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• W4366993041 abstract "Abstract Background Communal exercise interventions may help prevent falls and injuries. However, pragmatic trials demonstrating the effectiveness of such strategies are sparse. Methods We determined whether a cost-free 12-month admission to the city’s recreational sports facilities including initial 6 months of supervised weekly gym and Tai Chi sessions decreases the number of falls and related injuries. The mean (SD) follow-up time was 22·6 (4.8) months in 2016–19. A total of 914 women from a population-based sample with a mean age of 76.5 (SD 3.3, range 71.1–84.8) years were randomized into exercise intervention (n = 457) and control (n = 457) groups. Fall information was collected through biweekly short message (SMS) queries and fall diaries. Altogether 1,380 falls were recorded for the intention-to-treat analysis, with 1,281 (92.8%) being verified by telephone. Results A 14.3% fall rate reduction was detected in the exercise group (Incidence rate ratio (IRR) = 0.86; CI 95% 0.77–0.95) compared with the control group. Approximately half of the falls caused moderate (n = 678, 52.8%) or severe (n = 61, 4.8%) injury. In total, 13.2% (n = 166) of falls (including 73 fractures) required medical consultation with a 38% lower fracture rate in the exercise group (IRR = 0.62; CI 95% 0.39–0.99). Overall, the greatest reduction of 41% (IRR = 0.59; CI 95% 0.36–0.99) was observed in falls with severe injury and pain. Conclusions A community-based approach for a 6-month exercise period combined with a 12-month free use of sports premises can reduce falls, fractures and other fall-related injuries in aging women." @default.
• W4366993041 created "2023-04-27" @default.
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• W4366993041 date "2023-04-01" @default.
• W4366993041 modified "2023-09-30" @default.
• W4366993041 title "Effectiveness of exercise on fall prevention in community-dwelling older adults: a 2-year randomized controlled study of 914 women" @default.
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• W4366993041 doi "https://doi.org/10.1093/ageing/afad059" @default.
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