Fuentes Diaz Maria Fernanda, Sibley Kathryn M, Giberson Kate, Sénéchal Martin, Bouchard Danielle R
Interdisciplinary Studies, School of Graduate Studies, University of New Brunswick, 3 Bailey Dr, Box 4400, Fredericton, NB, E3B 5A3, Canada.
Cardiometabolic Exercise & Lifestyle Laboratory, University of New Brunswick, 90 MacKay Drive, Fredericton, NB, E3B 5A3, Canada.
Aging Clin Exp Res. 2025 Sep 4;37(1):273. doi: 10.1007/s40520-025-03172-8.
Although exercise is strongly recommended to prevent falls in older adults (exercise that challenges balance, performed three hours per week on an ongoing basis), few community-based programs meet these recommendations.
Assess the proportion of participants meeting fall prevention exercise recommendations in a community-based program and explore how adherence varies by individual characteristics and participation mode (in-person, tele-exercise, or hybrid).
A cross-sectional analysis of Zoomers in Balance participants who completed an online questionnaire about their demographic data, mode of participation, and their perceived balance intensity in a 12-week series using the Balance Intensity Scale (1-no effort at all to 5-maximal effort). Weekly attendance was self-reported after each 12-week series, and ongoing participation was assessed using registration data over one year.
The average perceived balance intensity was 3.2 ± 0.7 (range 1-5), the average attendance was 1.3 ± 0.6 h/week (range 0.2-4.2), and participants attended an average of 3.4 ± 0.6 series/year (range 2-4). None of the participants met all three guidelines. The most fulfilled recommendation was ongoing participation (43%), which was greater in the hybrid (B = 2.68; p < 0.001) and tele-exercise (B = 1.28; p < 0.001) groups compared with the in-person mode. In addition, the mode of participation was associated with meeting one or more guidelines (χ = 23.05; p < 0.001), without any significant difference between modes.
Offering hybrid participation options could lead to greater adherence to evidence-based guidelines, thereby reducing the risk of falls.
The proportion of participants meeting fall prevention guidelines in a community-based program is low, with a trend indicating that hybrid options are more effective.
尽管强烈建议老年人进行锻炼以预防跌倒（即进行具有挑战性的平衡锻炼，每周持续进行三小时），但很少有社区项目能达到这些建议。
评估在一个社区项目中达到预防跌倒锻炼建议的参与者比例，并探讨依从性如何因个体特征和参与模式（面对面、远程锻炼或混合模式）而有所不同。
对“平衡活力老人”项目的参与者进行横断面分析，这些参与者完成了一份关于其人口统计学数据、参与模式以及使用平衡强度量表（1-完全不费力至5-最大努力）对其在为期12周的系列锻炼中感知到的平衡强度的在线问卷。每个12周系列结束后，每周的出勤情况由参与者自行报告，并使用一年的注册数据评估持续参与情况。
平均感知平衡强度为3.2±0.7（范围1-5），平均出勤时间为1.3±0.6小时/周（范围0.2-4.2），参与者平均每年参加3.4±0.6个系列（范围2-4）。没有参与者达到所有三项指导方针。最能满足的建议是持续参与（43%），与面对面模式相比，混合模式（B = 2.68；p < 0.001）和远程锻炼模式（B = 1.28；p < 0.001）中的持续参与情况更好。此外，参与模式与达到一项或多项指导方针相关（χ = 23.05；p < 0.001），各模式之间没有显著差异。
提供混合参与选项可能会导致对循证指导方针的更高依从性，从而降低跌倒风险。
在一个社区项目中达到预防跌倒指导方针的参与者比例较低，有趋势表明混合选项更有效。
