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Falls Reduction and Exercise Training in an Assisted Living Population
Kimberly J Alvarez1, Shannen Kirchner2, Serena Chu2
1Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.
Journal of Aging Research
|September 9, 2015
Summary
Strength training programs significantly reduced fall incidents in assisted living residents. This exercise intervention demonstrated a protective association, decreasing falls among older adults.
Area of Science:
- Gerontology
- Exercise Science
- Public Health
Background:
- Multicomponent exercise programs are effective for fall prevention in community-dwelling older adults.
- Frail older adults exhibit differential susceptibility to falls.
- The Boston FICSIT program demonstrated strength improvements in nursing home residents.
Purpose of the Study:
- To examine the association between the Boston FICSIT exercise program and fall incidents in an assisted living community.
- To investigate the role of specific exercise components (aerobic and strength training) in fall prevention among assisted living residents.
Main Methods:
- A descriptive cross-sectional study design was employed.
- Exercise charts detailing frequency and duration of training were matched with reported fall incidents.
- Multivariate models were used to adjust for covariates.
Main Results:
- 33% (n=13) of 39 participants reported at least one fall incident.
- Participants without a fall history engaged in more aerobic and strength training sessions compared to those with a fall history.
- A significant protective association was found between strength training and fall incidents (OR = 0.25; 95% CI = 0.07, 0.85).
Conclusions:
- The Boston FICSIT progressive resistance exercise training program was associated with a decrease in fall incidents in an assisted living population.
- Strength training appears to be a key component in reducing falls among older adults in assisted living settings.
- Further research should explore the implementation and long-term effects of such programs in diverse geriatric populations.
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