Veronese Nicola, Maggi Stefania, Schofield Patricia, Stubbs Brendon
National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy; Institute for Clinical Research and Education in Medicine (IREM), Padova, Italy.
National Research Council, Neuroscience Institute, Aging Branch, Padova, Italy.
Maturitas. 2017 Aug;102:1-5. doi: 10.1016/j.maturitas.2017.05.004. Epub 2017 May 4.
Falls are a leading cause of morbidity, healthcare use and mortality. Dance is a popular form of physical activity among older people and previous research has suggested that it may improve various health outcomes in this population, including balance, gait and muscle performance. A systematic review of the potential benefits of dance on falls and fear of falling is lacking. Thus, we conducted a systematic review considering all randomized controls trials (RCTs) investigating if dance can reduce falls and improve fear of falling in older adults. Major databases were searched from inception until 1 March 2017 and a total of 10 RCTs were identified, which included a total of 680 people (n=356 dance, n=324 control). Overall, the mean age of the samples was 69.4 years, and 75.2% were female. Across four RCTs, dance therapy reduced falls versus usual care in only one study. Dance therapy improved fear of falling in two out of three included RCTs. There were no serious adverse events reported in the RCTs. In summary, we found a paucity of studies investigating the effect of dance on falls and fear of falling and the evidence base is preliminary and equivocal. Given the heterogeneity of the included samples and interventions, in addition to the short-term follow-up, no firm conclusions can be drawn. However, dance appears to be safe and, given its popularity and demonstrated benefits on other health/wellbeing outcomes in older adults, it is important that future research considers its potential benefits on falls/fear of falling in older age.
跌倒是导致发病、医疗保健利用和死亡的主要原因。舞蹈是老年人中一种流行的体育活动形式，先前的研究表明，它可能改善该人群的各种健康状况，包括平衡能力、步态和肌肉性能。目前缺乏关于舞蹈对跌倒和跌倒恐惧潜在益处的系统评价。因此，我们进行了一项系统评价，纳入了所有调查舞蹈是否能减少老年人跌倒并改善其跌倒恐惧的随机对照试验（RCT）。从数据库建立到2017年3月1日对主要数据库进行了检索，共识别出10项RCT，总共纳入680人（舞蹈组n = 356，对照组n = 324）。总体而言，样本的平均年龄为69.4岁，女性占75.2%。在四项RCT中，只有一项研究表明舞蹈疗法与常规护理相比能减少跌倒。在三项纳入的RCT中，有两项显示舞蹈疗法改善了跌倒恐惧。RCT中未报告严重不良事件。总之，我们发现研究舞蹈对跌倒和跌倒恐惧影响的研究很少，证据基础是初步且不明确的。鉴于纳入样本和干预措施的异质性，以及随访时间短，无法得出确凿结论。然而，舞蹈似乎是安全的，鉴于其受欢迎程度以及已证明对老年人其他健康/幸福状况有益，未来的研究考虑其对老年人跌倒/跌倒恐惧的潜在益处很重要。
