A Kapan1, E Luger2, S Haider2, S Titze3, K Schindler4, C Lackinger5, T E Dorner2. 1. Institute of Social Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria. Electronic address: ali.kapan@meduniwien.ac.at. 2. Institute of Social Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria. 3. Institute of Sport Science, University of Graz, Graz, Austria. 4. Department of Medicine, Division of Endocrinology and Metabolism, Medical University of Vienna, Vienna, Austria. 5. Department of Health Promotion and Prevention, Sportunion Austria, Vienna, Austria.
Abstract
BACKGROUND: In older adults, fear of falling (FOF) leads to a decline in daily physical activity quality of life and an increased risk of falling. The aim of this randomised controlled trial was to assess the effects of a 12-week home-based intervention program carried out by lay volunteers on FOF in frail older adults. METHODS:Thirty-nine participants were randomised to a physical training and nutrition (PTN) group and 41 participants to a social support (SOSU) group. In the PTN group, strength training and conversation about optimising nutrition were performed twice weekly, and the SOSU group received home visits without intervention. FOF and change of FOF were assessed using the Falls Efficacy Scale - International (FES-I). The Short Physical Performance Battery (SPPB), the Physical Activity Scale for the Elderly (PASE) and maximum handgrip strength and their changes were also assessed. RESULTS: The mean FES-I score at baseline was 42.7 points and was significantly associated with the SPPB and PASE scores. The FES-I score significantly changed in the PTN group from 44.1 to 39.9 points over the course of the intervention. Twenty-seven percent of the participants showed a decreased FES-I score of at least 4 points. This decrease was associated with an increase in the SPPB score and an increase in handgrip strength CONCLUSION: A 12-week structured physical training and nutrition intervention carried out by lay volunteers, which leads to an increase in physical activity and improved physical performance, can reduce FOF by about 10%. Copyright Â
RCT Entities:
BACKGROUND: In older adults, fear of falling (FOF) leads to a decline in daily physical activity quality of life and an increased risk of falling. The aim of this randomised controlled trial was to assess the effects of a 12-week home-based intervention program carried out by lay volunteers on FOF in frail older adults. METHODS: Thirty-nine participants were randomised to a physical training and nutrition (PTN) group and 41 participants to a social support (SOSU) group. In the PTN group, strength training and conversation about optimising nutrition were performed twice weekly, and the SOSU group received home visits without intervention. FOF and change of FOF were assessed using the Falls Efficacy Scale - International (FES-I). The Short Physical Performance Battery (SPPB), the Physical Activity Scale for the Elderly (PASE) and maximum handgrip strength and their changes were also assessed. RESULTS: The mean FES-I score at baseline was 42.7 points and was significantly associated with the SPPB and PASE scores. The FES-I score significantly changed in the PTN group from 44.1 to 39.9 points over the course of the intervention. Twenty-seven percent of the participants showed a decreased FES-I score of at least 4 points. This decrease was associated with an increase in the SPPB score and an increase in handgrip strength CONCLUSION: A 12-week structured physical training and nutrition intervention carried out by lay volunteers, which leads to an increase in physical activity and improved physical performance, can reduce FOF by about 10%. Copyright Â
Authors: Julie Loebach Wetherell; Emily S Bower; Kristen Johnson; Douglas G Chang; Samuel R Ward; Andrew J Petkus Journal: Am J Geriatr Psychiatry Date: 2018-04-12 Impact factor: 4.105
Authors: Igor Grabovac; Sandra Haider; Eva Winzer; Ali Kapan; Karin E Schindler; Christian Lackinger; Thomas E Dorner Journal: Wien Klin Wochenschr Date: 2018-08-09 Impact factor: 1.704
Authors: Anja Dautel; Tobias Eckert; Michaela Gross; Klaus Hauer; Martina Schäufele; André Lacroix; Ingrid Hendlmeier; Bastian Abel; Rebekka Pomiersky; Julia Gugenhan; Gisela Büchele; Katrin C Reber; Clemens Becker; Klaus Pfeiffer Journal: BMC Geriatr Date: 2019-04-30 Impact factor: 3.921
Authors: Eva Winzer; Thomas E Dorner; Igor Grabovac; Sandra Haider; Ali Kapan; Christian Lackinger; Karin Schindler Journal: Geriatr Gerontol Int Date: 2019-02-05 Impact factor: 2.730
Authors: Holly Gwyther; Rachel Shaw; Eva-Amparo Jaime Dauden; Barbara D'Avanzo; Donata Kurpas; Maria Bujnowska-Fedak; Tomasz Kujawa; Maura Marcucci; Antonio Cano; Carol Holland Journal: BMJ Open Date: 2018-01-13 Impact factor: 2.692