Social recreational strength training and its effect on falls in older adults
DOI:
https://doi.org/10.47197/retos.v71.116403Keywords:
Falls , social interaction, exercise, resistance training, older adultAbstract
Introduction and Objective. Falls in older adults represent a health problem with serious consequences, including fear of falling. Forward head posture (FHP) is a condition that can increase the risk of falls. There is evidence of the benefits of strength training in preventing falls, and it has been proposed that including social and recreational components could enhance the effectiveness of interventions. The objective of this study was to evaluate the effects of strength training with a social and recreational component on the risk of falls and fear of falling in older adults with FHP.
Methodology. Ninety-three older adults with FHP were included and divided into three groups: strength training with a social and recreational component, traditional strength training, and a control group. Forty-five-minute interventions were delivered twice a week for 16 weeks. Fear of falling (Fall Efficacy Scale) and fall risk (Tinetti Scale) were assessed pre- and post-intervention.
Results. Conventional strength training reduced fear of falling (p<0.05) and fall risk (p<0.05) after the intervention. Training with a socialization component showed no significant changes in fear of falling (p>0.05), but did result in an improvement in fall risk (p<0.01). When comparing groups, there was a decreased risk of falls in the training groups compared to the control group (p<0.05).
Conclusions. Strength training with and without a social and recreational component reduced the risk of falls in older adults with FHP.
References
Ahmadipoor, A., Khademi-Kalantari, K., Rezasoltani, A., Naimi, S. S., & Akbar-Zadeh-baghban, A. (2022). Effect of Forward Head Posture on Dynamic Balance Based on the Biodex Balance Sys-tem. Journal of Biomedical Physics and Engineering, 12(5), 543–548. https://doi.org/10.31661/jbpe.v0i0.1912-1036
Alcolea-Ruiz, N., Alcolea-Ruiz, S., Esteban-Paredes, F., Beamud-Lagos, M., Villar-Espejo, M. T., & Pérez-Rivas, F. J. (2021). Prevalencia del miedo a caer y factores asociados en personas mayores que viven en la comunidad. Atención Primaria, 53(2), 101962. https://doi.org/10.1016/j.aprim.2020.11.003
Burns, E., & Kakara, R. (2018). Deaths from Falls Among Persons Aged ≥65 Years — United States, 2007–2016. MMWR. Morbidity and Mortality Weekly Report, 67(18), 509–514. https://doi.org/10.15585/mmwr.mm6718a1
Chen, W.-C., Li, Y.-T., Tung, T.-H., Chen, C., & Tsai, C.-Y. (2021). The relationship between falling and fear of falling among community-dwelling elderly. Medicine, 100(26), e26492. https://doi.org/10.1097/MD.0000000000026492
Claudino, J. G., Afonso, J., Sarvestan, J., Lanza, M. B., Pennone, J., Filho, C. A. C., Serrão, J. C., Espreguei-ra-Mendes, J., Vasconcelos, A. L. V., de Andrade, M. P., Rocha-Rodrigues, S., Andrade, R., & Ra-mirez-Campillo, R. (2021). Strength Training to Prevent Falls in Older Adults: A Systematic Re-view with Meta-Analysis of Randomized Controlled Trials. Journal of Clinical Medicine, 10(14), 3184. https://doi.org/10.3390/jcm10143184
Collado-Mateo, D., Lavín-Pérez, A. M., Peñacoba, C., Del Coso, J., Leyton-Román, M., Luque-Casado, A., Gasque, P., Fernández-del-Olmo, M. Á., & Amado-Alonso, D. (2021). Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. International Journal of Environmental Research and Public Health, 18(4), 2023. https://doi.org/10.3390/ijerph18042023
Friedman, S. M., Munoz, B., West, S. K., Rubin, G. S., & Fried, L. P. (2002). Falls and Fear of Falling: Which Comes First? A Longitudinal Prediction Model Suggests Strategies for Primary and Sec-ondary Prevention. Journal of the American Geriatrics Society, 50(8), 1329–1335. https://doi.org/10.1046/j.1532-5415.2002.50352.x
Gazibara, T., Kurtagic, I., Kisic‐Tepavcevic, D., Nurkovic, S., Kovacevic, N., Gazibara, T., & Pekmezovic, T. (2017). Falls, risk factors and fear of falling among persons older than 65 years of age. Psy-chogeriatrics, 17(4), 215–223. https://doi.org/10.1111/psyg.12217
Guevara, C. R., & Lugo, L. H. (2012). Validez y confiabilidad de la Escala de Tinetti para población co-lombiana. Revista Colombiana de Reumatología, 19(4), 218–233. https://doi.org/10.1016/S0121-8123(12)70017-8
Huang, X., Jiang, Y., Liu, Y., Shen, L., Pan, J., & Zhang, Y. (2023). Influencing factors of falls among older adults in Chinese retirement institutions: A systematic review and meta-analysis. PLOS ONE, 18(12), e0296348. https://doi.org/10.1371/journal.pone.0296348
Imagama, S., Ito, Z., Wakao, N., Seki, T., Hirano, K., Muramoto, A., Sakai, Y., Matsuyama, Y., Hamajima, N., Ishiguro, N., & Hasegawa, Y. (2013). Influence of spinal sagittal alignment, body balance, muscle strength, and physical ability on falling of middle-aged and elderly males. European Spine Journal, 22(6), 1346–1353. https://doi.org/10.1007/s00586-013-2721-9
Kakara, R., Bergen, G., Burns, E., & Stevens, M. (2023). Nonfatal and Fatal Falls Among Adults Aged ≥65 Years — United States, 2020–2021. MMWR. Morbidity and Mortality Weekly Report, 72(35), 938–943. https://doi.org/10.15585/mmwr.mm7235a1
Kendrick, D., Carpenter, H., Morris, R. W., Skelton, D. A., Gage, H., Bowling, A., Masud, T., Stevens, Z., Pearl, M., Gawler, S. J., Kumar, A., & Iliffe, S. (2012). Exercise for reducing fear of falling in old-er people living in the community. In D. Kendrick (Ed.), Cochrane Database of Systematic Re-views. John Wiley & Sons, Ltd. https://doi.org/10.1002/14651858.CD009848
Kuo, C., Shishov, N., Elabd, K., Komisar, V., Chong, H., Phu, T., Anderson, L., Hoshizaki, B., Laing, A., Cripton, P., & Robinovitch, S. (2020). Estimating Trunk and Neck Stabilization for Avoiding Head Impact during Real-World Falls in Older Adults. 2020 42nd Annual International Confer-ence of the IEEE Engineering in Medicine & Biology Society (EMBC), 4823–4826. https://doi.org/10.1109/EMBC44109.2020.9176257
Lee, J.-H. (2016). Effects of forward head posture on static and dynamic balance control. Journal of Physical Therapy Science, 28(1), 274–277. https://doi.org/10.1589/jpts.28.274
Lee, M., Kim, M. J., Suh, D., Kim, J., Jo, E., & Yoon, B. (2016). Feasibility of a Self-Determination Theory-Based Exercise Program in Community-Dwelling South Korean Older Adults: Experiences from a 13-Month Trial. Journal of Aging and Physical Activity, 24(1), 8–21. https://doi.org/10.1123/japa.2014-0056
Lin, G., Zhao, X., Wang, W., & Wilkinson, T. (2022). The relationship between forward head posture, postural control and gait: A systematic review. Gait & Posture, 98, 316–329. https://doi.org/10.1016/J.GAITPOST.2022.10.008
McCambridge, J., Witton, J., & Elbourne, D. R. (2014). Systematic review of the Hawthorne effect: New concepts are needed to study research participation effects. Journal of Clinical Epidemiology, 67(3), 267–277. https://doi.org/10.1016/j.jclinepi.2013.08.015
Osanlou, S., Miri, H., Nichols, J. F., & Hosseinzadeh, M. (2024). Investigating the relationship between sagittal spinal curvature and fall incidence and fall risk among elderly nursing home residents. Osteoporosis International. https://doi.org/10.1007/s00198-024-07232-z
Pohl, P., Ahlgren, C., Nordin, E., Lundquist, A., & Lundin-Olsson, L. (2015). Gender perspective on fear of falling using the classification of functioning as the model. Disability and Rehabilitation, 37(3), 214–222. https://doi.org/10.3109/09638288.2014.914584
Rodríguez-Molinero, A., Narvaiza, L., Gálvez-Barrón, C., de la Cruz, J. J., Ruíz, J., Gonzalo, N., Valldosera, E., & Yuste, A. (2015). Caídas en la población anciana española: incidencia, consecuencias y fac-tores de riesgo. Revista Española de Geriatría y Gerontología, 50(6), 274–280. https://doi.org/10.1016/j.regg.2015.05.005
Roman de Mettelinge, T., Desimpelaere, P., & Cambier, D. (2023). Cervical mobility and cervical pro-prioception in relation to fall risk among older adults: a prospective cohort study. European Geriatric Medicine, 14(3), 447–453. https://doi.org/10.1007/s41999-023-00785-y
Salari, N., Darvishi, N., Ahmadipanah, M., Shohaimi, S., & Mohammadi, M. (2022). Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis. Journal of Or-thopaedic Surgery and Research, 17(1), 334. https://doi.org/10.1186/s13018-022-03222-1
Scheffer, A. C., Schuurmans, M. J., van Dijk, N., van der Hooft, T., & de Rooij, S. E. (2008). Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37(1), 19–24. https://doi.org/10.1093/ageing/afm169
Schoene, D., Heller, C., Aung, Y. N., Sieber, C. C., Kemmler, W., & Freiberger, E. (2019).
A systematic review on the influence of fear of falling on quality of life in older people: is there a role for falls?
. Clinical Interventions in Aging, Volume 14, 701–719. https://doi.org/10.2147/CIA.S197857Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., Clemson, L., Hopewell, S., & Lamb, S. E. (2019). Exercise for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, 2019(1). https://doi.org/10.1002/14651858.CD012424.pub2
Thiamwong, L., & Suwanno, J. (2017). Fear of Falling and Related Factors in a Community-based Study of People 60 Years and Older in Thailand. International Journal of Gerontology, 11(2), 80–84. https://doi.org/10.1016/j.ijge.2016.06.003
Tinetti, M. E., Richman, D., & Powell, L. (1990). Falls Efficacy as a Measure of Fear of Falling. Journal of Gerontology, 45(6), P239–P243. https://doi.org/10.1093/geronj/45.6.P239
Vaishya, R., & Vaish, A. (2020). Falls in Older Adults are Serious. Indian Journal of Orthopaedics, 54(1), 69–74. https://doi.org/10.1007/s43465-019-00037-x
Zenewton, C. :, Da, A., Gama, S., André, Z., Conesa, A. G., & Ferreira, M. S. (2008). Revisión sistemática. In Rev Esp Salud Pública (Vol. 82).
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