ArticlePloS one2015
Physical Activity and Different Concepts of Fall Risk Estimation in Older People--Results of the ActiFE-Ulm Study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed.
- Effect of a coaching intervention to enhance physical activity and prevent falls in community-dwelling people aged 60+ years: a cluster randomised controlled trial.British journal of sports medicine · 2024Trial
- Lifestyle-integrated functional exercise to prevent falls and promote physical activity: Results from the LiFE-is-LiFE randomized non-inferiority trial.The international journal of behavioral nutrition and physical activity · 2021Trial
- Falls Risk in Relation to Activity Exposure in High-Risk Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Trial
- Comparison of a group-delivered and individually delivered lifestyle-integrated functional exercise (LiFE) program in older persons: a randomized noninferiority trial.BMC geriatrics · 2018Trial
- Natural turn measures predict recurrent falls in community-dwelling older adults: a longitudinal cohort study.Scientific reports · 2018Trial
- Social Dancing and Incidence of Falls in Older Adults: A Cluster Randomised Controlled Trial.PLoS medicine · 2016Trial
- Low physical activity and risk of falls among older adults in a high-altitude district of Peru: a secondary analysis of the Aunqui-Andes study.BMC geriatrics · 2026Article
- Exploring a targeted epigenetic clock based on mortality-associated CpGs as a potential biomarker for frailty.Clinical epigenetics · 2026Article
- Article
- The "Can Do, Do Do" Framework Applied to Assess the Association between Physical Capacity, Physical Activity and Prospective Falls, Subsequent Fractures, and Mortality in Patients Visiting the Fracture Liaison Service.Journal of personalized medicine · 2024Article
- Article
- Older People's Descriptions of Their Engagement in Fall Prevention.Western journal of nursing research · 2024Article
- Frailty after COVID-19: The wave after?Aging medicine (Milton (N.S.W)) · 2023Review
- Physical Functioning in Patients with a Recent Fracture: The "Can Do, Do Do" Framework Applied to Explore Physical Capacity, Physical Activity and Fall Risk Factors.Calcified tissue international · 2023Article
- Article
- Factors associated with decreased physical activity levels among community-dwelling residents during the coronavirus disease 2019 pandemic: a long-term observational study.Journal of physical therapy science · 2023Article
- Assessment of gait and posture characteristics using a smartphone wearable system for persons with osteoporosis with and without falls.Scientific reports · 2023Article
- Objective and Self-Reported Physical Activity and Risk of Falling Among Community-Dwelling Older Adults From Southern Brazil.Journal of aging and physical activity · 2022Article
- Accelerometer-Measured Daily Steps, Physical Function, and Subsequent Fall Risk in Older Women: The Objective Physical Activity and Cardiovascular Disease in Older Women Study.Journal of aging and physical activity · 2022Article
- The Role of Cognitive Performance and Physical Functions in the Association between Age and Gait Speed: A Mediation Study.Geriatrics (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the relationship between physical activity and two measures of fall incidence in an elderly population using person-years as well as hours walked as denominators and to compare these two approaches.
designProspective cohort study with one-year follow-up of falls using fall calendars. Physical activity was defined as walking duration and recorded at baseline over one week using a thigh-worn uni-axial accelerometer (activPAL; PAL Technologies, Glasgow, Scotland). Average daily physical activity was extracted from these data and categorized in low (0-59 min), medium (60-119 min) and high (120 min and more) activity.
settingThe ActiFE Ulm study located in Ulm and adjacent regions in Southern Germany.
participants1,214 community-dwelling older people (≥65 years, 56.4% men). MEASUREMENTS: Negative-binomial regression models were used to calculate fall rates and incidence rate ratios for each activity category each with using (1) person-years and (2) hours walked as denominators stratified by gender, age group, fall history, and walking speed. All analyses were adjusted either for gender, age, or both.
resultsNo statistically significant association was seen between falls per person-year and average daily physical activity. However, when looking at falls per 100 hours walked, those who were low active sustained more falls per hours walked. The highest incidence rates of falls were seen in low-active persons with slow walking speed (0.57 (95% confidence interval (95% CI): 0.33 to 0.98) falls per 100 hours walked) or history of falls (0.60 (95% CI: 0.36 to 0.99) falls per 100 hours walked).
conclusionFalls per hours walked is a relevant and sensitive outcome measure. It complements the concept of incidence per person years, and gives an additional perspective on falls in community-dwelling older people.
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