Combined resistance and balance-jumping exercise reduces older women's injurious falls and fractures: 5-year follow-up study.

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 Ageing

journal_title

Age and ageing

authors

Karinkanta S,Kannus P,Uusi-Rasi K,Heinonen A,Sievänen H

doi

10.1093/ageing/afv064

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

784-9

issue

5

eissn

0002-0729

issn

1468-2834

pii

afv064

journal_volume

44

pub_type

杂志文章,随机对照试验
  • Changes in hospitalisation and surgical procedures among the oldest-old: a follow-up study of the entire Danish 1895 and 1905 cohorts from ages 85 to 99 years.

    abstract:OBJECTIVE:to examine whether the Danish 1905 cohort members had more active hospital treatment than the 1895 cohort members from ages 85 to 99 years and whether it results in higher in-hospital and post-operative mortality. METHODS:in the present register-based follow-up study the complete Danish birth cohorts born in...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft031

    authors: Oksuzyan A,Jeune B,Juel K,Vaupel JW,Christensen K

    更新日期:2013-07-01 00:00:00

  • Impaired cognition is associated with adverse outcome in older patients in the Emergency Department; the Acutely Presenting Older Patients (APOP) study.

    abstract:Objective:to investigate whether cognitive impairment, measured early after Emergency Department (ED) arrival and irrespective of its cause, is independently associated with functional decline or mortality after 3 and 12 months in older ED patients. Design and setting:a prospective multi-centre cohort study in all Acu...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afx174

    authors: Lucke JA,de Gelder J,Heringhaus C,van der Mast RC,Fogteloo AJ,Anten S,Blauw GJ,de Groot B,Mooijaart SP

    更新日期:2018-09-01 00:00:00

  • Occupational therapy compared with social work assessment for older people. An economic evaluation alongside the CAMELOT randomised controlled trial.

    abstract:OBJECTIVES:To compare costs and outcome of occupational therapy-led assessment with social worker-led assessment of older people, in terms of their independence and quality of life. DESIGN:Cost-effectiveness analysis alongside a randomised controlled trial. The analysis took viewpoints of health services and patients....

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/afh232

    authors: Flood C,Mugford M,Stewart S,Harvey I,Poland F,Lloyd-Smith W

    更新日期:2005-01-01 00:00:00

  • Duodenal ulcer disease in the elderly: a retrospective study.

    abstract::A retrospective study was performed of 163 patients aged 65 years and over with a diagnosis of duodenal ulceration admitted to one Health District over a period of six years. Eighty per cent of the patients were admitted with acute complications, 50% bled and 30% were perforated. A large proportion of these patients w...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/14.4.225

    authors: Watson RJ,Hooper TL,Ingram G

    更新日期:1985-07-01 00:00:00

  • Improving the recording of the clinical assessment of stroke patients using a clerking pro forma.

    abstract::In this study we examine whether the introduction of a clerking pro forma improves the completeness of the recording of the management of stroke patients and we review methodological issues important in this type of audit. We prospectively identified 244 consecutive stroke patients before and after the introduction of...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.1.43

    authors: Davenport RJ,Dennis MS,Warlow CP

    更新日期:1995-01-01 00:00:00

  • Site of urinary tract infection in elderly women admitted to an acute geriatric assessment unit.

    abstract::There have so far been no reported studies of localization of urinary tract infection (UTI) in elderly women. The site of infection, renal or bladder, in significant urinary tract infection in 50 elderly women (mean age 80) admitted acutely to a geriatric unit was determined by the Fairley bladder washout method. Of t...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/12.4.317

    authors: Suntharalingam M,Seth V,Moore-Smith B

    更新日期:1983-11-01 00:00:00

  • How empowering is hospital care for older people with advanced disease? Barriers and facilitators from a cross-national ethnography in England, Ireland and the USA.

    abstract:Background:patient empowerment, through which patients become self-determining agents with some control over their health and healthcare, is a common theme across health policies globally. Most care for older people is in the acute setting, but there is little evidence to inform the delivery of empowering hospital care...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afw193

    authors: Selman LE,Daveson BA,Smith M,Johnston B,Ryan K,Morrison RS,Pannell C,McQuillan R,de Wolf-Linder S,Pantilat SZ,Klass L,Meier D,Normand C,Higginson IJ

    更新日期:2017-03-01 00:00:00

  • Associated factors with antipsychotic use in assisted living facilities: a cross-sectional study of 4367 residents.

    abstract:BACKGROUND:antipsychotics are widely used in assisted living (AL facilities). Even more, the prescription of these drugs is gradually increasing since the availability of second-generation atypical antipsychotics. More knowledge is needed on prescription reasons to understand this increasing prevalence. METHODS:cross-...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr032

    authors: Larrayadieu A,Abellan van Kan G,Piau A,Soto Martin M,Nourhashemi F,Rolland Y,Vellas B

    更新日期:2011-05-01 00:00:00

  • Folate status and its relation to vitamin C in healthy elderly men and women.

    abstract::Plasma and red-cell folate levels and dietary folate intake were monitored for about six months, including two months during which supplementary vitamin C was given, in 21 healthy elderly men and women living at home in the north of England. Although biochemical values were consistently low in some subjects, no clinic...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/9.4.241

    authors: Bates CJ,Fleming M,Paul AA,Black AE,Mandal AR

    更新日期:1980-11-01 00:00:00

  • Risk of imbalance in elderly people with impaired hearing or vision.

    abstract::We evaluated the effect of impaired hearing and vision on balance in a sample of 977 elderly people residing in the community. Of the sample, 21% reported balance problems, 27% vision problems, and 30% hearing problems. The increased relative risk for balance problems was 1.7 for each 10-year age increment. Women were...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.1.31

    authors: Gerson LW,Jarjoura D,McCord G

    更新日期:1989-01-01 00:00:00

  • Effect of the COVID-19 Lockdown on Disease Recognition and Utilization of Healthcare Services in the Older Population in German: A Cross-sectional Study.

    abstract:BACKGROUND:There is little evidence about the utilization of healthcare services and disease recognition in the older population, which was urged to self-isolate during the COVID-19 lockdowns. OBJECTIVES:We aimed to describe the utilization of physician consultations, specialist referrals, hospital admissions, and the...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa260

    authors: Michalowsky B,Hoffmann W,Bohlken J,Kostev K

    更新日期:2020-11-17 00:00:00

  • STOPP/START version 2-development of software applications: easier said than done?

    abstract::Explicit criteria, such as the STOPP/START criteria, are increasingly used both in clinical practice and in research to identify potentially inappropriate prescribing in older people. In an article on the STOPP/START criteria version 2, O'Mahony et al have pointed out the advantages of developing computerised criteria...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw114

    authors: Anrys P,Boland B,Degryse JM,De Lepeleire J,Petrovic M,Marien S,Dalleur O,Strauven G,Foulon V,Spinewine A

    更新日期:2016-09-01 00:00:00

  • Effects of functional tasks exercise on older adults with cognitive impairment at risk of Alzheimer's disease: a randomised controlled trial.

    abstract:OBJECTIVE:the aim of this study was to compare the effects of a functional tasks exercise programme to a cognitive training programme in older adults with mild cognitive impairment. DESIGN:a single-blind randomised control trial with the intervention group compared with an active control group. SETTING:out-patient cl...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afu055

    authors: Law LL,Barnett F,Yau MK,Gray MA

    更新日期:2014-11-01 00:00:00

  • Patterns of emergency department attendance among older people in the last three months of life and factors associated with frequent attendance: a mortality follow-back survey.

    abstract:BACKGROUND:frequent emergency department (ED) attendance at the end of life disrupts care continuity and contradicts most patients' preference for home-based care. OBJECTIVE:to examine factors associated with frequent (≥3) end of life ED attendances among older people to identify opportunities to improve care. METHOD...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afz043

    authors: Bone AE,Evans CJ,Henson LA,Gao W,Higginson IJ,BUILDCARE study.

    更新日期:2019-09-01 00:00:00

  • Gender and longitudinal changes in physical activities in later life.

    abstract:OBJECTIVES:to describe gender differences in levels of, and longitudinal changes in, habitual physical activity among older people. DESIGN:longitudinal study. PARTICIPANTS:sub-groups of survivors (with sample sizes dependent on the availability of complete datasets, ranging from 303-344) assessed on three occasions: ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.suppl_3.24

    authors: Bennett KM

    更新日期:1998-12-01 00:00:00

  • Central but not peripheral fat mass percentage is associated with blood pressure components in the elderly.

    abstract:BACKGROUND:the human body composition changes with advances in age. Particularly, the central fat amount increases. Because the central fat mass is a cardiovascular risk factor, we investigated whether in an elderly population, fat mass (measured at different bodily locations) is associated with peripheral and central ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs056

    authors: van Dijk S,van den Meiracker A,van der Cammen T,Mattace Raso F,van der Velde N

    更新日期:2012-07-01 00:00:00

  • Lack of association between Helicobacter pylori infection and extracardiac atherosclerosis in dyspeptic elderly subjects.

    abstract:BACKGROUND:There are conflicting data on the association between Helicobacter pylori (HP) infection and cardiovascular diseases. AIM:To determine if there is an association between gastric HP infection and atherosclerosis of cerebral or peripheral arteries in elderly subjects. METHODS:90 dyspeptic elderly subjects ha...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/28.4.367

    authors: Pilotto A,Rumor F,Franceschi M,Leandro G,Novello R,Soffiati G,Scagnelli M,Di Mario F,Valerio G

    更新日期:1999-07-01 00:00:00

  • Associations of fat and muscle tissue with cognitive status in older adults: the AGES-Reykjavik Study.

    abstract:Background/Objective:studies on the association of dementia with specific body composition (BC) components are scarce. Our aim was to investigate associations of BC measures with different levels of cognitive function in late-life. Methods:we studied 5,169 participants (mean age 76 years, 42.9% men) in the AGES-Reykja...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw219

    authors: Spauwen PJ,Murphy RA,Jónsson PV,Sigurdsson S,Garcia ME,Eiriksdottir G,van Boxtel MP,Lopez OL,Gudnason V,Harris TB,Launer LJ

    更新日期:2017-03-01 00:00:00

  • High normal plasma triglycerides are associated with preserved cognitive function in Chinese oldest-old.

    abstract:OBJECTIVE:to explore the relationship between blood lipids/lipoproteins and cognitive function in the Chinese oldest-old. DESIGN:multivariate statistical analysis using cross-sectional data. SETTING:community-based setting in longevity areas in China. SUBJECTS:eight hundred and thirty-six subjects aged 80 and older ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs033

    authors: Yin ZX,Shi XM,Kraus VB,Fitzgerald SM,Qian HZ,Xu JW,Zhai Y,Sereny MD,Zeng Y

    更新日期:2012-09-01 00:00:00

  • STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.

    abstract:PURPOSE:Screening tool of older people's prescriptions (STOPP) and screening tool to alert to right treatment (START) criteria were first published in 2008. Due to an expanding therapeutics evidence base, updating of the criteria was required. METHODS:We reviewed the 2008 STOPP/START criteria to add new evidence-based...

    journal_title:Age and ageing

    pub_type: 杂志文章,实务指引,评审

    doi:10.1093/ageing/afu145

    authors: O'Mahony D,O'Sullivan D,Byrne S,O'Connor MN,Ryan C,Gallagher P

    更新日期:2015-03-01 00:00:00

  • Suicide and parasuicide in old age: a review.

    abstract::The disproportionately high suicide rate among the elderly is examined in this review. As opposed to younger age groups, a close association exists between suicide and parasuicide in old age. Factors associated with these events include a high incidence of depression, serious physical illness, as well as social factor...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/7.4.201

    authors: Shulman K

    更新日期:1978-11-01 00:00:00

  • Validation of the 6-Item Cognitive Impairment Test and the 4AT test for combined delirium and dementia screening in older Emergency Department attendees.

    abstract:Background:screening for cognitive impairment in Emergency Department (ED) requires short, reliable tools. Objective:to validate the 4AT and 6-Item Cognitive Impairment Test (6-CIT) for ED dementia and delirium screening. Design:diagnostic accuracy study. Setting/subjects:attendees aged ≥70 years in a tertiary care ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx149

    authors: O'Sullivan D,Brady N,Manning E,O'Shea E,O'Grady S,O 'Regan N,Timmons S

    更新日期:2018-01-01 00:00:00

  • Lower urinary tract dysfunction in Parkinson's disease: changes relate to age and not disease.

    abstract::Lower urinary tract symptoms are frequency report in Parkinson's disease. Whether these are causally related to Parkinson's disease rather than the known effects of age on the urinary tract is unknown. In this study we compared urodynamic data from 1864 women and 357 men with no neurological disease with data from 34 ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.6.499

    authors: Gray R,Stern G,Malone-Lee J

    更新日期:1995-11-01 00:00:00

  • Application of a case-mix classification based on the functional autonomy of the residents for funding long-term care facilities.

    abstract:INTRODUCTION:increasing public costs for the care of the elderly have created fundamental changes that are redefining the basic principles of health care funding. In the past, overall institutional funding was predominantly tied to spending. In view of the limitations of this approach to funding long-term care faciliti...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/32.1.60

    authors: Tousignant M,Hébert R,Dubuc N,Simoneau F,Dieleman L

    更新日期:2003-01-01 00:00:00

  • The prognostic value of haematocrit in acute stroke.

    abstract::One hundred and twenty-two consecutive patients admitted with acute stroke in a carotid distribution had venous blood taken for haematocrit (Hct), haemoglobin (Hb), white cell count (WCC) and urea estimations. Patients were followed for 12 weeks to determine the influence of haematocrit upon fatality. There were 96 pa...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/17.6.406

    authors: Gray CS,French JM,James OF,Bates D,Cartlidge NE

    更新日期:1988-11-01 00:00:00

  • Older adults and carers' perceptions of pre-discharge occupational therapy home visits in acute care.

    abstract:BACKGROUND:pre-discharge occupational therapy (OT) home visits are an integral part of the discharge process for older adults in acute care. There is limited quality research demonstrating that these pre-discharge visits enhance the health and well being of older adults. This paper outlines the perceptions of older adu...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afm137

    authors: Atwal A,McIntyre A,Craik C,Hunt J

    更新日期:2008-01-01 00:00:00

  • Social isolation and loneliness as related to progression and reversion of frailty in the Survey of Health Aging Retirement in Europe (SHARE).

    abstract:BACKGROUND:Frailty was shown to be associated with psychosocial risk factors, but there are few longitudinal data. METHODS:We used data from waves 5 and 6 of the Survey of Health Aging Retirement in Europe (SHARE) to study the contribution of loneliness and social isolation to transitions towards frailty defined accor...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa168

    authors: Jarach CM,Tettamanti M,Nobili A,D'avanzo B

    更新日期:2021-01-08 00:00:00

  • Personal growth and development in old age-a clinician's perspective.

    abstract::This invited article is drawn from the content of the Marjory Warren Lecture given by John Gladman at the British Geriatrics Society Spring Meeting in 2018, entitled 'The Meaning of Life Expectancy'. ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy130

    authors: Gladman JRF

    更新日期:2019-01-01 00:00:00

  • The double sugar test of intestinal permeability in the elderly.

    abstract::Tests of intestinal permeability are used as a reflection of upper-small-intestinal mucosal damage. Thirty-two elderly in-patients aged 75-96 years, and 64 hospital volunteers aged 22-64 years with no overt gastro-intestinal disease were studied to determine whether permeability changes with increasing age. Intestinal...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/14.5.312

    authors: Saweirs WM,Andrews DJ,Low-Beer TS

    更新日期:1985-09-01 00:00:00

  • 'Working away in that Grey Area…' A qualitative exploration of the challenges general practitioners experience when managing behavioural and psychological symptoms of dementia.

    abstract:Background:general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they offer to their patients...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx175

    authors: Jennings AA,Foley T,McHugh S,Browne JP,Bradley CP

    更新日期:2018-03-01 00:00:00