Effect of a home-based exercise program on subsequent falls among community-dwelling older adults with cognitive frailty: A sub-group analysis of a randomized controlled trial
January 21, 2025
This article was recently published in Maturitas based on research conducted in our clinic. Full article details can be found here. Objectives Cognitive frailty is characterized by concurrent physical frailty and mild cognitive impairment and is associated with increased risk of falls. Exercise is an evidence-based strategy to prevent falls, but whether exercise reduces falls in people with cognitive frailty is unknown. We examined the effects of home-based exercise on subsequent falls among community-dwelling older adults with cognitive frailty who have previously fallen. Study design A sub-group analysis of a 12-month, single-blind, randomized controlled trial among 344 adults aged 70 years or more who had fallen within the past 12 months. Participants … Read more
Category: Falls Prevention, News, Publication
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: Falls Prevention, Adding Quality to Later Life Years, Publication
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: Healthy Cognitive Aging, Adding Quality to Later Life Years, 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: Falls Prevention, Adding Quality to Later Life Years, Publication
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