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首页> 美国卫生研究院文献>Innovation in Aging >Effects of a Fall Prevention Program on Fall Risks Fear of Falling and Depression in Older Active Adults
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Effects of a Fall Prevention Program on Fall Risks Fear of Falling and Depression in Older Active Adults

机译：秋季预防计划对较大的成年人跌倒风险令人害怕抑郁症的影响

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Falls are the leading cause of injury in older adults; one in four older adults fall each year. The Otago Exercise Program (OEP) is an evidence-based fall prevention program that has been shown to reduce fall risk factors. However, exercise dosage is not known. The purpose of this study was to investigate the effectiveness of different frequencies of an OEP-based program on fall risk factors, fear of falling, and depression in older adults. Of 62 subjects initially recruited at community centers, 28 subjects met inclusion criteria and were assigned to control (Con), once-weekly (Grp 1), or twice-weekly (Grp 2) intervention groups based on subject attendance. Intervention consisted of a 12-week OEP-based program. Pre-intervention dependent variables included: 4-Stage Balance Test, 30-Second Chair Stand, Timed Up and Go (TUG), Geriatric Depression Scale (GDS), and Modified Fall Efficacy Scale (MFES). After 12 weeks, post-intervention testing assessed changes in these variables. Preliminary analysis of data using mixed design ANOVA (p.05) indicated significant changes between and within all groups for TUG and 30-Second Chair Stand. Results also suggested all groups improved on all variables with a direct relationship to exercise frequency. Furthermore, Grp2 improved more than Grp1 and Con in the 4-Stage Balance Test. These findings suggest an OEP-based falls prevention program performed 2x/week is more beneficial in decreasing fall risks and increasing lower extremity muscle strength than 1x/week. Moreover, results imply exercise frequency may be important in improving the magnitude of select falls risks variables.
机译：瀑布是老年人受伤的主要原因;每年四分之一的成年人跌倒。 OTAGO练习计划（OEP）是一种基于证据的堕落计划，已被证明可以降低危险因素。但是，锻炼剂量尚不清楚。本研究的目的是探讨各种频率对秋季危险因素，令人害怕的成年人跌倒和抑郁症的不同频率的有效性。在社区中心最初招募的62名受试者中，28个受试者符合纳入标准，并根据主题出席者分配给予（CON），一次每周（GRP 1），或两次（GRP 2）干预组。干预由基于OEP的12周的计划组成。预先介入的依赖变量包括：4级余量测试，30秒椅子支架，定时和去（拖船），老年人抑郁尺度（GDS），改进的秋季疗效量表（MFES）。 12周后，干预后测试评估这些变量的变化。使用混合设计ANOVA（第05页）的数据初步分析（第05页）表明拖轮和30秒椅子支架的所有组之间的显着变化。结果还提出了所有组的所有变量都改善了与运动频率的直接关系。此外，GRP2在4级平衡测试中提高了超过GRP1和CON。这些研究结果表明，基于OEP的堕落预防计划2次/周进行了2次/周的降低风险更有益，并且增加了比1x /周的下肢肌肉力量增加。此外，结果暗示运动频率在改善SELECT跌落风险变量的幅度方面可能是重要的。

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