Randomised controlled trial of the effectiveness of community group and home-based falls prevention exercise programmes on bone health in older people: The ProAct65+ bone study

Age and Ageing

Volumn 44, Issue 4, 2015, Pages 573-579

  Duckham, Rachel L ^a,g   Masud, Tahir ^b   Taylor, Rachael ^b   Kendrick, Denise ^c   Carpenter, Hannah ^c   Iliffe, Steve ^d   Morris, Richard ^d   Gage, Heather ^e   Skelton, Dawn A ^f   Dinan Young, Susie ^d   Brooke Wavell, Katherine ^a  

^a LOUGHBOROUGH UNIVERSITY   (United Kingdom)

^b NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

^c UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^d UNIVERSITY COLLEGE LONDON   (United Kingdom)

^e UNIVERSITY OF SURREY   (United Kingdom)

^f GLASGOW CALEDONIAN UNIVERSITY   (United Kingdom)

^g DEAKIN UNIVERSITY   (Australia)

Author keywords

Aged; Bone mineral density; Exercise; Men; Older people; Osteoporosis; Prevention; Primary care; Women; X ray absorptiometry

Indexed keywords

ACCIDENT PREVENTION; AGED; ARTICLE; BONE DENSITY; BONE MINERAL; BONE STRUCTURE; CLINICAL EFFECTIVENESS; COMMUNITY CARE; CONTROLLED STUDY; EFFECT SIZE; EXERCISE; FALL MANAGEMENT EXERCISE; FEMALE; FEMUR NECK; GERIATRIC CARE; HOME CARE; HUMAN; HUMAN EXPERIMENT; MALE; NORMAL HUMAN; OTAGO EXERCISE PROGRAM; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SEX DIFFERENCE; AGE; CLINICAL TRIAL; EXERCISE TOLERANCE; FALLING; HOME ACCIDENT; INCIDENCE; KINESIOTHERAPY; MULTICENTER STUDY; OSTEOPOROTIC FRACTURES; PHOTON ABSORPTIOMETRY; PHYSIOLOGY; PREVENTION AND CONTROL; PRIMARY HEALTH CARE; PROCEDURES; STATISTICS AND NUMERICAL DATA; UNITED KINGDOM;

ABSORPTIOMETRY, PHOTON; ACCIDENTAL FALLS; ACCIDENTS, HOME; AGE FACTORS; AGED; BONE DENSITY; EXERCISE THERAPY; EXERCISE TOLERANCE; FEMALE; HUMANS; INCIDENCE; MALE; OSTEOPOROTIC FRACTURES; PRIMARY HEALTH CARE; UNITED KINGDOM;

EID: 84937417637     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afv055     Document Type: Article

References (28)

1. Van Staa TP, Dennison EM, Leufkens HGM, Cooper C. Epidemiology of fractures in England and Wales. Bone 2001; 29: 517-22.
2. Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR. Physical activity and bone health. Med Sci Sports Exerc 2004; 36: 1985-96.
3. Howe TE, Shea B, Dawson LJ, Downie F, Murray A, Ross C, Harbour RT, Caldwell LM, Creed G. Exercise for preventing and treating osteoporosis in postmenopausal women. The Cochrane Database of Systematic Reviews 2011, Issue 7.
4. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Buchner DM. Psychotropic medication withdrawal and a home-based exercise program to prevent falls: a randomized controlled trial. J Am Geriatr Soc 1999; 47: 850-3.
5. Robertson MC, Campbell AJ, Gardner MM, Devlin N. Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. J Am Geriatr Soc 2002; 50: 905-11.
6. Gardner MM, Buchner DM, Robertson MC, Campbell AJ. Practical implementation of an exercise-based falls prevention programme. Age Ageing 2001; 30: 77-83.
7. Robertson MC, Devlin N, Gardner MM, Campbell AJ. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. Br Med J 2001; 322: 697-701.
8. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. Br Med J 1997; 315: 1065-9.
9. Skelton DA, Dinan SM. Exercise for falls management: rationale for an exercise programme aimed a reducing postural instability. Physiother Theory Pract 1999; 15: 105-20.
10. Skelton DA, Dinan SM, Campbell MG, Rutherford OM. FaME (Falls Management Exercise): an RCT on the effects of a 9-month group exercise programme in frequently failing community dwelling women age 65 and over. J Aging Phys Act 2004; 12: 457-8.
11. Gianoudis J, Bailey CA, Ebeling PR, Nowson CA, Sanders KM, Hill K, Daly RM. Effects of a targeted multimodal exercise program incorporating high-speed power training on falls and fracture risk factors in older adults: a communitybased randomized controlled trial. J Bone Miner Res 2014; 29: 182.
12. Skelton DA, Stranzinger K, Dinan SM, Rutherford OM. BMD improvements following FaME (Falls Management Exercise) in frequently falling women age 65 and over: an RCT. J Aging Phys Act 2008; 16: S89-90.
13. Iliffe S, Kendrick D, Morris R, Skelton D, Gage H, Dinan S, Stevens Z, Pearl M, Masud T. Multi-centre cluster randomised trial comparing a community group exercise programme with home based exercise with usual care for people aged 65 and over in primary care: protocol of the ProAct 65+trial. Trials 2010; 11: 6.
14. Stevens Z, Carpenter H, Gawler S, Belcher C, Haworth D, Kendrick D, Morris R, Masud T, Skelton D, Iliffe S. Lessons learnt during a complex, multicentre cluster randomised controlled trial: the ProAct65+ trial. Trials 2013; 14: 192.
15. Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, Ritter PL. CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc 2001; 33: 1126-41.
16. McKeown NM, Day NE, Welch AA, Runswick SA, Luben RN, Mulligan AA, McTaggart A, Bingham SA. Use of biological markers to validate self-reported dietary intake in a random sample of the European Prospective Investigation into Cancer United Kingdom Norfolk cohort. Am J Clin Nutr 2001; 74: 188-96.
17. Curtis L. Unit Costs of Health and Social Care 2012. Personal Social Services Research Unit, 2012.
18. Iliffe S, Kendrick D, Morris R, Masud T, Gage H, Skelton D, Dinan S, Bowling A, Griffin M, Haworth D. Multicentre cluster randomised trial comparing a community group exercise programme and home-based exercise with usual care for people aged 65 years and over in primary care. Health Technol Assess 2014; 18: 1-106.
19. Frost HM. Bone "mass" and the "mechanostat": a proposal. Anat Rec 1987; 219: 1-9.
20. Allison S, Folland J, Rennie W, Summers G, Brooke-Wavell K. High impact exercise increased femoral neck bone mineral density in older men: a randomised unilateral intervention. Bone 2013; 53: 321-8.
21. Menkes A, Mazel S, Redmond RA, Koffler K, Libanati CR, Gundberg CM, Zizic TM, Hagberg JM, Pratley RE, Hurley BF. Strength training increases regional bone mineral density and bone remodeling in middle-aged and older men. J Appl Physiol 1993; 74: 2478-84.
22. Kerr D, Morton A, Dick I, Prince R. Exercise effects on bone mass in postmenopausal women are site-specific and loaddependent. J Bone Miner Res 1996; 11: 218-25.
23. Royal College of Physicians. Older People's Experiences of Therapeutic Exercise as Part of a Falls Prevention Service-Patient and Public Involvement. London: RCP, 2012.
24. Kaptoge S, Jakes RW, Dalzell N, Wareham N, Khaw KT, Loveridge N, Beck TJ, Reeve J. Effects of physical activity on evolution of proximal femur structure in a younger elderly population. Bone 2007; 40: 506-15.
25. Jarvinen TLN, Kannus P, Sievanen H. Have the DXA-based exercise studies seriously underestimated the effects of mechanical loading on bone? J Bone Miner Res 1999; 14: 1634-5.
26. Beck T. Measuring the structural strength of bones with dual-energy X-ray absorptiometry: principles, technical limitations, and future possibilities. Osteoporos Int 2003; 14: S81-8.
27. Faulkner KG, Wacker WK, Barden HS, Simonelli C, Burke PK, Ragi S, Del Rio L. Femur strength index predicts hip fracture independent of bone density and hip axis length. Osteoporos Int 2006; 17: 593-9.
28. Adami S, Gatti D, Braga V, Bianchini D, Rossini M. Site-specific effects of strength training on bone structure and geometry of ultradistal radius in postmenopausal women. J Bone Miner Res 1999; 14: 120-4.