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生活方式综合功能锻炼(LiFE)组干预(sLiFE)预防非住院老年人跌倒的效果。一项随机临床试验方案。

Effect of a lifestyle-integrated functional exercise (LiFE) group intervention (sLiFE) to falls prevention in non-institutionalized older adults. Protocol of a randomised clinical trial.

机构信息

Institute of Biomedical Research of Salamanca (IBSAL), Primary Care Research Unit of Salamanca (APISAL), Salamanca, Spain.

Department of Nursing and Physiotherapy, Universidad de Salamanca, Salamanca, Spain.

出版信息

Front Public Health. 2024 Jan 8;11:1304982. doi: 10.3389/fpubh.2023.1304982. eCollection 2023.

DOI:10.3389/fpubh.2023.1304982
PMID:38259747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10801183/
Abstract

INTRODUCTION

Personalized programs of integrated strength and balance activities have been shown their effectiveness in falls reduction in the older adults.

OBJECTIVE

To measure whether a group intervention with the strength and balance principles of the sLiFE program is more effective than standard health advice in reducing the incidence of falls.

METHODS

The study will comprise 650 participants with more than 65 years who live at home, observing established inclusion and exclusion criteria. Participants will be randomly assigned in two groups: group intervention ( = 325) and standard health advice ( = 325). The intervention group will follow the balance and strength activities described in the LiFE program manual. The group intervention will be carried out in groups of 12-14 and will consist of seven one-hour sessions over 12 weeks in health centres. Incidence of falls and quality of life will be assessed as primary outcome variables. Fear of falling and exercise adherence will be analysed as secondary outcome variables.

DISCUSSION

Physical activity has been put forward as an effective treatment technique for these patients; however, long-term adherence to these programs remains a challenge. Group interventions could reduce dropout rates.

CONCLUSION

Falls represent a major health problem globally due to the disability they cause in older people. Prevention would help reduce not only their incidence but also the health costs derived from their treatment. Group intervention helps clinicians to save resources and time, being able to attend more people with the same quality of care.

CLINICAL TRIAL REGISTRATION

https://clinicaltrials.gov/study/NCT05912088?distance=50&term=NCT05912088&rank=1, identifier NCT05912088.

摘要

简介

个性化的综合力量和平衡活动计划已被证明可有效降低老年人跌倒的发生率。

目的

测量基于 sLiFE 计划的力量和平衡原则的小组干预是否比标准健康建议更能有效降低跌倒的发生率。

方法

该研究将包括 650 名居住在家且年龄超过 65 岁的参与者,并观察既定的纳入和排除标准。参与者将被随机分配到两组:干预组(n=325)和标准健康建议组(n=325)。干预组将按照 LiFE 计划手册中描述的平衡和力量活动进行练习。小组干预将在健康中心进行,每次 1 小时,共 7 次,为期 12 周,每次 12-14 人一组。跌倒发生率和生活质量将作为主要结果变量进行评估。对跌倒恐惧和运动依从性进行分析作为次要结果变量。

讨论

体力活动已被提出作为这些患者的有效治疗技术;然而,长期坚持这些计划仍然是一个挑战。小组干预可能会降低退出率。

结论

跌倒在全球范围内是一个主要的健康问题,因为它们会导致老年人身体残疾。预防不仅可以降低跌倒的发生率,还可以降低治疗费用。小组干预可以帮助临床医生节省资源和时间,以便以同样的护理质量照顾更多的人。

临床试验注册

https://clinicaltrials.gov/study/NCT05912088?distance=50&term=NCT05912088&rank=1,标识符 NCT05912088。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e785/10801183/424836023d9b/fpubh-11-1304982-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e785/10801183/424836023d9b/fpubh-11-1304982-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e785/10801183/424836023d9b/fpubh-11-1304982-g001.jpg

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