included. The overall pooled estimate of the effect of exercise on rate of falling beyond 12-month follow-up was rate ratio (RaR) 0.79 (95% confidence interval (CI) 0.71 to 0.88) and risk of falling was risk ratio (RR) 0.83 (95% CI 0.76 to 0.92) Subgroup analyses revealed that there was no sustained effect on rate or risk of falling beyond two years post intervention. Conclusions Falls prevention exercise programmes have sustained long-term effects on the number of people falling and the number of falls for up to two years after an exercise intervention. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940618302529 |