预防老年人跌倒的干预措施:美国预防服务工作组的最新证据报告和系统审查
Janelle M Guirguis-Blake1,2, Leslie A Perdue1, Erin L Coppola1
1Kaiser Permanente Research Affiliates Evidence-based Practice Center, Center for Health Research, Kaiser Permanente, Portland, Oregon.
JAMA
|June 4, 2024
概括
运动干预措施显著减少老年人的跌倒和伤害性跌倒. 多因素干预也可以减少跌倒,
科学领域:
- 老年学
- 公共卫生
- 基于证据的医学
背景情况:
- 跌倒是老年人受伤,发病和死亡的主要原因.
- 有效的防摔策略对于保持这群人的健康和独立至关重要.
研究的目的:
- 系统地审查有关防摔干预措施有效性和危害的证据.
- 评估社区老年人的多因素和运动干预措施.
主要方法:
- 随机临床试验 (2016-2024) 的系统审查,涉及65岁或以上的成年人.
- 对83项试验的数据进行了元分析 (n=48,839).
- 专注于多因素 (28项研究) 和运动 (37项研究) 的干预措施.
主要成果:
- 多因素干预显著降低了跌倒率 (IRR,0.84),但并没有降低个人跌倒或伤害跌倒的风险.
- 运动干预显著降低了跌倒 (IRR,0.85),个人跌倒风险 (RR,0.92) 和伤害性跌倒 (IRR,0.84).
- 很少报告有害反应,通常是轻微的,运动干预的肌肉骨症状.
结论:
- 多因素干预和运动干预都与老年人跌倒的减少有关.
- 运动干预在各种与跌倒相关的结果中显示出最一致的统计学意义上的好处.
- 这些发现支持在社区居住的老年人中实施预防跌倒的运动计划.
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