Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention—secondary analyses of an RCT
Purpose In this randomized controlled trial, we analyzed the effects of a 12-month home-based exercise intervention on the health-related quality of life (HRQoL) of patients with a hip fracture. Methods Participants ( n = 121) aged ≥ 60 years, with a Mini-Mental State Examination (MMSE) score of ≥ ...
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| Veröffentlicht in: | Quality of life research 2024-02, Vol.33 (2), p.541-550 |
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| creator | Soukkio, Paula K. Suikkanen, Sara A. Sintonen, Harri Kukkonen-Harjula, Katriina T. Kautiainen, Hannu Kääriä, Sanna M. Hupli, Markku T. Aartolahti, Eeva M. Pitkälä, Kaisu H. Sipilä, Sarianna |
| description | Purpose
In this randomized controlled trial, we analyzed the effects of a 12-month home-based exercise intervention on the health-related quality of life (HRQoL) of patients with a hip fracture.
Methods
Participants (
n
= 121) aged ≥ 60 years, with a Mini-Mental State Examination (MMSE) score of ≥ 12 and an operated hip fracture, were placed into
Exercise
(
n
= 61) or
Usual care
(
n
= 60) groups. Physiotherapist-supervised, home-based training was given twice a week over 12 months. HRQoL was assessed using the 15D instrument at baseline and at 3, 6, and 12 months. The total 15D scores and dimension scores were analyzed and compared to national age- and sex-matched reference data.
Results
The participants’ mean age was 81 years (SD 7), 75% were women, and 61% had a femoral neck fracture. The mean within-group change in total 15D score over 12 months was 0.023 (95% CI: −0.003 to 0.048) in the
Usual care
group, and 0.028 (CI: 0.003 to 0.054) in the
Exercise
group (between-group
p
= 0.76). We found a statistically significant change in total 15D score in the
Exercise
group, as well as in the dimension scores of mobility and usual activities in both groups. All 15D scores remained below the general population reference level.
Conclusion
Exercise training for 12 months did not enhance the HRQoL of home-dwelling patients with hip fractures any more than usual care. In addition, HRQoL remained below the population level in both groups. |
| doi_str_mv | 10.1007/s11136-023-03545-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2886939852</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2886939852</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-a77020757b2b1fd680bd8e3e9f83559e07ef19d5f6f701b57745289b2cba98d33</originalsourceid><addsrcrecordid>eNp9kb1uFDEURi0EIkvgBSiQJRoaE_-M7TEdWgFBihQpCrXlmblmJ5qxN7YHsR0lD8AT8iR4MwEkCioX93zn-upD6Dmjrxml-iwzxoQilAtChWwkaR6gDZNaEK4a8xBtqFGcGNGIE_Qk5xtKaWsof4xOhDaCSyk36Ps5uKnsSILJFRjw7eKmsRxw9HgaPWDnCyS8G_fYJ9eXJcEbDN5DX_KRcZhxMsdQdngXZyCdy1UCXyH1YwY8hpr-AqGMMfz89iNDH8Pg0gG74KZDhtUR8NX2-il65N2U4dn9e4o-vX93vT0nF5cfPm7fXpBecFWI05pyqqXueMf8oFraDS0IML4VUhqgGjwzg_TKa8o6qXUjeWs63nfOtIMQp-jV6t2neLtALnYecw_T5ALEJVvetsoI00pe0Zf_oDdxSfXnlTJcMCUUO1J8pfoUc07g7T6Ncz3SMmqPPdm1J1t7snc92aaGXtyrl26G4U_kdzEVECuQ6yh8hvR393-0vwA-Hp7h</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2923163612</pqid></control><display><type>article</type><title>Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention—secondary analyses of an RCT</title><source>SpringerLink Journals</source><creator>Soukkio, Paula K. ; Suikkanen, Sara A. ; Sintonen, Harri ; Kukkonen-Harjula, Katriina T. ; Kautiainen, Hannu ; Kääriä, Sanna M. ; Hupli, Markku T. ; Aartolahti, Eeva M. ; Pitkälä, Kaisu H. ; Sipilä, Sarianna</creator><creatorcontrib>Soukkio, Paula K. ; Suikkanen, Sara A. ; Sintonen, Harri ; Kukkonen-Harjula, Katriina T. ; Kautiainen, Hannu ; Kääriä, Sanna M. ; Hupli, Markku T. ; Aartolahti, Eeva M. ; Pitkälä, Kaisu H. ; Sipilä, Sarianna</creatorcontrib><description>Purpose
In this randomized controlled trial, we analyzed the effects of a 12-month home-based exercise intervention on the health-related quality of life (HRQoL) of patients with a hip fracture.
Methods
Participants (
n
= 121) aged ≥ 60 years, with a Mini-Mental State Examination (MMSE) score of ≥ 12 and an operated hip fracture, were placed into
Exercise
(
n
= 61) or
Usual care
(
n
= 60) groups. Physiotherapist-supervised, home-based training was given twice a week over 12 months. HRQoL was assessed using the 15D instrument at baseline and at 3, 6, and 12 months. The total 15D scores and dimension scores were analyzed and compared to national age- and sex-matched reference data.
Results
The participants’ mean age was 81 years (SD 7), 75% were women, and 61% had a femoral neck fracture. The mean within-group change in total 15D score over 12 months was 0.023 (95% CI: −0.003 to 0.048) in the
Usual care
group, and 0.028 (CI: 0.003 to 0.054) in the
Exercise
group (between-group
p
= 0.76). We found a statistically significant change in total 15D score in the
Exercise
group, as well as in the dimension scores of mobility and usual activities in both groups. All 15D scores remained below the general population reference level.
Conclusion
Exercise training for 12 months did not enhance the HRQoL of home-dwelling patients with hip fractures any more than usual care. In addition, HRQoL remained below the population level in both groups.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-023-03545-4</identifier><identifier>PMID: 37932555</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Fractures ; Hip joint ; Medicine ; Medicine & Public Health ; Public Health ; Quality of life ; Quality of Life Research ; Sociology</subject><ispartof>Quality of life research, 2024-02, Vol.33 (2), p.541-550</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-a77020757b2b1fd680bd8e3e9f83559e07ef19d5f6f701b57745289b2cba98d33</cites><orcidid>0000-0001-6991-4095</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11136-023-03545-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11136-023-03545-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37932555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soukkio, Paula K.</creatorcontrib><creatorcontrib>Suikkanen, Sara A.</creatorcontrib><creatorcontrib>Sintonen, Harri</creatorcontrib><creatorcontrib>Kukkonen-Harjula, Katriina T.</creatorcontrib><creatorcontrib>Kautiainen, Hannu</creatorcontrib><creatorcontrib>Kääriä, Sanna M.</creatorcontrib><creatorcontrib>Hupli, Markku T.</creatorcontrib><creatorcontrib>Aartolahti, Eeva M.</creatorcontrib><creatorcontrib>Pitkälä, Kaisu H.</creatorcontrib><creatorcontrib>Sipilä, Sarianna</creatorcontrib><title>Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention—secondary analyses of an RCT</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>Qual Life Res</addtitle><description>Purpose
In this randomized controlled trial, we analyzed the effects of a 12-month home-based exercise intervention on the health-related quality of life (HRQoL) of patients with a hip fracture.
Methods
Participants (
n
= 121) aged ≥ 60 years, with a Mini-Mental State Examination (MMSE) score of ≥ 12 and an operated hip fracture, were placed into
Exercise
(
n
= 61) or
Usual care
(
n
= 60) groups. Physiotherapist-supervised, home-based training was given twice a week over 12 months. HRQoL was assessed using the 15D instrument at baseline and at 3, 6, and 12 months. The total 15D scores and dimension scores were analyzed and compared to national age- and sex-matched reference data.
Results
The participants’ mean age was 81 years (SD 7), 75% were women, and 61% had a femoral neck fracture. The mean within-group change in total 15D score over 12 months was 0.023 (95% CI: −0.003 to 0.048) in the
Usual care
group, and 0.028 (CI: 0.003 to 0.054) in the
Exercise
group (between-group
p
= 0.76). We found a statistically significant change in total 15D score in the
Exercise
group, as well as in the dimension scores of mobility and usual activities in both groups. All 15D scores remained below the general population reference level.
Conclusion
Exercise training for 12 months did not enhance the HRQoL of home-dwelling patients with hip fractures any more than usual care. In addition, HRQoL remained below the population level in both groups.</description><subject>Fractures</subject><subject>Hip joint</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Public Health</subject><subject>Quality of life</subject><subject>Quality of Life Research</subject><subject>Sociology</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kb1uFDEURi0EIkvgBSiQJRoaE_-M7TEdWgFBihQpCrXlmblmJ5qxN7YHsR0lD8AT8iR4MwEkCioX93zn-upD6Dmjrxml-iwzxoQilAtChWwkaR6gDZNaEK4a8xBtqFGcGNGIE_Qk5xtKaWsof4xOhDaCSyk36Ps5uKnsSILJFRjw7eKmsRxw9HgaPWDnCyS8G_fYJ9eXJcEbDN5DX_KRcZhxMsdQdngXZyCdy1UCXyH1YwY8hpr-AqGMMfz89iNDH8Pg0gG74KZDhtUR8NX2-il65N2U4dn9e4o-vX93vT0nF5cfPm7fXpBecFWI05pyqqXueMf8oFraDS0IML4VUhqgGjwzg_TKa8o6qXUjeWs63nfOtIMQp-jV6t2neLtALnYecw_T5ALEJVvetsoI00pe0Zf_oDdxSfXnlTJcMCUUO1J8pfoUc07g7T6Ncz3SMmqPPdm1J1t7snc92aaGXtyrl26G4U_kdzEVECuQ6yh8hvR393-0vwA-Hp7h</recordid><startdate>20240201</startdate><enddate>20240201</enddate><creator>Soukkio, Paula K.</creator><creator>Suikkanen, Sara A.</creator><creator>Sintonen, Harri</creator><creator>Kukkonen-Harjula, Katriina T.</creator><creator>Kautiainen, Hannu</creator><creator>Kääriä, Sanna M.</creator><creator>Hupli, Markku T.</creator><creator>Aartolahti, Eeva M.</creator><creator>Pitkälä, Kaisu H.</creator><creator>Sipilä, Sarianna</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6991-4095</orcidid></search><sort><creationdate>20240201</creationdate><title>Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention—secondary analyses of an RCT</title><author>Soukkio, Paula K. ; Suikkanen, Sara A. ; Sintonen, Harri ; Kukkonen-Harjula, Katriina T. ; Kautiainen, Hannu ; Kääriä, Sanna M. ; Hupli, Markku T. ; Aartolahti, Eeva M. ; Pitkälä, Kaisu H. ; Sipilä, Sarianna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-a77020757b2b1fd680bd8e3e9f83559e07ef19d5f6f701b57745289b2cba98d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Fractures</topic><topic>Hip joint</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Public Health</topic><topic>Quality of life</topic><topic>Quality of Life Research</topic><topic>Sociology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soukkio, Paula K.</creatorcontrib><creatorcontrib>Suikkanen, Sara A.</creatorcontrib><creatorcontrib>Sintonen, Harri</creatorcontrib><creatorcontrib>Kukkonen-Harjula, Katriina T.</creatorcontrib><creatorcontrib>Kautiainen, Hannu</creatorcontrib><creatorcontrib>Kääriä, Sanna M.</creatorcontrib><creatorcontrib>Hupli, Markku T.</creatorcontrib><creatorcontrib>Aartolahti, Eeva M.</creatorcontrib><creatorcontrib>Pitkälä, Kaisu H.</creatorcontrib><creatorcontrib>Sipilä, Sarianna</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Quality of life research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soukkio, Paula K.</au><au>Suikkanen, Sara A.</au><au>Sintonen, Harri</au><au>Kukkonen-Harjula, Katriina T.</au><au>Kautiainen, Hannu</au><au>Kääriä, Sanna M.</au><au>Hupli, Markku T.</au><au>Aartolahti, Eeva M.</au><au>Pitkälä, Kaisu H.</au><au>Sipilä, Sarianna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention—secondary analyses of an RCT</atitle><jtitle>Quality of life research</jtitle><stitle>Qual Life Res</stitle><addtitle>Qual Life Res</addtitle><date>2024-02-01</date><risdate>2024</risdate><volume>33</volume><issue>2</issue><spage>541</spage><epage>550</epage><pages>541-550</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Purpose
In this randomized controlled trial, we analyzed the effects of a 12-month home-based exercise intervention on the health-related quality of life (HRQoL) of patients with a hip fracture.
Methods
Participants (
n
= 121) aged ≥ 60 years, with a Mini-Mental State Examination (MMSE) score of ≥ 12 and an operated hip fracture, were placed into
Exercise
(
n
= 61) or
Usual care
(
n
= 60) groups. Physiotherapist-supervised, home-based training was given twice a week over 12 months. HRQoL was assessed using the 15D instrument at baseline and at 3, 6, and 12 months. The total 15D scores and dimension scores were analyzed and compared to national age- and sex-matched reference data.
Results
The participants’ mean age was 81 years (SD 7), 75% were women, and 61% had a femoral neck fracture. The mean within-group change in total 15D score over 12 months was 0.023 (95% CI: −0.003 to 0.048) in the
Usual care
group, and 0.028 (CI: 0.003 to 0.054) in the
Exercise
group (between-group
p
= 0.76). We found a statistically significant change in total 15D score in the
Exercise
group, as well as in the dimension scores of mobility and usual activities in both groups. All 15D scores remained below the general population reference level.
Conclusion
Exercise training for 12 months did not enhance the HRQoL of home-dwelling patients with hip fractures any more than usual care. In addition, HRQoL remained below the population level in both groups.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37932555</pmid><doi>10.1007/s11136-023-03545-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6991-4095</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Quality of life research, 2024-02, Vol.33 (2), p.541-550 |
| issn | 0962-9343 1573-2649 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2886939852 |
| source | SpringerLink Journals |
| subjects | Fractures Hip joint Medicine Medicine & Public Health Public Health Quality of life Quality of Life Research Sociology |
| title | Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention—secondary analyses of an RCT |
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