Evidence map›Paper›PMID 34682586›Full record

SynthesisInternational journal of environmental research and public health2021

Multifactorial Programs for Healthy Older Adults to Reduce Falls and Improve Physical Performance: Systematic Review.

Vânia Loureiro, Margarida Gomes, Nuno Loureiro, Agustín Aibar-Almazán, Fidel Hita-Contreras

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT06465602 phase2unknown statusnot on this mapstarted 2024, after this paper: background citation

Nicotinamide Supplementation Improves Physical Performance in Older Adults at Risk of Falls: a Pilot Randomized Clinical Trial

TypeinterventionalSponsorUniversity of ChileRan2024 to 2025Enrolled60ConditionsFrailty, Fall, Frailty Syndrome, FallsArmsNicotinamide, Placebo
NCT06891014 nacompletednot on this mapstarted 2024, after this paper: background citation

Effects of Regular Exercise on Sensory-motor Functions and Fall Risk in the Elderly

TypeinterventionalSponsorCyprus International UniversityRan2024 to 2024Enrolled92ConditionsFall Risk, Exercise, Functional Outcomes, AgingArmsCombine Exercise
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Review
  4. Article
  5. Article
  6. Article
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

5 authors.

Vânia LoureiroDepartment of Arts, Humanities and Sports, School of Education, Polytechnic Institute of Beja, 7800-295 Beja, Portugal.ORCID 0000-0003-2458-3004
Margarida GomesDepartment of Arts, Humanities and Sports, School of Education, Polytechnic Institute of Beja, 7800-295 Beja, Portugal.
Nuno LoureiroDepartment of Arts, Humanities and Sports, School of Education, Polytechnic Institute of Beja, 7800-295 Beja, Portugal.ORCID 0000-0002-1166-3219
Agustín Aibar-AlmazánDepartment of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain.ORCID 0000-0002-9386-9199
Fidel Hita-ContrerasDepartment of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain.ORCID 0000-0001-7215-5456

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this systematic review of randomized controlled trials (RCTs) was to investigate the effects of multifactorial programs on the rate of falls and physical performance in ≥60 years old adults. A systematic literature search was conducted in four databases (PubMed, Scopus, Web of Science and Cochrane Library). A total of 518 articles were identified in the initial search, and six RCTs were finally included. Articles written in English, Portuguese and Spanish and published from January 2009 to May 2020 were included in this study. The methodological quality of the included studies was evaluated by the PEDro scale. A total of 518 studies were identified in the initial search, six RCTs were finally included, and three reached a level 1 of evidence. The findings of this systematic review of RCTs suggest that a physical exercise program, especially exercise group activities, combined with health education or with fall risk home assessment, were the most effective multifactorial program in reducing the rate of falls, although the results were not conclusive in all the studies included. Significant beneficial effects were observed in physical performance, particularly when assessed as gait, mobility and balance, regardless of the components of multifactorial program or exercise. This inconsistency in the results, particularly regarding the rate of falls, together with the variability among the multifactorial programs, suggest that any conclusion must be drawn with caution.

Indexed as

Accidental FallsExerciseHealth StatusPhysical ExaminationPhysical Therapy Modalitieselderlyexercisefallmultifactorial falls risk assessmentprevention

Identifiers

PMID34682586
PMCPMC8535839

What OpenQuestion holds

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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.