Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life

Background/objectives: Multicomponent exercise programs are the cornerstone in preventing gait and balance impairments and falls in older adults. However, the effects of these programs in usual clinical practice have been poorly analyzed. Design: 4-Month, twice-a-week multicomponent exercise program...

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Autores: García Molina, Rafael, Ruiz Grao, Marta Carolina, Noguerón García, Alicia, Martínez Reig, Marta, Esbrí Víctor, Mariano, Izquierdo Redín, Mikel, Abizanda Soler, Pedro
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/43299
Acceso en línea:https://www.sciencedirect.com/science/article/pii/S0531556518301062?via%3Dihub
https://hdl.handle.net/10578/43299
Access Level:acceso abierto
Palabra clave:Falls
Multicomponent exercise program
Older adults
Physical function
Usual care
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spelling Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real lifeGarcía Molina, RafaelRuiz Grao, Marta CarolinaNoguerón García, AliciaMartínez Reig, MartaEsbrí Víctor, MarianoIzquierdo Redín, MikelAbizanda Soler, PedroFallsMulticomponent exercise programOlder adultsPhysical functionUsual careBackground/objectives: Multicomponent exercise programs are the cornerstone in preventing gait and balance impairments and falls in older adults. However, the effects of these programs in usual clinical practice have been poorly analyzed. Design: 4-Month, twice-a-week multicomponent exercise program cohort study in real-life. Setting: Falls Unit, Complejo Hospitalario Universitario of Albacete, Spain. Participants: Sixty-seven participants who had experienced a fall in the previous year were included. Measurements: Pre- and post-intervention measurements were collected for leg press, gait speed, the Short Physical Performance Battery (SPPB), the Falls Efficiency Scale International, fat mass percentage, body mass index, the Geriatric Depression Scale by Yesavage (GDS), the Mini Mental State Examination, and the number of falls. Results: Fifty participants completed the program (adherence rate 75%, attendance 80%). Their mean age was 77.2 (SD 5.8) years; 39 were women. The participants reduced the mean number of frailty criteria from 2.1 to 1.3 (95%CI 0.4–1.1) and increased mean gait speed from 0.65 m/s to 0.82 m/s (95%CI 0.11–0.22), increasing their median SPPB scores from 8.5 to 10.0 points (p < 0.001), leg press strength from 62.5 kg to 80.0 kg (p < 0.001), and leg press power at 60% load from 76 W to 119 W (p < 0.001). There was also an improvement in GDS scores from 5.3 to 4.4 (95%CI 0.1–1.7). Body mass index did not change, but fat-free mass increased from 43.7 kg to 44.2 kg (95%CI 0.1–1.0), and fat mass percentage declined from 36.7% to 36.0% (95% CI 0.1–1.4). Seventeen patients (34%) had a fall during the six-month follow-up, and there was a reduction in the median number of falls from 3.0/year to 0.0/six months. Conclusions: A multicomponent Falls Unit-based exercise program as part of usual clinical practice in real life, improved physical function, reduced depressive symptoms, improved body composition and decreased the number of falls in older adults with previous falls.Elsevier202520252018info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.sciencedirect.com/science/article/pii/S0531556518301062?via%3Dihubhttps://hdl.handle.net/10578/43299reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésinfo:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/432992026-05-27T07:36:41Z
dc.title.none.fl_str_mv Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
title Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
spellingShingle Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
García Molina, Rafael
Falls
Multicomponent exercise program
Older adults
Physical function
Usual care
title_short Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
title_full Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
title_fullStr Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
title_full_unstemmed Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
title_sort Benefits of a multicomponent Falls Unit-based exercise program in older adults with falls in real life
dc.creator.none.fl_str_mv García Molina, Rafael
Ruiz Grao, Marta Carolina
Noguerón García, Alicia
Martínez Reig, Marta
Esbrí Víctor, Mariano
Izquierdo Redín, Mikel
Abizanda Soler, Pedro
author García Molina, Rafael
author_facet García Molina, Rafael
Ruiz Grao, Marta Carolina
Noguerón García, Alicia
Martínez Reig, Marta
Esbrí Víctor, Mariano
Izquierdo Redín, Mikel
Abizanda Soler, Pedro
author_role author
author2 Ruiz Grao, Marta Carolina
Noguerón García, Alicia
Martínez Reig, Marta
Esbrí Víctor, Mariano
Izquierdo Redín, Mikel
Abizanda Soler, Pedro
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Falls
Multicomponent exercise program
Older adults
Physical function
Usual care
topic Falls
Multicomponent exercise program
Older adults
Physical function
Usual care
description Background/objectives: Multicomponent exercise programs are the cornerstone in preventing gait and balance impairments and falls in older adults. However, the effects of these programs in usual clinical practice have been poorly analyzed. Design: 4-Month, twice-a-week multicomponent exercise program cohort study in real-life. Setting: Falls Unit, Complejo Hospitalario Universitario of Albacete, Spain. Participants: Sixty-seven participants who had experienced a fall in the previous year were included. Measurements: Pre- and post-intervention measurements were collected for leg press, gait speed, the Short Physical Performance Battery (SPPB), the Falls Efficiency Scale International, fat mass percentage, body mass index, the Geriatric Depression Scale by Yesavage (GDS), the Mini Mental State Examination, and the number of falls. Results: Fifty participants completed the program (adherence rate 75%, attendance 80%). Their mean age was 77.2 (SD 5.8) years; 39 were women. The participants reduced the mean number of frailty criteria from 2.1 to 1.3 (95%CI 0.4–1.1) and increased mean gait speed from 0.65 m/s to 0.82 m/s (95%CI 0.11–0.22), increasing their median SPPB scores from 8.5 to 10.0 points (p < 0.001), leg press strength from 62.5 kg to 80.0 kg (p < 0.001), and leg press power at 60% load from 76 W to 119 W (p < 0.001). There was also an improvement in GDS scores from 5.3 to 4.4 (95%CI 0.1–1.7). Body mass index did not change, but fat-free mass increased from 43.7 kg to 44.2 kg (95%CI 0.1–1.0), and fat mass percentage declined from 36.7% to 36.0% (95% CI 0.1–1.4). Seventeen patients (34%) had a fall during the six-month follow-up, and there was a reduction in the median number of falls from 3.0/year to 0.0/six months. Conclusions: A multicomponent Falls Unit-based exercise program as part of usual clinical practice in real life, improved physical function, reduced depressive symptoms, improved body composition and decreased the number of falls in older adults with previous falls.
publishDate 2018
dc.date.none.fl_str_mv 2018
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://www.sciencedirect.com/science/article/pii/S0531556518301062?via%3Dihub
https://hdl.handle.net/10578/43299
url https://www.sciencedirect.com/science/article/pii/S0531556518301062?via%3Dihub
https://hdl.handle.net/10578/43299
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.81155

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