A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Effects of Physical and Cognitive Training on Falls and Concern about Falling in Older Adults : Results from a Randomized Controlled Trial (2022)


Turunen, K. M., Tirkkonen, A., Savikangas, T., Hänninen, T., Alen, M., Fielding, R. A., Kivipelto, M., Stigsdotter, N. A., Törmäkangas, T., & Sipilä, S. (2022). Effects of Physical and Cognitive Training on Falls and Concern about Falling in Older Adults : Results from a Randomized Controlled Trial. Journals of Gerontology Series A : Biological Sciences and Medical Sciences, 77(7), 1430-1437. https://doi.org/10.1093/gerona/glab375


JYU-tekijät tai -toimittajat


Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajatTurunen, Katri M; Tirkkonen, Anna; Savikangas, Tiina; Hänninen, Tuomo; Alen, Markku; Fielding, Roger A; Kivipelto, Miia; Stigsdotter, Neely Anna; Törmäkangas, Timo; Sipilä, Sarianna

Lehti tai sarjaJournals of Gerontology Series A : Biological Sciences and Medical Sciences

ISSN1079-5006

eISSN1758-535X

Julkaisuvuosi2022

Ilmestymispäivä15.12.2021

Volyymi77

Lehden numero7

Artikkelin sivunumerot1430-1437

KustantajaOxford University Press (OUP)

JulkaisumaaYhdysvallat (USA)

Julkaisun kielienglanti

DOIhttps://doi.org/10.1093/gerona/glab375

Julkaisun avoin saatavuusAvoimesti saatavilla

Julkaisukanavan avoin saatavuusOsittain avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX)https://jyx.jyu.fi/handle/123456789/79118


Tiivistelmä

Background
The aim of this study is to investigate whether combined cognitive and physical training provides additional benefits to fall prevention when compared with physical training alone in older adults.

Methods
This is a prespecified secondary analysis of a single-blind, randomized controlled trial involving community‐dwelling men and women aged 70 to 85 years who did not meet the physical activity guidelines. The participants were randomized into combined physical and cognitive training (PTCT, n=155) and physical training (PT, n=159) groups. PT included supervised and home-based physical exercises following the physical activity recommendations. PTCT included PT and computer-based cognitive training. The outcome was the rate of falls over the 12-month intervention (PTCT, n=151 and PT, n=155) and 12-month postintervention follow-up (PTCT, n=143 and PT, n=148). Falls were ascertained from monthly diaries. Exploratory outcomes included the rate of injurious falls, faller/recurrent faller/fall-related fracture status, and concern about falling.

Results
Estimated incidence rates of falls per person-year were 0.8 (95% CI 0.7–1.1) in the PTCT and 1.1 (95% CI 0.9–1.3) in the PT during the intervention and 0.8 (95% CI 0.7–1.0) versus 1.0 (95% CI 0.8–1.1), respectively, during the postintervention follow-up. There was no significant difference in the rate of falls during the intervention (incidence rate ratio [IRR] 0.78; 95% CI 0.56–1.10, p=0.152) or in the follow-up (IRR=0.83; 95% CI 0.59–1.15, p=0.263). No significant between-group differences were observed in any exploratory outcomes.

Conclusion
A yearlong PTCT intervention did not result in a significantly lower rate of falls or concern about falling than PT alone in older community‐dwelling adults.


YSO-asiasanatikääntyneetkaatuminenharjoituksetkuntoliikuntatoiminnanohjaus (psykologia)interventiotutkimusseurantatutkimus

Vapaat asiasanatfall prevention; exercise; executive functions; intervention; follow-up


Liittyvät organisaatiot


Hankkeet, joissa julkaisu on tehty


OKM-raportointiKyllä

Raportointivuosi2022

JUFO-taso3


Viimeisin päivitys 2024-03-04 klo 18:06