The Effects of Exercise on Falls in Elderly Patients
JAMAPublished 3 May 1995
Michael A. Province
Citations1,023
SJR quartileQ1
SJR score5.35
SNIP10.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
Treatments including exercise for elderly adults reduce the risk of falls.
Keywords
MedicineHealth Professions
Controlled Clinical TrialsMeta-analysis in clinical trials
39,316 Citations1986Rebecca DerSimonian, Nan M. Laird
This paper examines eight published reviews each reporting results from several related trials in order to evaluate the efficacy of a certain treatment for a specified medical condition and suggests a simple noniterative procedure for characterizing the distribution of treatment effects in a series of studies.
New England Journal of MedicineRisk Factors for Falls among Elderly Persons Living in the Community
6,539 Citations1988Mary E. Tinetti, Mark Speechley +1 more
It is concluded that falls among older persons living in the community are common and that a simple clinical assessment can identify the elderly persons who are at the greatest risk of falling.
The Annals of StatisticsCox's Regression Model for Counting Processes: A Large Sample Study
4,297 Citations1982P. Andersen, Richard D. Gill
New England Journal of MedicineExercise Training and Nutritional Supplementation for Physical Frailty in Very Elderly People
2,836 Citations1994M. A. Fiatarone, Evelyn F. O’Neill +8 more
High-intensity resistance exercise training is a feasible and effective means of counteracting muscle weakness and physical frailty in very elderly people, in contrast to multi-nutrient supplementation without concomitant exercise, which does not reduce muscle weakness orPhysical frailty.
New England Journal of MedicineA Multifactorial Intervention to Reduce the Risk of Falling among Elderly People Living in the Community
2,138 Citations1994Mary E. Tinetti, Dorothy I. Baker +7 more
The multiple-risk-factor intervention strategy resulted in a significant reduction in the risk of falling among elderly persons in the community and among persons who had the targeted risk factors for falling, as compared with the control group.
JAMARisk factors for recurrent nonsyncopal falls. A prospective study
1,504 Citations1989Michael C. Nevitt
Age and AgeingFALLS BY ELDERLY PEOPLE AT HOME: PREVALENCE AND ASSOCIATED FACTORS
1,267 Citations1988Austin J. Blake, Kelly Morgan +6 more
Discriminant analysis of selected medical and anthropometric variables indicated that handgrip strength in the dominant hand and reported symptoms of arthritis, giddiness and foot difficulties were most influential in predicting reports of recent falls.
Journal of GerontologyRisk Factors for Falls in a Community-Based Prospective Study of People 70 Years and Older
1,234 Citations1989A. J. Campbell, Michael Borrie +1 more
Factors associated with falls in a community-based prospective study of 761 subjects 70 years and older found decreased levels of physical activity, stroke, arthritis of the knees, impairment of gait, and increased body sway were associated with an increased risk of falls.
New England Journal of MedicineRisk Factors for Falls as a Cause of Hip Fracture in Women
862 Citations1991Jeane Ann Grisso, Jennifer L. Kelsey +6 more
A number of factors that have been identified as risk factors for falls are also associated with hip fracture, including lower-limb dysfunction, neurologic conditions, barbiturate use, and visual impairment.
Journal of GerontologyFunctional Reach: Predictive Validity in a Sample of Elderly Male Veterans
739 Citations1992Pamela W. Duncan, Stephanie A. Studenski +2 more
It is concluded that functional reach is a simple and easy-to-use clinical measure that has predictive validity in identifying recurrent falls in elderly subjects at risk for recurrent falls.
Annual Review of Public HealthFalls Among Older Persons: A Public Health Perspective
665 Citations1992Richard W. Sattin
Although these schemes might be useful in a clinical setting, they are subject to recall and interviewer bias and have led to a lack of consistency in the literature on the association of risk factors and falls.
Journal of the American Geriatrics SocietyFalls and Injuries in Frail and Vigorous Community Elderly Persons
590 Citations1991Mark Speechley, Mary E. Tinetti
It is suggested that fall‐related injuries can be a serious health problem for vigorous as well as frail elderly persons and injury prevention should be directed at all elderly persons but tailored to expected differences in fall circumstances.
JAMAPredictors and Prognosis of Inability to Get Up After Falls Among Elderly Persons
470 Citations1993Mary E. Tinetti
The frequency of inability to get up and the short- and long-term morbidity associated with this inability suggest the need for preventive and treatment efforts.
American Journal of EpidemiologyRisk Factors for Fractures of the Distal Forearm and Proximal Humerus
461 Citations1992Jennifer L. Kelsey, Warren S. Browner +3 more
Data support the hypothesis that distal forearm fractures often occur as a result of a fall in women with low bone mineral density who are relatively healthy and active and have good neuromuscular function, while fractures of the proximal humerus tend to occur in women who are less healthy and less active than average.
Journal of Clinical EpidemiologyMeta-analysis in epidemiology, with special reference to studies of the association between exposure to environmental tobacco smoke and lung cancer: A critique
407 Citations1991Joseph L. Fleiss, Alan J. Gross
It is demonstrated that hastily or improperly designed meta-analyses can lead to results that may not be scientifically valid, as demonstrated by the 1986 report of the National Research Council concerning exposure to environmental tobacco smoke and the risk of lung cancer.
Journal of GerontologyCauses and Correlates of Recurrent Falls in Ambulatory Frail Elderly
403 Citations1991Lewis A. Lipsitz, Pálmi V. Jónsson +2 more
Fallers were more often women, were functionally more impaired, and were taking more medications than nonfallers, and primary causes including stroke, parkinsonism, blindness, drug-related hypotension, and arthritis were established for the most recent fall.
Journal of the American Geriatrics SocietyDevelopment of the Common Data Base for the FICSIT Trials
381 Citations1993David M. Büchner, Mark C. Hornbrook +15 more
This article describes the shared measures, which are referred to as the FICSIT Common Data Base (CDB), and recommends that the CDB should expedite secondary analyses of various research questions dealing with frailty and falls.
JAMAA Randomized Trial of Physical Rehabilitation for Very Frail Nursing Home Residents
315 Citations1994Cynthia D. Mulrow
This standardized physical therapy program provided modest mobility benefits for very frail long-stay nursing home residents with physical disability due to multiple comorbid conditions.
American Journal of Public HealthMortality, disability, and falls in older persons: the role of underlying disease and disability.
211 Citations1992Julie E. Dunn, M. A. Rudberg +2 more
Multiple falls in older persons increase risk of functional impairment and may indicate underlying conditions that increase risk-of-death.
Journal of the American Geriatrics SocietyFrailty and Injuries in Later Life: The FICSIT Trials
187 Citations1993Marcia G. Ory, Kenneth B. Schechtman +9 more
This report documents the history and organization of the trials and provides an overview of the measures being collected at multiple sites and the analytic strategies to be used for multi‐site investigations.
Medical CareHealth Care Utilization and Functional Status in the Aged Following a Fall
174 Citations1991Douglas P. Keil, Patricia O’Sullivan +2 more
One-time fallers and, especially repeated fallers, were at greater risk of subsequent hospitalization, nursing home admission, and frequent physician contact than were nonfallers, after controlling for age, sex, self-perceived health status, and difficulties with activities of daily living.
Journal of the American Geriatrics SocietyYale Ficsit: Risk Factor Abatement Strategy for Fall Prevention
150 Citations1993Mary E. Tinetti, Dorothy I. Baker +4 more
An intervention trial comparing the effectiveness of usual care plus social visits (SV) and a targeted risk abatement intervention (TI) strategy in reducing falls among at risk community elderly persons.
Journal of the American Geriatrics SocietyTraining Balance and Strength in the Elderly to Improve Function
121 Citations1993Leslie Wolfson, Robert Whipple +4 more
The hypotheses to be tested are that (1) balance training alone, or (2) strength training alone will each be capable of significantly improving balance, gait, and functional mobility, and that (3) a combined program of balance and strength training will be more effective than either approach alone.
Journal of the American Geriatrics SocietyThe Atlanta FICSIT Study: Two Exercise Interventions to Reduce Frailty in Elders
116 Citations1993Steven L. Wolf, Nancy G. Kutner +2 more
Measurements unique to the Atlanta site include: balance with eyes closed, programmed force‐distribution changes when stance is perturbed, cardiovascular assessments, WAIS, affects Balance Scale, and a survey of home environment.
Journal of the American Geriatrics SocietyThe Seattle FICSIT/Movelt Study: The Effect of Exercise on Gait and Balance in Older Adults
104 Citations1993David M. Buchner, M. Elaine Cress +4 more
The Seattle FICSIT/Movelt study is a population‐based, randomized, controlled trial comparing the effects of three 6‐month exercise interventions (endurance training, strength training, or combined endurance and strength training), and three 3‐month endurance training interventions (stationary cycle, walking, or aerobic movement).
Journal of the American Geriatrics SocietyThe Boston FICSIT Study: The Effects of Resistance Training and Nutritional Supplementation on Physical Frailty in the Oldest Old
98 Citations1993M. A. Fiatarone, Evelyn F. O’Neill +6 more
The Boston FICSIT study is a nursing home‐based intervention to improve muscle strength through progressive resistance training of the lower extremities and/or multi‐nutrient supplementation in chronically institutionalized subjects aged 70–100.
Journal of GerontologyPhysical Activity and Fracture Risk in a Free-Living Elderly Cohort
83 Citations1988Gary S. Sorock, Trudy L. Bush +4 more
It is concluded that regular physical activity such as walking may protect against fracture in older persons.
Journal of the American Geriatrics SocietyThe Impact of Falls in an Inner‐City Elderly African‐American Population
71 Citations1992Jeane Ann Grisso, Donald F. Schwarz +3 more
To describe the impact of falls in an elderly African‐American urban community and to identify predictors of poor recovery from falls.
PubMedFalls among elderly people living at home: medical and social factors in a national sample.
55 Citations1992Julie Cwikel
Analyses adjusted for age, sex and mobility level showed that frequency of social interaction was inversely related to reported falls, and advanced age (greater than 75 years) was associated with repeated falls that occurred both in the home and outdoors.
Journal of the American Geriatrics SocietySeniors' Program for Injury Control and Education
48 Citations1993Mark C. Hornbrook, Victor J. Stevens +1 more
The Seniors' Program for Injury Control and Education (SPICE) examines the effects of exercise and physical fitness on falls and related injuries among older persons with a focus on frail elderly HMO members.
Journal of the American Geriatrics SocietyIowa FICSIT Trial: The Feasibility of Elderly Wearing a Hip Joint Protective Garment to Reduce Hip Fractures
39 Citations1993Robert B. Wallace, Jo Ellen Ross +3 more
The geriatric population remains at risk for the mortality and morbidity associated with fractures and intervention strategies are being investigated to reduce the numbers of geriatric falls and to improve the body's resiliency.
Journal of the American Geriatrics SocietyEffects of Physical Therapy on Functional Status of Nursing Home Residents
37 Citations1993Cynthia D. Mulrow, Meghan B. Gerety +3 more
A cost‐effectiveness ratio dividing incremental health care utilization and physical therapy intervention costs by the observed improvement in physical function is calculated to help determine whether long‐stay nursing home residents should be eligible for physical therapy.
Journal of Aging and HealthInjuries among the Elderly in the Home Environment
32 Citations1991Harmeet Sjörgen, Ulf Björnstig
Prevention of injuries, particularly falls, in this vulnerable and increasing homebound population is urgently needed.
Journal of Aging and HealthExpenditures for Unintentional Injuries among the Elderly
30 Citations1990Amy B. Bernstein, Claudia L. Schur
Estimates indicate that total medical care expenditures for unintentional injuries for the elderly population in 1977 may have been over $2 billion and the amount expended on injury-related medical care in 1984 might have been as high as $5 billion.
