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| Adapted physical activity is beneficial on balance, functional mobility, quality of life and fall risk in community-dwelling older women: a randomized single-blinded controlled trial [with consumer summary] |
| Kovacs E, Prokai L, Meszaros L, Gondos T |
| European Journal of Physical and Rehabilitation Medicine 2013 Jun;49(3):301-310 |
| clinical trial |
| 8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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BACKGROUND: Exercise programmes have important role in prevention of falls, but to date, we have little knowledge about the effects of adapted physical activity programme on balance of older women. AIM: The aim of this study was to investigate the effects of an adapted physical activity programme on balance, risk of falls and quality of life in community-dwelling older women. DESIGN: This was a randomized controlled study. SETTING: Community, in a local sport centre. POPULATION: Older women aged over 60 years. METHODS: Seventy-six women were randomised to an exercise group providing adapted physical activity programme for 25 weeks or a control group (in which they did not participate in any exercise programme). The one-leg stance test, Timed Up and Go test, incidence of fall and the quality of life (SF-36v2) were measured at baseline and after 25 weeks. RESULTS: The one-leg stance test and the Timed Up and Go test in the exercise group was significantly better than in the control group after the intervention period (p = 0.005; p = 0.001, respectively). The Physical Functioning, Vitality and General Health subdomains of quality of life were also significantly better in the exercise group compared to the control group (p = 0.004; p = 0.005; p = 0.038, respectively). Relative risk was 0.40 (90% CI 0.174 to 0.920) and the number needed to treat was 5 (95% CI 2.3 to 23.3). CONCLUSION: This 25-week adapted physical activity programme improves static balance, functional mobility, as well as Physical Functioning, Vitality and General Health subdomains of quality of life.
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