Maria Fernanda Fuentes Diaz, Kathryn M. Sibley, Kate Giberson, Martin Sénéchal, Danielle R. Bouchard
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Bouchard","doi":"10.1007/s40520-025-03172-8","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>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.</p><h3>Aims</h3><p>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).</p><h3>Methods</h3><p>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.</p><h3>Results</h3><p>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 (<i>B</i> = 2.68; <i>p</i> < 0.001) and tele-exercise (<i>B</i> = 1.28; <i>p</i> < 0.001) groups compared with the in-person mode. In addition, the mode of participation was associated with meeting one or more guidelines (χ<sup>2</sup> = 23.05; <i>p</i> < 0.001), without any significant difference between modes.</p><h3>Discussion</h3><p>Offering hybrid participation options could lead to greater adherence to evidence-based guidelines, thereby reducing the risk of falls.</p><h3>Conclusion</h3><p>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.</p></div>","PeriodicalId":7720,"journal":{"name":"Aging Clinical and Experimental Research","volume":"37 1","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40520-025-03172-8.pdf","citationCount":"0","resultStr":"{\"title\":\"Proportion of participants meeting falls prevention guidelines in an evidence-based community-based exercise program\",\"authors\":\"Maria Fernanda Fuentes Diaz, Kathryn M. 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引用次数: 0
摘要
尽管人们强烈建议老年人通过锻炼来预防跌倒(挑战平衡的锻炼,每周持续进行三小时),但很少有社区项目符合这些建议。目的评估以社区为基础的项目中符合预防跌倒运动建议的参与者比例,并探讨依从性如何因个人特征和参与模式(面对面、远程锻炼或混合)而变化。方法采用平衡强度量表(1- 5-完全不努力)对“平衡变焦”参与者进行横断面分析,这些参与者在12周的时间里完成了一份关于他们的人口统计数据、参与模式和他们感知的平衡强度的在线问卷。每周出席率在每12周的系列后自我报告,持续参与评估使用超过一年的注册数据。结果平均感知平衡强度为3.2±0.7(范围1-5),平均出席率为1.3±0.6 h/周(范围0.2-4.2),参与者平均参加3.4±0.6系列/年(范围2-4)。没有一个参与者符合所有三条准则。最符合建议的是持续参与(43%),这在混合(B = 2.68; p < 0.001)和远程锻炼(B = 1.28; p < 0.001)组中比在现场模式中更高。此外,参与模式与满足一个或多个指南相关(χ2 = 23.05; p < 0.001),模式之间无显著差异。提供混合参与选择可以使更多的人遵守循证指南,从而减少跌倒的风险。结论社区项目中符合预防跌倒指南的参与者比例较低,有趋势表明混合方案更有效。
Proportion of participants meeting falls prevention guidelines in an evidence-based community-based exercise program
Background
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.
Aims
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).
Methods
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.
Results
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 (χ2 = 23.05; p < 0.001), without any significant difference between modes.
Discussion
Offering hybrid participation options could lead to greater adherence to evidence-based guidelines, thereby reducing the risk of falls.
Conclusion
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.
期刊介绍:
Aging clinical and experimental research offers a multidisciplinary forum on the progressing field of gerontology and geriatrics. The areas covered by the journal include: biogerontology, neurosciences, epidemiology, clinical gerontology and geriatric assessment, social, economical and behavioral gerontology. “Aging clinical and experimental research” appears bimonthly and publishes review articles, original papers and case reports.