Does the 'Otago exercise programme' reduce mortality and falls in older adults?: a systematic review and meta-analysis

作者：Thomas Susie^*; Mackintosh Shylie; Halbert Julie

来源：Age and Ageing, 2010, 39(6): 681-687.

DOI：10.1093/ageing/afq102

• Otago exercise programme
• mortality
• falls
• aged
• elderly
• systematic review

Methods: a systematic review with meta-analysis. Clinical trials where the OEP was the primary intervention and participants were community-dwelling older adults (65+) were included. Outcomes of interest included risk of death, number of falls, number of injurious falls and compliance to the exercise programme.
Results: seven trials, involving 1503 participants were included. The mean age of participants was 81.6 (+/- 3.9) years. The OEP significantly reduced the risk of death over 12 months [risk ratio = 0.45, 95% confidence interval (CI) = 0.25-0.80], and significantly reduced fall rates (incidence rate ratio = 0.68, 95% CI = 0.56-0.79). There was no significant difference in the risk of a serious or moderate injury occurring as the result of a fall (risk ratio = 1.05, 95% CI = 0.91-1.22). Of the 747 participants who remained in the studies at 12 months, 274 (36.7%) were still exercising three or more times per week.
Conclusion: the OEP significantly reduces the risk of death and falling in older community-dwelling adults.

• 出版日期2010-11