RESEARCH – Adding Quality to Later Life Years


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Action Seniors! Cost‐Effectiveness Analysis of a Secondary Falls Prevention Strategy Among Community‐Dwelling Older Fallers

October 15, 2020

This article was recently published in the Journal of the American Geriatrics Society based on research conducted in our clinic. Full article details can be found here. BACKGROUND The Otago Exercise Program (OEP) has demonstrated cost‐effectiveness for the primary prevention of falls in a general community setting. The cost‐effectiveness of exercise as a secondary falls prevention (ie, preventing falls among those who have already fallen) strategy remains unknown. The primary objective was to estimate the cost‐effectiveness (incremental cost‐effectiveness/utility ratio) of the OEP from a healthcare system perspective. DESIGN A concurrent 12‐month prospective economic evaluation conducted alongside the Action Seniors! randomized critical trial (OEP compared with usual care). SETTING Vancouver Falls Prevention … Read more

Category: Adding Quality to Later Life Years, Falls Prevention, Publication


Vitamin D Boosts Chances of Walking After Hip Fracture

May 12, 2020

Scientists studied the impact of vitamin D on post-surgery mobility Originally published by Rutgers Today Senior citizens who are not vitamin D deficient have a better chance of walking after hip fracture surgery, according to a Rutgers-led study. The findings in The American Journal of Clinical Nutrition suggest that vitamin D deficiency could limit mobility in older adults, said senior author Sue Shapses, a professor in the Department of Nutritional Sciences at the School of Environmental and Biological Sciences at Rutgers University–New Brunswick. Shapses suggests that older adults take 800 international units (IU), equivalent to 20 micrograms, of vitamin D daily to prevent deficiency. Vitamin D is important for bone health, and people get it through some foods, exposure … Read more

Category: Adding Quality to Later Life Years, News


Better Sleep Could Improve Brain Health Among Older Adults

November 6, 2019

New study examines the connection between sleep, cognitive function and brain health. Originally published by Vancouver Coastal Health Research Institute. Getting a bad night’s sleep can do more than make us feel hazy and tired the next day. It can also contribute to the development of cognitive impairment and dementia, such as Alzheimer’s disease, particularly later in life. A new study led by Vancouver Coastal Health Research Institute (VCHRI) researchers Ryan Falck and Dr. Teresa Liu-Ambrose is examining interventions that could protect our cognitive function as we age. Over time, our body becomes less able to respond to stimuli, such as sunlight, and regulate our circadian rhythms—our 24-hour biological clock that … Read more

Category: Adding Quality to Later Life Years, Healthy Cognitive Aging, Publication


Effect of a Home-Based Exercise Program on Subsequent Falls Among Community-Dwelling High-Risk Older Adults After a Fall: A Randomized Clinical Trial

June 11, 2019

JAMA. 2019;321(21):2092–2100. Importance  Whether exercise reduces subsequent falls in high-risk older adults who have already experienced a fall is unknown. Objective  To assess the effect of a home-based exercise program as a fall prevention strategy in older adults who were referred to a fall prevention clinic after an index fall. Design, Setting, and Participants  A 12-month, single-blind, randomized clinical trial conducted from April 22, 2009, to June 5, 2018, among adults aged at least 70 years who had a fall within the past 12 months and were recruited from a fall prevention clinic. Interventions  Participants were randomized to receive usual care plus a home-based strength and balance retraining exercise program delivered by a physical therapist … Read more

Category: Adding Quality to Later Life Years, Falls Prevention, Publication