The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis
| Autor: | Company-Sancho, María Consuelo, Alonso-Poncelas, Emma, Rich-Ruiz, Manuel, Cidoncha-Moreno, María Ángeles, Gonzalez-Pisano, Ana, Abad-Corpa, Eva, Otago Project Working Group, Albornos-Muñoz, Laura, Moreno-Casbas, Teresa |
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| Přispěvatelé: | Instituto de Salud Carlos III, Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF), Basque Government (España), Gobierno de la Región de Murcia (España), Fundación para la Formación e Investigación Sanitarias de la Región de Murcia, [Company-Sancho,MC] Health Promotion Service, Directorate General for Public Health, Canary Islands Health Service, Las Palmas, Spain. [Alonso-Poncelas,E] Quality Department, Lanzarote Health Services Management, Canary Islands Health Service, Arrecife, Spain. [Rich-Ruiz,M] Maimonides Institute for Biomedical Research (IMIBIC), University of Cordoba (UCO), Hospital Universitario Reina Sofía (HURS), Cordoba, Spain. [Rich-Ruiz,M, Abad-Corpa,E] CIBER on Frailty and Healthy Ageing (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain. [Cidoncha-Moreno,MA] General Head Office of Osakidetza, Basque Health Service, Subdirection of Nursing, IIS Bioaraba, Vitoria-Gasteiz, Spain. [Gonzalez-Pisano,A] Health Service of the Principado of Asturias, Oviedo, Spain. [Abad-Corpa,E] IMIB, Reina Sofía Hospital-University of Murcia, Murcia, Spain, The Project coordinated with file codes PI16/01520, PI16/00821, PI16/01316, PI16/01649, PI16/01042, PI16/01159 and PI16/01312 was funded by the Carlos III Health Institute through the Strategic Action in Health 2016 and co-funded by the European Regional Development Fund 'A way to make Europe', PI16CIII/00031 was funded by the Carlos III Health Institute through the 2016 Intramural Strategic Action in Health, 2016111005 was funded by the Government of the Basque Country Department of Health through the 2016 subsidies for research projects, FFIS17/AP/02/was funded by the Autonomous Community of the Region of Murcia through the Region of Murcia Foundation for Health Training and Research., Universidad Pública de Navarra. Departamento de Ciencias de la Salud, Nafarroako Unibertsitate Publikoa. Osasun Zientziak Saila |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Data Analysis
Health Toxicology and Mutagenesis Community Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors [Medical Subject Headings] Accidentes por caídas Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] 0302 clinical medicine Elderly prevention Risk Factors Health care falls 030212 general & internal medicine Prospective Studies Gait Postural Balance Persons::Persons::Age Groups::Adult::Aged [Medical Subject Headings] Physical Functional Performance Primary care Ejercicio físico Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care [Medical Subject Headings] Marcha Exercise Therapy Prevención Medicine community Falls Analytical Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities::Exercise Therapy [Medical Subject Headings] Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Musculoskeletal Physiological Processes::Movement::Gait [Medical Subject Headings] Factores de riesgo Fall prevention medicine.medical_specialty Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective Studies [Medical Subject Headings] Anciano elderly Article 03 medical and health sciences primary care Atención primaria de salud Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Postural Balance [Medical Subject Headings] medicine Humans Risk factor Exercise Balance (ability) Aged Psychiatry and Psychology::Psychological Phenomena and Processes::Psychology Applied::Human Engineering::Task Performance and Analysis::Time and Motion Studies [Medical Subject Headings] business.industry Tinetti test Prevention Public Health Environmental and Occupational Health Secondary data Anthropometry Health Care::Health Care Economics and Organizations::Policy::Social Control Policies::Public Policy::Health Policy [Medical Subject Headings] Health Care::Environment and Public Health::Public Health::Accidents::Accidental Falls [Medical Subject Headings] Physical therapy business 030217 neurology & neurosurgery Rendimiento físico funcional |
| Zdroj: | International Journal of Environmental Research and Public Health Repisalud Instituto de Salud Carlos III (ISCIII) Volume 18 Issue 12 Academica-e. Repositorio Institucional de la Universidad Pública de Navarra instname International Journal of Environmental Research and Public Health, Vol 18, Iss 6501, p 6501 (2021) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Fall prevention is a key priority in healthcare policies. Multicomponent exercises reduce the risk of falls. The purpose of this study is to describe the relationship between functional performance and falls after following the Otago multicomponent exercise programme and previous falls. A prospective multi-centre intervention study was performed on 498 patients aged over 65 in primary care, with or without a history of previous falls. Sociodemographic, anthropometric and functionality data were collected. The primary outcome was the occurrence of falls functional performance was measured using the Tinetti, Short Physical Performance Battery and Timed Up and Go tests. Among the patients, 29.7% referred to previous falls. There was a statistically significant (p < 0.001) increase in falls at 6 months (10.1%) and at 12 months (7.6%) among participants with previous falls in the baseline assessment compared to those without. In addition, the existence of previous falls could be considered a risk factor at 6 and 12 months (OR =2.37, p = 0.002, and OR = 1.76, p = 0.046, respectively). With regard to balance and gait, differences between the groups were observed at 6 months in the Tinetti score (p < 0.001) and in the baseline assessment Timed Up and Go score (p < 0.044). Multicomponent exercises improve the fall rate, balance and gait in older people, although this improvement is less in people with previous falls. Earlier intervention and tailoring of exercises in patients with previous falls could help improve outcomes. |
| Databáze: | OpenAIRE |
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