Rafael García-Molina , Marta C. Ruíz-Grao , Alicia Noguerón-García , Marta Martínez-Reig , Mariano Esbrí-Víctor , Mikel Izquierdo , Pedro Abizanda
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However, the effects of these programs in usual clinical practice have been poorly analyzed.</p></div><div><h3>Design</h3><p>4-Month, twice-a-week multicomponent exercise program cohort study in real-life.</p></div><div><h3>Setting</h3><p>Falls Unit, Complejo Hospitalario Universitario of Albacete, Spain.</p></div><div><h3>Participants</h3><p>Sixty-seven participants who had experienced a fall in the previous year were included.</p></div><div><h3>Measurements</h3><p><span>Pre- and post-intervention measurements were collected for leg press, gait speed, the Short Physical Performance Battery (SPPB), the Falls Efficiency Scale International, fat mass percentage, </span>body mass index<span><span>, the Geriatric Depression Scale by Yesavage (GDS), the </span>Mini Mental State Examination, and the number of falls.</span></p></div><div><h3>Results</h3><p><span>Fifty participants completed the program (adherence rate 75%, attendance 80%). Their mean age was 77.2 (SD 5.8) years; 39 were women. The participants reduced the mean number of frailty criteria from 2.1 to 1.3 (95%CI 0.4–1.1) and increased mean gait speed from 0.65 m/s to 0.82 m/s (95%CI 0.11–0.22), increasing their median SPPB scores from 8.5 to 10.0 points (</span><em>p</em> < 0.001), leg press strength from 62.5 kg to 80.0 kg (<em>p</em> < 0.001), and leg press power at 60% load from 76 W to 119 W (<em>p</em> < 0.001). There was also an improvement in GDS scores from 5.3 to 4.4 (95%CI 0.1–1.7). Body mass index did not change, but fat-free mass increased from 43.7 kg to 44.2 kg (95%CI 0.1–1.0), and fat mass percentage declined from 36.7% to 36.0% (95% CI 0.1–1.4). Seventeen patients (34%) had a fall during the six-month follow-up, and there was a reduction in the median number of falls from 3.0/year to 0.0/six months.</p></div><div><h3>Conclusions</h3><p>A multicomponent Falls Unit-based exercise program as part of usual clinical practice in real life, improved physical function, reduced depressive symptoms, improved body composition and decreased the number of falls in older adults with previous falls.</p></div>","PeriodicalId":94003,"journal":{"name":"Experimental gerontology","volume":"110 ","pages":"Pages 79-85"},"PeriodicalIF":3.9000,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.exger.2018.05.013","citationCount":"23","resultStr":"{\"title\":\"Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life\",\"authors\":\"Rafael García-Molina , Marta C. 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引用次数: 23
摘要
背景/目的多组分运动计划是预防老年人步态、平衡障碍和跌倒的基础。然而，这些项目在常规临床实践中的效果却没有得到充分的分析。设计4个月，每周两次的多组分运动项目在现实生活中的队列研究。背景:西班牙阿尔巴塞特大学综合医院。参与者67名在前一年跌倒过的参与者被包括在内。测量收集干预前后的腿压、步态速度、短体能测试(SPPB)、国际跌倒效率量表、脂肪质量百分比、体重指数、Yesavage老年抑郁量表(GDS)、迷你精神状态检查和跌倒次数。结果50名参与者完成了该计划(依从率75%，出勤率80%)。平均年龄77.2岁(SD 5.8);39人是女性。参与者减少了脆弱的平均数标准从2.1到1.3 (95% ci 0.4 - -1.1)和增加意味着步态速度从0.65 m / s, 0.82 m / s (95% ci 0.11 - -0.22),增加他们的中位数SPPB评分从8.5到10.0分(p & lt; 0.001),腿压强度从62.5 公斤80.0 公斤(0.001 p & lt; ),和腿按功率在60%负载从76 W到119 W (p & lt; 0.001)。GDS评分也从5.3提高到4.4 (95%CI 0.1-1.7)。身体质量指数没有变化，但无脂质量从43.7 kg增加到44.2 kg (95%CI 0.1-1.0)，脂肪质量百分比从36.7%下降到36.0% (95%CI 0.1-1.4)。17名患者(34%)在6个月的随访期间发生跌倒，跌倒的中位数从3.0次/年减少到0.0次/ 6个月。结论:在现实生活中，以单元为基础的多组分跌倒锻炼计划可改善老年人的身体功能，减轻抑郁症状，改善身体成分，减少跌倒次数。
Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
Background/objectives
Multicomponent exercise programs are the cornerstone in preventing gait and balance impairments and falls in older adults. However, the effects of these programs in usual clinical practice have been poorly analyzed.
Design
4-Month, twice-a-week multicomponent exercise program cohort study in real-life.
Setting
Falls Unit, Complejo Hospitalario Universitario of Albacete, Spain.
Participants
Sixty-seven participants who had experienced a fall in the previous year were included.
Measurements
Pre- and post-intervention measurements were collected for leg press, gait speed, the Short Physical Performance Battery (SPPB), the Falls Efficiency Scale International, fat mass percentage, body mass index, the Geriatric Depression Scale by Yesavage (GDS), the Mini Mental State Examination, and the number of falls.
Results
Fifty participants completed the program (adherence rate 75%, attendance 80%). Their mean age was 77.2 (SD 5.8) years; 39 were women. The participants reduced the mean number of frailty criteria from 2.1 to 1.3 (95%CI 0.4–1.1) and increased mean gait speed from 0.65 m/s to 0.82 m/s (95%CI 0.11–0.22), increasing their median SPPB scores from 8.5 to 10.0 points (p < 0.001), leg press strength from 62.5 kg to 80.0 kg (p < 0.001), and leg press power at 60% load from 76 W to 119 W (p < 0.001). There was also an improvement in GDS scores from 5.3 to 4.4 (95%CI 0.1–1.7). Body mass index did not change, but fat-free mass increased from 43.7 kg to 44.2 kg (95%CI 0.1–1.0), and fat mass percentage declined from 36.7% to 36.0% (95% CI 0.1–1.4). Seventeen patients (34%) had a fall during the six-month follow-up, and there was a reduction in the median number of falls from 3.0/year to 0.0/six months.
Conclusions
A multicomponent Falls Unit-based exercise program as part of usual clinical practice in real life, improved physical function, reduced depressive symptoms, improved body composition and decreased the number of falls in older adults with previous falls.
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