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Randomized Controlled Trial
. 2013 Jul;21(3):241-59.
doi: 10.1123/japa.21.3.241. Epub 2012 Sep 4.

Minimally supervised multimodal exercise to reduce falls risk in economically and educationally disadvantaged older adults

Taís L Almeida  1 , Neil B Alexander, Linda V Nyquist, Marcos L Montagnini, C S Santos A, H P Rodrigues G, Carlos E Negrão, Ivani C Trombetta, Mauricio Wajngarten
Affiliations
Randomized Controlled Trial

Minimally supervised multimodal exercise to reduce falls risk in economically and educationally disadvantaged older adults

Taís L Almeida et al. J Aging Phys Act. 2013 Jul.

Abstract

Few studies have evaluated the benefit of providing exercise to underprivileged older adults at risk for falls. Economically and educationally disadvantaged older adults with previous falls (mean age 79.06, SD = 4.55) were randomized to 4 mo of multimodal exercise provided as fully supervised center-based (FS, n = 45), minimally supervised home-based (MS, n = 42), or to nonexercise controls (C, n = 32). Comparing groups on the mean change in fall-relevant mobility task performance between baseline and 4 mo and compared with the change in C, both FS and MS had significantly greater reduction in timed up-and-go, F(2,73) = 5.82, p = .004, η2 p = .14, and increase in tandem-walk speed, F(2,73) = 7.71, p < .001 η2 p = .17. Change in performance did not statistically differ between FS and MS. In community-dwelling economically and educationally disadvantaged older adults with a history of falls, minimally supervised home-based and fully supervised center-based exercise programs may be equally effective in improving fall-relevant functional mobility.

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Figures

Figure 1
Figure 1
Participants’ enrollment, dropouts, and follow-up
Figure 2
Figure 2
Mean difference in change for Movement Velocity in LOS (cm/s) *-significant difference in change between groups (p<.05) (Scheffé’s post-hot comparisons) FS-Fully Supervised; MS-Minimally Supervised; C-Control
Figure 3
Figure 3
Mean difference in change for Timed Up and Go (s) *-significant difference in change between groups (p<.05) (Scheffé’s post-hot comparisons) FS-Fully Supervised; MS-Minimally Supervised; C-Control
Figure 4
Figure 4
Mean difference in change for Tandem Walk Speed (cm/s) *-significant difference in change between groups (p<05) (Scheffé’s post-hot comparisons) FS-Fully Supervised, MS-Minimally Supervised, C-Control
See this image and copyright information in PMC

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