+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Physical function and fear of falling 2 years after the health-promoting randomized controlled trial: elderly persons in the risk zone

Physical function and fear of falling 2 years after the health-promoting randomized controlled trial: elderly persons in the risk zone

Gerontologist 54(3): 387-397

To investigate the effects of 2 different health-promoting interventions on physical performance, fear of falling, and physical activity at 3-month, 1-year, and 2-year follow-ups of the study Elderly Persons in the Risk Zone. A randomized, three-armed, single-blind, and controlled study in which 459 independent and community-dwelling people aged 80 years or older were included. A single preventive home visit including health-promoting information and advice and 4 weekly senior group meetings focused on health strategies and peer learning, with a follow-up home visit, were compared with control. Functional balance, walking speed, fear of falling, falls efficacy, and frequency of physical activities were measured 3 months, 1 year, and 2 years after baseline. There were no or limited differences between the groups at the 3-month and 1-year follow-ups. At 2 years, the odds ratio for having a total score of 48 or more on the Berg Balance scale compared with control was 1.80 (confidence interval 1.11-2.90) for a preventive home visit and 1.96 (confidence interval 1.21-3.17) for the senior meetings. A significantly larger proportion of intervention participants than controls maintained walking speed and reported higher falls efficacy. At 1 and 2 years, a significantly higher proportion of intervention participants performed regular physical activities than control. Both a preventive home visit and senior meetings reduced the deterioration in functional balance, walking speed, and falls efficacy after 2 years. The long-term effects of both interventions indicate a positive impact on postponement of physical frailty among independent older people.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 037360006

Download citation: RISBibTeXText

PMID: 23906550

DOI: 10.1093/geront/gnt078

Related references

Elderly persons in the risk zone. Design of a multidimensional, health-promoting, randomised three-armed controlled trial for "prefrail" people of 80+ years living at home. Bmc Geriatrics 10: 27, 2010

Does fear of falling relate to low physical function in frail elderly persons?: associations of fear of falling, balance, and gait. Journal of the Japanese Physical Therapy Association 7(1): 41-47, 2004

Health-promoting interventions for persons aged 80 and older are successful in the short term--results from the randomized and three-armed Elderly Persons in the Risk Zone study. Journal of the American Geriatrics Society 60(3): 447-454, 2012

Neighborhood walkability, fear and risk of falling and response to walking promotion: The Easy Steps to Health 12-month randomized controlled trial. Preventive Medicine Reports 2: 704-710, 2015

Evaluating an intervention to reduce fear of falling and associated activity restriction in elderly persons: design of a randomised controlled trial [ISRCTN43792817. Bmc Public Health 5: 26, 2005

The relationship between physical fitness and falling risk and fear of falling in community-dwelling elderly people with different physical activity levels. Turkish Journal of Medical Sciences 47(2): 455-462, 2017

Effect of a mobile safety alarm on going outside, feeling safe, fear of falling, and quality of life in community-living older persons: a randomized controlled trial. Journal of the American Geriatrics Society 60(5): 987-989, 2012

The effect of exercise and education on fear of falling in elderly women with osteoporosis and a history of vertebral fracture: results of a randomized controlled trial. Osteoporosis International 25(8): 2017-2025, 2014

Reducing the fear of falling among community-dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: a randomized controlled trial. Journal of Advanced Nursing 67(5): 961-971, 2011

Comparison of the effects of water- and land-based exercises on the physical function and quality of life in community-dwelling elderly people with history of falling: a single-blind, randomized controlled trial. Archives of Gerontology and Geriatrics 60(2): 288-293, 2015

Positive health outcomes following health-promoting and disease-preventive interventions for independent very old persons: long-term results of the three-armed RCT Elderly Persons in the Risk Zone. Archives of Gerontology and Geriatrics 58(3): 376-383, 2014

Effects of new, individually adjusted, progressive balance group training for elderly people with fear of falling and tend to fall: a randomized controlled trial. Clinical Rehabilitation 25(11): 1021-1031, 2011

Effectiveness of Daily Use of Bilateral Custom-Made Ankle-Foot Orthoses on Balance, Fear of Falling, and Physical Activity in Older Adults: A Randomized Controlled Trial. Gerontology 65(3): 299-307, 2019

Long-term outcome for ADL following the health-promoting RCT--elderly persons in the risk zone. Gerontologist 53(4): 654-663, 2013

Effectiveness of a Community-Based Exercise Program on Balance Performance and Fear of Falling in Older Nonfallers at Risk for Falling: A Randomized, Controlled Study. Journal of Aging and Physical Activity 24(4): 516-524, 2016