Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations.
Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations.
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DOI：
10.1071/nb10056
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发表时间：
2011-06-01
期刊：
影响因子：
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通讯作者：
Lord, Stephen R
中科院分区：
文献类型：
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作者：
Sherrington, Catherine;Tiedemann, Anne;Lord, Stephen R
本系统性综述更新包括54项随机对照试验，证实运动作为单一干预措施可以预防福尔斯（汇总率比0.84，95% CI 0.77-0.91）。荟萃回归分析显示，包括平衡训练，包含更高剂量的运动，不包括步行训练的项目对减少福尔斯的影响最大。因此，我们建议预防福尔斯跌倒的运动应提供中度或高度的平衡挑战，并持续每周至少进行2小时。此外，我们建议：福尔斯预防运动应针对一般社区和福尔斯高风险人群;运动可在团体或家庭环境中进行;除了平衡训练外，还可包括力量和步行训练，但不应为高风险人群规定快走计划;还应解决其他健康相关风险因素。
This systematic review update includes 54 randomised controlled trials and confirms that exercise as a single intervention can prevent falls (pooled rate ratio 0.84, 95% CI 0.77-0.91). Meta-regression revealed programs that included balance training, contained a higher dose of exercise and did not include walking training to have the greatest effect on reducing falls. We therefore recommend that exercise for falls prevention should provide a moderate or high challenge to balance and be undertaken for at least 2 hours per week on an ongoing basis. Additionally, we recommend that: falls prevention exercise should target both the general community and those at high risk for falls; exercise may be undertaken in a group or home-based setting; strength and walking training may be included in addition to balance training but high risk individuals should not be prescribed brisk walking programs; and other health-related risk factors should also be addressed.