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ICT-based system to predict and preventfalls (iStoppFalls): results from aninternational multicenter randomizedcontrolled trial

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ICT-based system to predict and preventfalls (iStoppFalls): results from aninternational multicenter randomizedcontrolled trial

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dc.contributor.author Gschwind, Yves J. es_ES
dc.contributor.author Eichberg, Sabine es_ES
dc.contributor.author Ejupi, Andreas es_ES
dc.contributor.author De Rosario Martínez, Helios es_ES
dc.contributor.author Kroll, Michael es_ES
dc.contributor.author Marston, Hannah R. es_ES
dc.contributor.author Drobics, Mario es_ES
dc.contributor.author Annegarn, Janneke es_ES
dc.contributor.author Wieching, Rainer es_ES
dc.contributor.author Lord, Stephen R. es_ES
dc.contributor.author Aal, Konstantin es_ES
dc.contributor.author Vaziri, Daryoush es_ES
dc.contributor.author Woodbury, Ashley es_ES
dc.contributor.author Fink, Dennis es_ES
dc.contributor.author Delbaere, Kim es_ES
dc.date.accessioned 2016-09-20T11:14:35Z
dc.date.available 2016-09-20T11:14:35Z
dc.date.issued 2015-11-27
dc.identifier.issn 1813-7253
dc.identifier.uri http://hdl.handle.net/10251/70150
dc.description.abstract [EN] Background: Falls and fall-related injuries are a serious public health issue. Exercise programs can effectively reduce fall risk in older people. The iStoppFalls project developed an Information and Communication Technology-based system to deliver an unsupervised exercise program in older people's homes. The primary aims of the iStoppFalls randomized controlled trial were to assess the feasibility (exercise adherence, acceptability and safety) of the intervention program and its effectiveness on common fall risk factors. Methods: A total of 153 community-dwelling people aged 65+ years took part in this international, multicentre, randomized controlled trial. Intervention group participants conducted the exercise program for 16 weeks, with a recommended duration of 120 min/week for balance exergames and 60 min/week for strength exercises. All intervention and control participants received educational material including advice on a healthy lifestyle and fall prevention. Assessments included physical and cognitive tests, and questionnaires for health, fear of falling, number of falls, quality of life and psychosocial outcomes. Results: The median total exercise duration was 11.7 h (IQR = 22.0) over the 16-week intervention period. There were no adverse events. Physiological fall risk (Physiological Profile Assessment, PPA) reduced significantly more in the intervention group compared to the control group (F-1,(127)=4.54,p = 0.035). There was a significant three-way interaction for fall risk assessed by the PPA between the high-adherence (> 90 min/week; n = 18, 25.4 %), low-adherence (< 90 min/week; n = 53, 74.6 %) and control group (F-2,(125)=3.12, n = 75, p = 0.044). Post hoc analysis revealed a significantly larger effect in favour of the high-adherence group compared to the control group for fall risk (p = 0.031), postural sway (p = 0.046), stepping reaction time (p = 0.041), executive functioning (p = 0.044), and quality of life (p for trend = 0.052). Conclusions: The iStoppFalls exercise program reduced physiological fall risk in the study sample. Additional subgroup analyses revealed that intervention participants with better adherence also improved in postural sway, stepping reaction, and executive function. es_ES
dc.description.sponsorship The iStoppFalls project has received funding from the European Union’s Seventh Framework Programme for research, technological development and demonstration under grant agreement no [287361]. The Australian arm was funded by an Australian National Health and Medical Research Council (NHMRC) EU collaboration grant (#1038210). The content of the manuscript does not represent the opinion of the European Community or NHMRC. The funding sources had no influence in any aspects of this study. Yves J. Gschwind was financially supported by a research grant from the Margarete and Walter Lichtenstein Foundation, Basel, Switzerland. Stephen R. Lord was supported by NHMRC as a Senior Principal Research Fellow. Kim Delbaere was supported by a NHMRC as a Career Development Fellow. The other authors were supported by the European Community Grant Agreement 287361. We would like to thank all the technical engineers, software developers and research staff who contributed to the iStoppFalls project as well as the participants who took part in the study
dc.language Inglés es_ES
dc.publisher Springer Verlag (Germany) es_ES
dc.relation.ispartof European Review of Aging and Physical Activity es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Fall prevention es_ES
dc.subject Older adults es_ES
dc.subject Exergames es_ES
dc.subject Strength es_ES
dc.subject Balance es_ES
dc.subject Sensor-based es_ES
dc.title ICT-based system to predict and preventfalls (iStoppFalls): results from aninternational multicenter randomizedcontrolled trial es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1186/s11556-015-0155-6
dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/287361/EU/ICT based System to Predict & Prevent Falls/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/NHMRC/Targeted Calls/1038210/AU/IStoppFalls: ICT based system to predict & prevent falls/
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Instituto Universitario Mixto de Biomecánica de Valencia - Institut Universitari Mixt de Biomecànica de València es_ES
dc.description.bibliographicCitation Gschwind, YJ.; Eichberg, S.; Ejupi, A.; De Rosario Martínez, H.; Kroll, M.; Marston, HR.; Drobics, M.... (2015). ICT-based system to predict and preventfalls (iStoppFalls): results from aninternational multicenter randomizedcontrolled trial. European Review of Aging and Physical Activity. 12(10):1-11. https://doi.org/10.1186/s11556-015-0155-6 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion http://dx.doi.org/10.1186/s11556-015-0155-6 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 11 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 12 es_ES
dc.description.issue 10 es_ES
dc.relation.senia 306824 es_ES
dc.identifier.pmid 26865874 en_EN
dc.identifier.pmcid PMC4748323 en_EN
dc.contributor.funder European Commission
dc.contributor.funder National Health and Medical Research Council, Australia
dc.contributor.funder Margarete und Walter Lichtenstein Stiftung
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