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Therapeutics
Group based exercise reduced falls in community dwelling people ≥70 years of age

https://doi.org/10.1136/ebm.8.2.57

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    (2002) BMJ 325, 128; Day L, Fildes B, Gordon I, et al.. Randomised factorial trial of falls prevention among older people living in their own homes.. ;. :. –31.
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 QUESTION: In community dwelling people ≥70 years of age, is exercise, home hazard management, or vision improvement more effective than no intervention for reducing falls?

    Design

    Randomised (allocation concealed*), unblinded,* full factorial, controlled trial with 18 months of follow up.

    Setting

    Urban community in Melbourne, Victoria, Australia.

    Participants

    1090 participants ≥70 years of age (mean age 76 y, 60% women) who were living in their own accommodation and allowed to make modifications. Exclusion criteria included people expecting to move within 2 years; participation in regular to moderate physical activity with a balance improvement component in the previous 2 months; inability to walk 10–20 metres without rest, help, or experiencing angina; and serious comorbidity. Follow up was 89%.

    Intervention

    Participants were allocated to group based exercise (exercise) (n=135), home hazard management (home hazard) (n=136), vision improvement (n=139), …

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    Footnotes

    • For correspondence: Dr L Day, Monash University, Clayton, Victoria, Australia. Lesley.Day{at}general.monash.edu.au

    • Sources of funding: National Health and Medical Research Council; Victorian Department of Human Services; City of Whitehorse; Victorian Health Promotion Foundation; Rotary; and National Safety Council.

    • ↵*See glossary.