Abstract:
BACKGROUND AND OBJECTIVE:previously, a randomised controlled exercise intervention study (RCT) showed that combined resistance and balance-jumping training (COMB) improved physical functioning and bone strength. The purpose of this follow-up study was to assess whether this exercise intervention had long-lasting effects in reducing injurious falls and fractures. DESIGN:five-year health-care register-based follow-up study after a 1-year, four-arm RCT. SETTING:community-dwelling older women in Finland. SUBJECTS:one hundred and forty-five of the original 149 RCT participants; women aged 70-78 years at the beginning. METHODS:participants' health-care visits were collected from computerised patient register. An injurious fall was defined as an event in which the subject contacted the health-care professionals or was taken to a hospital, due to a fall. The rate of injured fallers was assessed by Cox proportional hazards model (hazard ratio, HR), and the rate of injurious falls and fractures by Poisson regression (risk ratio, RR). RESULTS:eighty-one injurious falls including 26 fractures occurred during the follow-up. The rate of injured fallers was 62% lower in COMB group compared with the controls (HR 0.38, 95% CI 0.17 to 0.85). In addition, COMB group had 51% less injurious falls (RR 0.49, 95% CI 0.25 to 0.98) and 74% less fractures (RR 0.26, 95% CI 0.07 to 0.97). CONCLUSIONS:home-dwelling older women who participated in a 12-month intensive multi-component exercise training showed a reduced incidence for injurious falls during 5-year post-intervention period. Reduction in fractures was also evident. These long-term effects need to be confirmed in future studies.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Karinkanta S,Kannus P,Uusi-Rasi K,Heinonen A,Sievänen Hdoi
10.1093/ageing/afv064subject
Has Abstractpub_date
2015-09-01 00:00:00pages
784-9issue
5eissn
0002-0729issn
1468-2834pii
afv064journal_volume
44pub_type
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