A pilot study on fear and risk of fall: The impact of a 8-month multicomponent exercise program in community-dwelling aged adults
Supporting Agencies
- This research was funded by national funds through the Portuguese Foundation for Science and Technology, I.P., grant number UID/04748/2020 and grant number UID/04045/2020
Abstract
Sarcopenia, characterized by the age-related decline in muscle mass and strength, has been associated with an elevated risk of falls in older adults. The objective of this study was to investigate the impact of an 8-month multicomponent exercise program in community-dwelling older adults. A comprehensive approach was employed to assess the feasibility and effectiveness of a thrice-weekly exercise intervention. Aged over 60 years, the capacity to stand and walk with or without assistive equipment, being physically inactive, having medical clearance, and living in the community were all eligibility criteria. The Timed-up and Go test and Berg Balance Scale were used to examine the risk of falling. The Fall-Efficacy Scale International was used to examine the fear of falling. The community-based exercise program involved thirty-five participants, the average age was 67.54 years (SD = 3.81) and 71% were female. Attendance rates ranged from 76% to 100% on average. There was a significant trend toward a clinically important improvement in the timed-up and go test (t = 4.66; p < 0.001; d = 0.20), berg balance scale (t = -11.20; p < 0.001; d = 1.47), and fall-efficacy scale international (t = 5.81; p < 0.001; d = 0.88). This study has provided preliminary evidence that an 8-month community-based low-cost exercise program may be effective in improving agility, and balance, and decreasing fear of falling in older people. The community-based exercise program has provided the necessary data to design future randomized-controlled trials that can be implemented in the community in an ecologically feasible manner.
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