Interventions to improve adherence to exercise therapy for falls prevention in community-dwelling older adults: systematic review and meta-analysis.

Abstract:

BACKGROUND:exercise therapy is highly recommended for falls prevention in older adults; however, poor exercise adherence may limit treatment effectiveness. OBJECTIVE:to assess the effectiveness of interventions to improve exercise adherence for community-dwelling adults (aged over 65 years), at risk of falling. METHODS:eight databases were searched to identify randomised/quasi-randomised trials. The Capability, Opportunity, Motivation model of behaviour (COM-B) was used to categorise the identified adherence interventions. Studies with similar interventions that provided adherence outcome data per group were analysed to establish pooled intervention effect. Protocol registration with Propsero: (CRD42016033677). RESULTS:of the 20 trials included (n = 4419), five provided data per group for adherence outcome. Meta-analysis of four studies (n = 482), containing interventions exploring the way exercise is delivered, demonstrated significantly better adherence in the intervention group (n = 166 experimental, n = 161 control Fixed effects model (FEM), SMD = 0.48 95% CI [0.26-0.70] P < 0.0001 I2 = 0%, very low GRADE evidence). Within this limited evidence base, interventions using telecommunication and the integration of exercise into activities of daily living appear most promising when delivering exercise at home. Meta-analysis to explore the effect that these interventions to improve adherence had on balance (n = 166 experimental, n = 161 control Random-effects model (REM), SMD = 0.82, 95% CI [-1.20-2.84] P = 0.43 I2 = 52%) and gait (n = 59 experimental, n = 56 control REM, SMD = 0.29, 95% CI [-1.62-2.20] P = 0.77 I2 = 48%), found no statistically significant effect. CONCLUSIONS:adherence to exercise can be positively influenced; however, insufficient data exists to support any single intervention that also achieves effective outcomes for balance and gait.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Hughes KJ,Salmon N,Galvin R,Casey B,Clifford AM

doi

10.1093/ageing/afy164

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

185-195

issue

2

eissn

0002-0729

issn

1468-2834

pii

5144408

journal_volume

48

pub_type

杂志文章,meta分析
  • Male sex and vascular risk factors affect cystatin C-derived renal function in older people without diabetes or overt vascular disease.

    abstract:BACKGROUND/OBJECTIVES:to explore the effect of ageing on renal function with cystatin C as the marker of glomerular filtration rate (GFR) in the general population without vascular disease or diabetes. DESIGN:a cross-sectional analysis of a healthy subset from the Good Aging in Skåne-cohort study representative of the...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft191

    authors: Werner KB,Elmståhl S,Christensson A,Pihlsgård M

    更新日期:2014-05-01 00:00:00

  • Most older pedestrians are unable to cross the road in time: a cross-sectional study.

    abstract:OBJECTIVES:to compare walking speed in the UK older population with the speed required to utilise pedestrian crossings (≥1.2 m/s), and determine health and socio-demographic associations with walking impairment. DESIGN:cross-sectional study using Health Survey for England 2005 data. SETTING:private households in Engl...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs076

    authors: Asher L,Aresu M,Falaschetti E,Mindell J

    更新日期:2012-09-01 00:00:00

  • Cognitive scores, even within the normal range, predict death and institutionalization.

    abstract:BACKGROUND:Dementia is a predictor of death and institutionalization. It is less clear if variations in cognition within the normal range predict adverse outcomes. OBJECTIVE:To determine if variation at the high end of cognitive test scores predicts mortality or institutionalization, independent of the effect of poten...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/31.5.373

    authors: St John PD,Montgomery PR,Kristjansson B,McDowell I

    更新日期:2002-09-01 00:00:00

  • Warfarin-associated thoracic aortic dissection in an elderly woman.

    abstract:BACKGROUND:The risk/benefit ratio of warfarin therapy changes in the over 75s, when haemorrhagic side-effects become more common. These may not always be reported in the literature. CASE REPORT:A woman of 80 years, on long-term warfarin therapy presented with an acute dissecting thoracic aortic aneurysm; on investigat...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afh015

    authors: Blunt DM,Impallomeni MG

    更新日期:2004-03-01 00:00:00

  • Proximity to death is associated with frequency of GP contacts in the oldest old: the Leiden 85-plus study.

    abstract:BACKGROUND:the relationship between proximity to death and the amount of care provided by general practitioners (GPs) is largely unknown. OBJECTIVE:to examine the influence of the proximity to death on the frequency and length of GP contacts in the oldest old. STUDY DESIGN:this population-based follow-up study includ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs062

    authors: Blom JW,Lemmens SP,Assendelft WJ,Eekhof JA,Gussekloo J

    更新日期:2012-11-01 00:00:00

  • Estimated societal costs of stroke in the UK based on a discrete event simulation.

    abstract:BACKGROUND:there are around 100,000 new stroke cases and over a million people living with its consequences annually in the UK. This has large impacts on health and social care, unpaid carers and lost productivity. We aimed to estimate associated costs. METHODS:we estimated 2014/2015 annual mean cost per person and ag...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afz162

    authors: Patel A,Berdunov V,Quayyum Z,King D,Knapp M,Wittenberg R

    更新日期:2020-02-27 00:00:00

  • Review: xerostomia: a symptom which acts like a disease.

    abstract::This review considers the changes in salivary glands associated with ageing and concludes that there is no evidence to show that xerostomia is likely to result from the ageing process alone. The four main factors causing xerostomia are presented and it can be seen that the condition is a side-effect of diseases and th...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/25.5.409

    authors: Ettinger RL

    更新日期:1996-09-01 00:00:00

  • Chronic diseases in elderly men: underreporting and underdiagnosis.

    abstract:OBJECTIVE:prevalence estimates for chronic diseases and associated risk factors are needed for priority setting and disease prevention strategies. The aim of this cross-sectional study was to estimate the self-reported and clinical prevalence of common chronic disorders in elderly men. STUDY DESIGN AND SETTING:a quest...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr153

    authors: Frost M,Wraae K,Gudex C,Nielsen T,Brixen K,Hagen C,Andersen M

    更新日期:2012-03-01 00:00:00

  • Identifying frailty in the Emergency Department-feasibility study.

    abstract:Introduction:identifying the most at risk older people in Emergency Departments (EDs) may help guide clinical practice, and service improvement in emergency care, but little is known about how to implement such tools in practice. Methods:consensus building was used to determine the desirable characteristics of a risk ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx089

    authors: Elliott A,Phelps K,Regen E,Conroy SP

    更新日期:2017-09-01 00:00:00

  • Cognitive impairment in the elderly--a community survey.

    abstract::Previous studies have suggested that up to a fifth of people over the age of 80 years may suffer severe dementia-like illnesses. This total population survey of over a thousand people over the age of 75 suggests that the prevalence of marked cognitive impairment is much less than expected. However, differences in the ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/15.5.278

    authors: Clarke M,Lowry R,Clarke S

    更新日期:1986-09-01 00:00:00

  • Is physical activity protective against hip fracture in frail older people?

    abstract:BACKGROUND:there is limited evidence of a protective effect of physical activity in preventing hip fractures among older people living in institutions and in those aged 80 or over. OBJECTIVE:to examine the relationship between physical activity and risk of hip fracture in frail older people. DESIGN:a case-control stu...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.3.262

    authors: Norton R,Galgali G,Campbell AJ,Reid IR,Robinson E,Butler M,Gray H

    更新日期:2001-05-01 00:00:00

  • Quantification of proteinuria: a re-evaluation of the protein/creatinine ratio for elderly subjects.

    abstract::The difficulties of 24-hour urine collection are well recognized, especially for elderly people for whom a means of estimating protein excretion from a single casual unit sample would be preferable. We compared measurement of total urinary protein estimated by the protein/creatinine ratio with 24-h urine collection an...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.6.443

    authors: Mitchell SC,Sheldon TA,Shaw AB

    更新日期:1993-11-01 00:00:00

  • Inappropriate prescribing in the older population: need for new criteria.

    abstract::Inappropriate prescribing (IP) is a common and serious global healthcare problem in elderly people, leading to increased risk of adverse drug reactions (ADRs), polypharmacy being the main risk factor for both IP and ADRs. IP in older people is highly prevalent but preventable; hence screening tools for IP have been de...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/afm189

    authors: O'Mahony D,Gallagher PF

    更新日期:2008-03-01 00:00:00

  • Socio-demographic differences in the onset and progression of disability in early old age: a longitudinal study.

    abstract:OBJECTIVES:to analyse socio-demographic differences in the onset and progression of disability. DESIGN:analysis of a cohort of people aged 55-69 in 1988-9 and in 1994. SUBJECTS:a representative sample of 3543 adults. METHODS:we measured severity of disability at baseline and follow-up. We analysed variations in inci...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/29.2.149

    authors: Grundy E,Glaser K

    更新日期:2000-03-01 00:00:00

  • Fear of falling and its association with life-space mobility of older adults: a cross-sectional analysis using data from five international sites.

    abstract:Background:fear of falling (FOF) is a major health concern among community-dwelling older adults that could restrict mobility. Objective:to examine the association of FOF with life-space mobility (i.e. the spatial area a person moves through in daily life) of community-dwelling older adults from five diverse sites. M...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afw239

    authors: Auais M,Alvarado B,Guerra R,Curcio C,Freeman EE,Ylli A,Guralnik J,Deshpande N

    更新日期:2017-05-01 00:00:00

  • A double-blind comparison of quinine sulphate and placebo in muscle cramps.

    abstract::Muscle cramps are painful and common in elderly patients but have largely escaped medical investigation. Quinine sulphate is usually the sole drug prescribed, even though firm evidence for its efficacy is not available. The results of the present double-blind cross-over study show that quinine was significantly superi...

    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/12.2.155

    authors: Jones K,Castleden CM

    更新日期:1983-05-01 00:00:00

  • Turnover of bacteriuria in old age.

    abstract::Among 352 residents of a home for the elderly, who were fully mobile and devoid of most predisposing factors for bacteriuria, 19% of men and 27% of women had two positive cultures within two months. Positive conversion at one year among men and women negative at entry was 11% and 23% respectively, negative conversion ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/11.3.169

    authors: Kasviki-Charvati P,Drolette-Kefakis B,Papanayiotou PC,Dontas AS

    更新日期:1982-08-01 00:00:00

  • Effects of a physiotherapist-led stroke training programme for nurses.

    abstract:AIM:to assess the effects of a physiotherapist-led stroke training programme for nurses working in a rehabilitation ward on clinical practice and patient outcome. METHOD:before and after group comparison with outcome assessment by observational and quantitative methods. Non-participant observation before and after the...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/28.6.567

    authors: Forster A,Dowswell G,Young J,Sheard J,Wright P,Bagley P

    更新日期:1999-10-01 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

  • Use of prescription medication in the last years of life: a population-based comparison of two oldest old Danish birth cohorts born 10 years apart.

    abstract:INTRODUCTION:Age limits for diagnostics and treatments have been largely removed and replaced by an active diagnostic and treatment practice among the oldest old and has led to concerns about potential overtreatment during the last years of life. METHODS:Use of prescription medication in the last years of life was ass...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa064

    authors: Pedersen JK,Jensen TM,Waldorff FB,Søndergaard J,Christensen K

    更新日期:2020-10-23 00:00:00

  • Why do geriatric outpatients have so many moderate and severe vertebral fractures? Exploring prevalence and risk factors.

    abstract:OBJECTIVES:to determine the prevalence of vertebral fractures and their risk factors in geriatric patients. DESIGN:prospective cohort study. SETTING:teaching hospital in Amsterdam, The Netherlands. SUBJECTS:three hundred and three geriatric patients, who had their first visit at a diagnostic day hospital between Apr...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr174

    authors: van der Jagt-Willems HC,van Hengel M,Vis M,van Munster BC,van Campen JP,Tulner LR,Lems WF

    更新日期:2012-03-01 00:00:00

  • The effect of white matter low attenuation on cognitive performance in dementia of the Alzheimer type.

    abstract::The effect of leukoaraiosis or white matter low attenuation (WMLA) on cognitive function is not fully understood. We compared the neuropsychological performance of 37 Alzheimer's disease patients with WMLA on CT brain scans with a similar group of 31 Alzheimer's disease patients with no evidence of white matter lesion...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/25.6.443

    authors: Amar K,Bucks RS,Lewis T,Scott M,Wilcock GK

    更新日期:1996-11-01 00:00:00

  • Validity of direct assessment of functional status as a tool for measuring Alzheimer's disease severity.

    abstract:OBJECTIVE:to assess the validity of the Direct Assessment of Functional Status (DAFS) performance-based functional scale for the staging of dementia severity by comparing it with established clinical, functional and cognitive scales. PATIENTS AND METHODS:93 consecutive Alzheimer's disease patients underwent DAFS. Soci...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.5.615

    authors: Zanetti O,Frisoni GB,Rozzini L,Bianchetti A,Trabucchi M

    更新日期:1998-09-01 00:00:00

  • Short- and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study.

    abstract:BACKGROUND AND PURPOSE:The very old are expected to become a growing part of the stroke population in the industrialised part of the world. The aims of this study were to evaluate clinical characteristics of patients aged 85 years or more at stroke onset and to investigate very old age as an independent predictor of sh...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afh052

    authors: Kammersgaard LP,Jørgensen HS,Reith J,Nakayama H,Pedersen PM,Olsen TS,Copenhagen Stroke Study.

    更新日期:2004-03-01 00:00:00

  • Does vitamin D stop inpatients falling? A randomised controlled trial.

    abstract:BACKGROUND:Vitamin D deficiency is common in older people and may increase risk of falls and fracture. Hospital inpatients are at particular risk of falling. Previous studies suggest that vitamin D improves neuromuscular function and reduces falls. OBJECTIVE:To determine whether routine supplementation with vitamin D ...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afm087

    authors: Burleigh E,McColl J,Potter J

    更新日期:2007-09-01 00:00:00

  • Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments.

    abstract:OBJECTIVES:To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. METHODS:A substudy of a prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealan...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa121

    authors: Kelly AM,Keijzers G,Klim S,Craig S,Kuan WS,Holdgate A,Graham CA,Jones P,Laribi S

    更新日期:2021-01-08 00:00:00

  • Reappraising 'the good death' for populations in the age of ageing.

    abstract::This is the second in an occasional series of paired commentaries in Age and Ageing, the Journal of the British Geriatrics Society and the Journal of the American Geriatrics Society (JAGS). The aim is to address issues of current significance and to foster dialogue and increased understanding between academics and cli...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy008

    authors: Pollock K,Seymour J

    更新日期:2018-05-01 00:00:00

  • Xamoterol improves the control of chronic atrial fibrillation in elderly patients.

    abstract::Twenty digitalized elderly patients with chronic atrial fibrillation were randomized into a double-blind cross-over study. None was in overt heart failure and all were taking < 80 mg frusemide daily. They received xamoterol 200 mg b.d. for 2 months with their usual dose of digoxin for 1 month and placebo digoxin for t...

    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/24.4.321

    authors: Lawson-Matthew PJ,McLean KA,Dent M,Austin CA,Channer KS

    更新日期:1995-07-01 00:00:00

  • Association of frailty with mortality in older inpatients with Covid-19: a cohort study.

    abstract:BACKGROUND:COVID-19 has disproportionately affected older people. OBJECTIVE:The objective of this paper to investigate whether frailty is associated with all-cause mortality in older hospital inpatients, with COVID-19. DESIGN:Cohort study. SETTING:Secondary care acute hospital. PARTICIPANTS:Participants included ar...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa184

    authors: Aw D,Woodrow L,Ogliari G,Harwood R

    更新日期:2020-10-23 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