This study evaluates the 6 month exercise intervention (Taiji and gym course) combined with free use of communal recreation facilities in fall prevention. Morbidity, use of social services and health outcomes of aging women in province of Kuopio, Finland are also monitored. The study combines a six months supervised exercise, followed by six months free, but unsupervised, use of recreational facilities and observational period of second year into total of 2 year follow up duration.
In 2016, a 2-year randomized controlled trial (RCT) will be launched to investigate the effect of exercise on fall risk, injuries and subjective well-being (SWB) in aging women (n=1078) by using municipal sport services in cooperation with the city of Kuopio. The effect of the exercise intervention on functional capacity, muscle strength, bone, body composition, cognitive function, the use of health services and its cost effectiveness will also be studied. The trial will be carried out on women belonging to the Kuopio Osteoporosis Risk Factor and Prevention (OSTPRE) Study, which is an ongoing population-based prospective cohort study, with a follow-up of 26 years. It investigates life style factors associated with fractures falls, bone mineral density and morbidity in a target population of 14 220 women, now aged between 75-84 year. The study combines combination of a 2-year fall prevention trial with the 26 years of life style and medical data from the previous OSTPRE follow up to provide meaningful answers whether municipal exercise program can provide cost effective health gain in elderly. In addition, the study aims to answer, who will benefit from the exercise the most and what are the underlying factors explaining efficacy in the women's previous 26 years of lifestyle and medical history. The study will help to develop strategies for societal fall prevention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
914
Supervised physical exercises in Taiji and weight training. Free use and access into municipal recreation and training facilities for one year.
Health counselling, fall prevention strategies at home, information concerning municipal recreational services available.
Bone and Cartilage Research Unit, Clinical Research Centre, University of Kuopio
Kuopio, Finland
Risk of falls
Method of assessment; Personal fall diary. In case of fall, subject records the event into logbook. Outcome: Number of Falls during follow up.
Time frame: Two years
Risk of fall
Biweekly text message (SMS) question concerning recent falls during last 2 weeks (Reply:Yes/No). In a case of a positive reply, following phone call to the subject to validate the event. Outcome: Number of Falls during follow up.
Time frame: Two years
Morbidity
Methods of assessment; Self reported health survey concerning chronic medical conditions. Outcome: Morbidity during follow up.
Time frame: two years
All cause morbidity
Methods of assessment; Use of national health care registries and hospital discharge registries. Outcome: Validated morbidity during follow up.
Time frame: two years
Functional capacity
Methods of assessment; Timed Get Up and Go Test (TUG). Outcomes; Time consumed the time that a person takes to rise from a chair, walk three metres, turn around, walk back to the chair, and sit down. Outcome: Time consumed in the task (Seconds).
Time frame: two years
Range of motion
Methods of assessment; Squatting test. Outcomes; Physical task to squat down, touch the floor with fingertips and get up, without additional support. Outcome: Able/unable to comply (Y/N).
Time frame: two years
Postural Balance
Methods of assessment; One leg stand test. Outcomes; Able to maintain static one leg standing position for ten second (Seconds), Outcome: able/unable to comply (Y/N).
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Time frame: two years
Bone mineral density
Method of assessment; Dual X-ray Absorption (DXA) measurement in proximal femur. Outcomes; Areal bone mineral density (g/cm2).
Time frame: two years
Body composition
Method of assessment; Dual X-ray Absorption (DXA) total body scan. Outcomes; body soft tissue and bone mass distribution (g).
Time frame: two years
Grip strength
Methods of assessment; Maximal grip strength by using handheld dynamometer. Outcomes; Maximal muscle force produced (kg).
Time frame: two years
Leg muscle strength
Methods of assessment; isometric leg extension strength in a sitting position with a force plate device. Outcomes; Maximal muscle force produced (kg).
Time frame: two years
Muscle strength and balance
Methods of assessment; Balance test protocol by using force plate to measure body sway in various positions. Outcomes; velocity and distance of travel by the center of gravity (mm/second).
Time frame: two years
Depression
Methods of assessment; Geriatric Depression Scale (GDS). Outcomes: Units on a Scale
Time frame: two years
Life satisfaction
Methods of assessment; Life satisfaction scale (LS). Outcomes: Units on a Scale
Time frame: two years
Psychological stress
Methods of assessment; Perceived Stress Scale (PSS). Outcomes: Units on a Scale.
Time frame: two years
Psychological stress coping
Methods of assessment; Brief Resilience Coping Scale (BRCS). Outcomes: Units on a Scale.
Time frame: two years
Life orientation
Methods of assessment; Life Orientation Test (LOT-R) questionnaire Outcomes: Units on a Scale.
Time frame: two years
health-related quality of life (HRQoL)
Methods of assessment; 15-D self administered measure scale Outcomes: Units on a Scale.
Time frame: two years
Self perceived quality of life
Methods of assessment; World Health Organization WHOQOL-BREF. Outcomes: Units on a Scale.
Time frame: two years