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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Minimally Supervised Multimodal Exercise to Reduce Falls Risk in Economically and Educationally Disadvantaged Older Adults

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Author(s):
Almeida, Tais L. [1] ; Alexander, Neil B. [2] ; Nyquist, Linda V. [3] ; Montagnini, Marcos L. [4] ; Santos, Angela C. S. [1] ; Rodrigues, Giselle H. P. [1] ; Negrao, Carlos E. [1] ; Trombetta, Ivani C. [1] ; Wajngarten, Mauricio [1]
Total Authors: 9
Affiliation:
[1] Univ Sao Paulo, Sch Med, Heart Inst InCor, Sao Paulo - Brazil
[2] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 - USA
[3] Univ Michigan, Inst Gerontol, Ann Arbor, MI 48109 - USA
[4] Ann Arbor Hlth Care Syst, Vet Affairs, Ann Arbor, MI - USA
Total Affiliations: 4
Document type: Journal article
Source: JOURNAL OF AGING AND PHYSICAL ACTIVITY; v. 21, n. 3, p. 241-259, JUL 2013.
Web of Science Citations: 3
Abstract

Few studies have evaluated the benefit of providing exercise to underprivileged older adults at risk for falls. Economically and educationally disadvantaged older adults with previous falls (mean age 79.06, SD = 4.55) were randomized to 4 mo of multimodal exercise provided as fully supervised center-based (FS, n = 45), minimally supervised home-based (MS, n = 42), or to nonexercise controls (C, n = 32). Comparing groups on the mean change in fall-relevant mobility task performance between baseline and 4 mo and compared with the change in C, both FS and MS had significantly greater reduction in timed up-and-go, F(2,73) = 5.82, p = .004, eta(2)(p) = .14, and increase in tandem-walk speed, F(2,73) = 7.71, p < .001 eta(2)(p) = .17. Change in performance did not statistically differ between FS and MS. In community-dwelling economically and educationally disadvantaged older adults with a history of falls, minimally supervised home-based and fully supervised center-based exercise programs may be equally effective in improving fall-relevant functional mobility. (AU)