Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis
to determine the effect of exercise interventions on fear of falling in community-living people aged ≥65. systematic review and meta-analysis. Bibliographic databases, trial registers and other sources were searched for randomised or quasi-randomised trials. Data were independently extracted by pair...
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| Veröffentlicht in: | Age and ageing 2016-05, Vol.45 (3), p.345-352 |
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| creator | Kumar, Arun Delbaere, Kim Zijlstra, G A R Carpenter, Hannah Iliffe, Steve Masud, Tahir Skelton, Dawn Morris, Richard Kendrick, Denise |
| description | to determine the effect of exercise interventions on fear of falling in community-living people aged ≥65.
systematic review and meta-analysis. Bibliographic databases, trial registers and other sources were searched for randomised or quasi-randomised trials. Data were independently extracted by pairs of reviewers using a standard form.
thirty trials (2,878 participants) reported 36 interventions (Tai Chi and yoga (n = 9); balance training (n = 19); strength and resistance training (n = 8)). The risk of bias was low in few trials. Most studies were from high-income countries (Australia = 8, USA = 7). Intervention periods (26 weeks = 7) and exercise frequency (1-3 times/week = 32; ≥4 times/week = 4) varied between studies. Fear of falling was measured by single-item questions (7) and scales measuring falls efficacy (14), balance confidence (9) and concern or worry about falling (2). Meta-analyses showed a small to moderate effect of exercise interventions on reducing fear of falling immediately post-intervention (standardised mean difference (SMD) 0.37, 95% CI 0.18, 0.56; 24 studies; low-quality evidence). There was a small, but not statistically significant effect in the longer term ( |
| doi_str_mv | 10.1093/ageing/afw036 |
| format | Article |
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systematic review and meta-analysis. Bibliographic databases, trial registers and other sources were searched for randomised or quasi-randomised trials. Data were independently extracted by pairs of reviewers using a standard form.
thirty trials (2,878 participants) reported 36 interventions (Tai Chi and yoga (n = 9); balance training (n = 19); strength and resistance training (n = 8)). The risk of bias was low in few trials. Most studies were from high-income countries (Australia = 8, USA = 7). Intervention periods (<12 weeks = 22; 13-26 weeks = 7; >26 weeks = 7) and exercise frequency (1-3 times/week = 32; ≥4 times/week = 4) varied between studies. Fear of falling was measured by single-item questions (7) and scales measuring falls efficacy (14), balance confidence (9) and concern or worry about falling (2). Meta-analyses showed a small to moderate effect of exercise interventions on reducing fear of falling immediately post-intervention (standardised mean difference (SMD) 0.37, 95% CI 0.18, 0.56; 24 studies; low-quality evidence). There was a small, but not statistically significant effect in the longer term (<6 months (SMD 0.17, 95% CI -0.05, 0.38 (four studies) and ≥6 months post-intervention SMD 0.20, 95% CI -0.01, 0.41 (three studies)).
exercise interventions probably reduce fear of falling to a small to moderate degree immediately post-intervention in community-living older people. The high risk of bias in most included trials suggests findings should be interpreted with caution. High-quality trials are needed to strengthen the evidence base in this area.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afw036</identifier><identifier>PMID: 27121683</identifier><identifier>CODEN: AANGAH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Accidental falls ; Accidental Falls - prevention & control ; Accidents, Home - prevention & control ; Aged ; Aged, 80 and over ; Aging ; Balance ; Efficacy ; Elderly ; Exercise ; Exercise - physiology ; Exercise for the aged ; Falls ; Falls (Accidents) ; Fear ; Fear & phobias ; Fear - psychology ; Female ; Geriatric Assessment ; Health aspects ; High risk ; Humans ; Independent Living - injuries ; Independent Living - psychology ; Intervention ; Interventions ; Male ; Methods ; Older people ; Physical training ; Postural Balance - physiology ; Prevention ; Quality of Life ; Randomized Controlled Trials as Topic ; Resistance training ; Risk Assessment ; Statistical analysis ; Systematic reviews ; Treatment Outcome</subject><ispartof>Age and ageing, 2016-05, Vol.45 (3), p.345-352</ispartof><rights>The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.</rights><rights>Copyright Oxford Publishing Limited(England) May 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-5cf2d5d8eb3e9012446580684a5b782a9198139cbd3042aa83fd5f92ee13e4333</citedby><cites>FETCH-LOGICAL-c497t-5cf2d5d8eb3e9012446580684a5b782a9198139cbd3042aa83fd5f92ee13e4333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27121683$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kumar, Arun</creatorcontrib><creatorcontrib>Delbaere, Kim</creatorcontrib><creatorcontrib>Zijlstra, G A R</creatorcontrib><creatorcontrib>Carpenter, Hannah</creatorcontrib><creatorcontrib>Iliffe, Steve</creatorcontrib><creatorcontrib>Masud, Tahir</creatorcontrib><creatorcontrib>Skelton, Dawn</creatorcontrib><creatorcontrib>Morris, Richard</creatorcontrib><creatorcontrib>Kendrick, Denise</creatorcontrib><title>Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>to determine the effect of exercise interventions on fear of falling in community-living people aged ≥65.
systematic review and meta-analysis. Bibliographic databases, trial registers and other sources were searched for randomised or quasi-randomised trials. Data were independently extracted by pairs of reviewers using a standard form.
thirty trials (2,878 participants) reported 36 interventions (Tai Chi and yoga (n = 9); balance training (n = 19); strength and resistance training (n = 8)). The risk of bias was low in few trials. Most studies were from high-income countries (Australia = 8, USA = 7). Intervention periods (<12 weeks = 22; 13-26 weeks = 7; >26 weeks = 7) and exercise frequency (1-3 times/week = 32; ≥4 times/week = 4) varied between studies. Fear of falling was measured by single-item questions (7) and scales measuring falls efficacy (14), balance confidence (9) and concern or worry about falling (2). Meta-analyses showed a small to moderate effect of exercise interventions on reducing fear of falling immediately post-intervention (standardised mean difference (SMD) 0.37, 95% CI 0.18, 0.56; 24 studies; low-quality evidence). There was a small, but not statistically significant effect in the longer term (<6 months (SMD 0.17, 95% CI -0.05, 0.38 (four studies) and ≥6 months post-intervention SMD 0.20, 95% CI -0.01, 0.41 (three studies)).
exercise interventions probably reduce fear of falling to a small to moderate degree immediately post-intervention in community-living older people. The high risk of bias in most included trials suggests findings should be interpreted with caution. High-quality trials are needed to strengthen the evidence base in this area.</description><subject>Accidental falls</subject><subject>Accidental Falls - prevention & control</subject><subject>Accidents, Home - prevention & control</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Balance</subject><subject>Efficacy</subject><subject>Elderly</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Exercise for the aged</subject><subject>Falls</subject><subject>Falls (Accidents)</subject><subject>Fear</subject><subject>Fear & phobias</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Geriatric Assessment</subject><subject>Health aspects</subject><subject>High risk</subject><subject>Humans</subject><subject>Independent Living - injuries</subject><subject>Independent Living - psychology</subject><subject>Intervention</subject><subject>Interventions</subject><subject>Male</subject><subject>Methods</subject><subject>Older people</subject><subject>Physical training</subject><subject>Postural Balance - physiology</subject><subject>Prevention</subject><subject>Quality of Life</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Resistance training</subject><subject>Risk Assessment</subject><subject>Statistical analysis</subject><subject>Systematic reviews</subject><subject>Treatment Outcome</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqN0c9rFDEUB_Agil2rR68S8OJlbH5OEm9lqVUo9KLnkM28bFMykzWZabv4z5t2VwVPnsILH768xxeht5R8pMTwM7eFOG3PXLgnvH-GVlT0umOai-doRQhhHVHMnKBXtd62kUrKXqITpiijveYr9PPiAYqPFXDIBRcYFt_icABXcA44uJQe5zjhnAYoeAd5lwCneHf8nm8A-zyOyxTn_Se8zv6muAlw3dcZRjdH31LvItxjNw14hNl1bnJpX2N9jV60_Apvju8p-v754tv6S3d1ffl1fX7VeWHU3Ekf2CAHDRsOhlAmRC816bVwcqM0c4YaTbnxm4ETwZzTPAwyGAZAOQjO-Sn6cMjdlfxjgTrbMVYPKbU981It1UZxxTj7D6q0VEJIqhp9_w-9zUtppz0po1RzrKnuoLYugY2Tz9MMD7PPKcEWbLtzfW3PhRRMMy71X-9LrrVAsLsSR1f2lhL7WLg9FG4PhTf_7rjFshlh-KN_N8x_AeOVp2U</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Kumar, Arun</creator><creator>Delbaere, Kim</creator><creator>Zijlstra, G A R</creator><creator>Carpenter, Hannah</creator><creator>Iliffe, Steve</creator><creator>Masud, Tahir</creator><creator>Skelton, Dawn</creator><creator>Morris, Richard</creator><creator>Kendrick, Denise</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20160501</creationdate><title>Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis</title><author>Kumar, Arun ; Delbaere, Kim ; Zijlstra, G A R ; Carpenter, Hannah ; Iliffe, Steve ; Masud, Tahir ; Skelton, Dawn ; Morris, Richard ; Kendrick, Denise</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-5cf2d5d8eb3e9012446580684a5b782a9198139cbd3042aa83fd5f92ee13e4333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Accidental falls</topic><topic>Accidental Falls - prevention & control</topic><topic>Accidents, Home - prevention & control</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Balance</topic><topic>Efficacy</topic><topic>Elderly</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Exercise for the aged</topic><topic>Falls</topic><topic>Falls (Accidents)</topic><topic>Fear</topic><topic>Fear & phobias</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Geriatric Assessment</topic><topic>Health aspects</topic><topic>High risk</topic><topic>Humans</topic><topic>Independent Living - injuries</topic><topic>Independent Living - psychology</topic><topic>Intervention</topic><topic>Interventions</topic><topic>Male</topic><topic>Methods</topic><topic>Older people</topic><topic>Physical training</topic><topic>Postural Balance - physiology</topic><topic>Prevention</topic><topic>Quality of Life</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Resistance training</topic><topic>Risk Assessment</topic><topic>Statistical analysis</topic><topic>Systematic reviews</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kumar, Arun</creatorcontrib><creatorcontrib>Delbaere, Kim</creatorcontrib><creatorcontrib>Zijlstra, G A R</creatorcontrib><creatorcontrib>Carpenter, Hannah</creatorcontrib><creatorcontrib>Iliffe, Steve</creatorcontrib><creatorcontrib>Masud, Tahir</creatorcontrib><creatorcontrib>Skelton, Dawn</creatorcontrib><creatorcontrib>Morris, Richard</creatorcontrib><creatorcontrib>Kendrick, Denise</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kumar, Arun</au><au>Delbaere, Kim</au><au>Zijlstra, G A R</au><au>Carpenter, Hannah</au><au>Iliffe, Steve</au><au>Masud, Tahir</au><au>Skelton, Dawn</au><au>Morris, Richard</au><au>Kendrick, Denise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>45</volume><issue>3</issue><spage>345</spage><epage>352</epage><pages>345-352</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><coden>AANGAH</coden><abstract>to determine the effect of exercise interventions on fear of falling in community-living people aged ≥65.
systematic review and meta-analysis. Bibliographic databases, trial registers and other sources were searched for randomised or quasi-randomised trials. Data were independently extracted by pairs of reviewers using a standard form.
thirty trials (2,878 participants) reported 36 interventions (Tai Chi and yoga (n = 9); balance training (n = 19); strength and resistance training (n = 8)). The risk of bias was low in few trials. Most studies were from high-income countries (Australia = 8, USA = 7). Intervention periods (<12 weeks = 22; 13-26 weeks = 7; >26 weeks = 7) and exercise frequency (1-3 times/week = 32; ≥4 times/week = 4) varied between studies. Fear of falling was measured by single-item questions (7) and scales measuring falls efficacy (14), balance confidence (9) and concern or worry about falling (2). Meta-analyses showed a small to moderate effect of exercise interventions on reducing fear of falling immediately post-intervention (standardised mean difference (SMD) 0.37, 95% CI 0.18, 0.56; 24 studies; low-quality evidence). There was a small, but not statistically significant effect in the longer term (<6 months (SMD 0.17, 95% CI -0.05, 0.38 (four studies) and ≥6 months post-intervention SMD 0.20, 95% CI -0.01, 0.41 (three studies)).
exercise interventions probably reduce fear of falling to a small to moderate degree immediately post-intervention in community-living older people. The high risk of bias in most included trials suggests findings should be interpreted with caution. High-quality trials are needed to strengthen the evidence base in this area.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>27121683</pmid><doi>10.1093/ageing/afw036</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Age and ageing, 2016-05, Vol.45 (3), p.345-352 |
| issn | 0002-0729 1468-2834 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Accidental falls Accidental Falls - prevention & control Accidents, Home - prevention & control Aged Aged, 80 and over Aging Balance Efficacy Elderly Exercise Exercise - physiology Exercise for the aged Falls Falls (Accidents) Fear Fear & phobias Fear - psychology Female Geriatric Assessment Health aspects High risk Humans Independent Living - injuries Independent Living - psychology Intervention Interventions Male Methods Older people Physical training Postural Balance - physiology Prevention Quality of Life Randomized Controlled Trials as Topic Resistance training Risk Assessment Statistical analysis Systematic reviews Treatment Outcome |
| title | Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis |
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