Evidence map›Paper›PMID 31230026›Full record

ArticleBMJ open2019

Randomised controlled trial (RCT) study design for a large-scale municipal fall prevention exercise programme in community-living older women: study protocol for the Kuopio Fall Prevention Study (KFPS).

Tommi Vilpunaho, Heikki Kröger, Risto Honkanen, Heli Koivumaa-Honkanen, Joonas Sirola, Virpi Kuvaja-Köllner, Reijo Sund, Toni Rikkonen

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02665169 (Randomized Fall Prevention Trial For Aging Females by Providing Supervised Exercises and Free Use of Municipal Recreation Facilities.), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

NCT02665169 nacompletednot on this map

Randomized Fall Prevention Trial For Aging Females by Providing Supervised Exercises and Free Use of Municipal Recreation Facilities.

TypeinterventionalSponsorKuopio University HospitalRan2016 to 2019Enrolled914ConditionsAccidental Falls, Health Behavior, AgingArmsSupervised physical exercise, Health counselling
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Body composition, balance, functional capacity and falls in older women.Aging clinical and experimental research · 2024
    Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Tommi VilpunahoKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland.
Heikki KrögerKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland.
Risto HonkanenKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland.
Heli Koivumaa-HonkanenInstitute of Clinical Medicine (Psychiatry), University of Eastern Finland - Kuopio Campus, Finland.
Joonas SirolaKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland.
Virpi Kuvaja-KöllnerDepartment of Health and Social Management, University of Eastern Finland - Kuopio Campus, Finland.
Reijo SundKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland.
Toni RikkonenKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland - Kuopio Campus, Finland.
University of Eastern Finland · FIKuopio University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFalls are a substantial health problem in seniors, causing fractures and being the leading cause of fatal injuries. The benefits of physical activity in fall prevention have been shown in randomised controlled trials (RCTs) in small cohorts (eg, ≤200 persons), but there is a gap between the known health effects of exercise and the large-scale implementation of effective activity in communities. Mental health and subjective well-being (SWB) should also be studied since they are strongly related to healthy ageing. Thus far, the proven efficacy of communal strategies to reduce falls and improve healthy ageing is sparse. METHODS AND ANALYSIS: In 2016, a 2-year RCT was launched in Kuopio, Finland to estimate the efficacy of a large, population-based, fall prevention exercise programme in community-living older women (born 1932-1945). Both the intervention and control group (n=457+457) receive health education. The intervention group is also offered free 6-month supervised training courses (weekly gym training and Taiji sessions), followed by a free 6-month unsupervised use of exercise facilities, as well as unsupervised low-cost exercise is also offered for another 12 months. During the whole 24-month follow-up, controls are free to pursue all their normal physical activities. Both study groups undergo the study measurements three times. Outcome measures include recording of falls, injuries, bone mineral density, changes in health and functional status and cognitive performance, deaths and SWB. Finally, the cost-effectiveness and cost-utility analysis will be conducted from the societal view. The main analyses comparing outcomes between study groups will be conducted using the intention to treat principle. ETHICS AND DISSEMINATION: The study has been reviewed and approved by the Research Ethics Committee of the Hospital District of North Savo. All regulations and measures of ethics and confidentiality are handled in accordance with the Declaration of Helsinki. TRIAL REGISTRATION NUMBER: NCT02665169; Pre-results.

Indexed as

ExerciseHealthy AgingQuality of LifeAccidental FallsAgedCognitionDelivery of Health CareExercise TherapyFemaleFinlandHealthy LifestyleHumansIndependent LivingPreventive Health ServicesRandomized Controlled Trials as Topicaccidental fallsclinical trial protocolgeriatricsindependent livingprimary prevention

Identifiers

PMID31230026
PMCPMC6596943
OpenAlexW2949266683

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.