Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study

Objective: To compare the effects of a multicomponent exercise program and a dual-task exercise program on the number of falls (fall rate) and number of fallers (fall incidence) and on parameters associated with fall risk in older adults living in long-term nursing homes (LTNH).__ Study design: This...

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Autores: Rezola Pardo, Chloe, Irazusta Astiazaran, Jon, Mugica Errazquin, Itxaso, Gamio, Ines, Sarquis-Adamson, Yanina, Gil Orozko, Susana María, Ugartemendia Yerobi, Maider, Montero-Odasso, Manuel, Rodríguez Larrad, Ana
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/64627
Acceso en línea:http://hdl.handle.net/10810/64627
Access Level:acceso abierto
Palabra clave:physical exercise
dual-task
falls
long-term nursing homes
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spelling Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task studyRezola Pardo, ChloeIrazusta Astiazaran, JonMugica Errazquin, ItxasoGamio, InesSarquis-Adamson, YaninaGil Orozko, Susana MaríaUgartemendia Yerobi, MaiderMontero-Odasso, ManuelRodríguez Larrad, Anaphysical exercisedual-taskfallslong-term nursing homesObjective: To compare the effects of a multicomponent exercise program and a dual-task exercise program on the number of falls (fall rate) and number of fallers (fall incidence) and on parameters associated with fall risk in older adults living in long-term nursing homes (LTNH).__ Study design: This is a secondary analysis of a single-blind randomized controlled trial involving 85 older adults in nine LTNHs (Gipuzkoa, Spain). Participants allocated to the multicomponent group underwent a twice-a-week 3-month individualized and progressive resistance and balance program. The dual-task group performed simultaneous cognitive training with the same multicomponent exercises.__ Main outcomes: Fall rate and incidence were analyzed using Poisson regression (adjusting for cognitive function and previous fall rate) and Kaplan-Meier analysis, respectively. Handgrip asymmetry, single- and dual-task TUG velocity and cost were assessed using two-way ANOVA for repeated measures and paired Student's t-tests. __ Results: The dual-task group showed a 3.8 times greater risk of falling than the multicomponent group during the intervention, and a 2.59 times greater risk during the 12-month follow-up. There were no between-group differences in fall incidence. There were between-group differences in handgrip strength asymmetry in favor of the multicomponent group. While only the multicomponent group improved on the TUG test, the dual-task group improved on dual-task cost. __ Conclusions: Compared with the dual-task program, the multicomponent exercise program showed more benefits in reducing falls and in parameters associated with fall risk in LTNH residents. Future studies are warranted to confirm our results and continue to explore physical and cognitive interventions to prevent falls in LTNHs.Elsevier202420242022info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/64627reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://doi.org/10.1016/j.maturitas.2022.06.006info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/3.0/es/This article is available under the Creative Commons CC-BY-NC-ND license and permits non-commercial use of the work as published, without adaptation or alteration provided the work is fully attributed.oai:addi.ehu.eus:10810/646272026-06-18T09:23:17Z
dc.title.none.fl_str_mv Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
title Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
spellingShingle Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
Rezola Pardo, Chloe
physical exercise
dual-task
falls
long-term nursing homes
title_short Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
title_full Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
title_fullStr Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
title_full_unstemmed Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
title_sort Effects of multicomponent and dual-task exercise on falls in nursing homes: The AgeingOn Dual-Task study
dc.creator.none.fl_str_mv Rezola Pardo, Chloe
Irazusta Astiazaran, Jon
Mugica Errazquin, Itxaso
Gamio, Ines
Sarquis-Adamson, Yanina
Gil Orozko, Susana María
Ugartemendia Yerobi, Maider
Montero-Odasso, Manuel
Rodríguez Larrad, Ana
author Rezola Pardo, Chloe
author_facet Rezola Pardo, Chloe
Irazusta Astiazaran, Jon
Mugica Errazquin, Itxaso
Gamio, Ines
Sarquis-Adamson, Yanina
Gil Orozko, Susana María
Ugartemendia Yerobi, Maider
Montero-Odasso, Manuel
Rodríguez Larrad, Ana
author_role author
author2 Irazusta Astiazaran, Jon
Mugica Errazquin, Itxaso
Gamio, Ines
Sarquis-Adamson, Yanina
Gil Orozko, Susana María
Ugartemendia Yerobi, Maider
Montero-Odasso, Manuel
Rodríguez Larrad, Ana
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv physical exercise
dual-task
falls
long-term nursing homes
topic physical exercise
dual-task
falls
long-term nursing homes
description Objective: To compare the effects of a multicomponent exercise program and a dual-task exercise program on the number of falls (fall rate) and number of fallers (fall incidence) and on parameters associated with fall risk in older adults living in long-term nursing homes (LTNH).__ Study design: This is a secondary analysis of a single-blind randomized controlled trial involving 85 older adults in nine LTNHs (Gipuzkoa, Spain). Participants allocated to the multicomponent group underwent a twice-a-week 3-month individualized and progressive resistance and balance program. The dual-task group performed simultaneous cognitive training with the same multicomponent exercises.__ Main outcomes: Fall rate and incidence were analyzed using Poisson regression (adjusting for cognitive function and previous fall rate) and Kaplan-Meier analysis, respectively. Handgrip asymmetry, single- and dual-task TUG velocity and cost were assessed using two-way ANOVA for repeated measures and paired Student's t-tests. __ Results: The dual-task group showed a 3.8 times greater risk of falling than the multicomponent group during the intervention, and a 2.59 times greater risk during the 12-month follow-up. There were no between-group differences in fall incidence. There were between-group differences in handgrip strength asymmetry in favor of the multicomponent group. While only the multicomponent group improved on the TUG test, the dual-task group improved on dual-task cost. __ Conclusions: Compared with the dual-task program, the multicomponent exercise program showed more benefits in reducing falls and in parameters associated with fall risk in LTNH residents. Future studies are warranted to confirm our results and continue to explore physical and cognitive interventions to prevent falls in LTNHs.
publishDate 2022
dc.date.none.fl_str_mv 2022
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/64627
url http://hdl.handle.net/10810/64627
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.1016/j.maturitas.2022.06.006
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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