TY  - JOUR
PY  - 2021//
TI  - Effects of physical and cognitive training on falls and concern about falling in older adults: results from a randomized controlled trial
JO  - Journals of gerontology. Series A: Biological sciences and medical sciences
A1  - Turunen, Katri M.
A1  - Tirkkonen, Anna
A1  - Savikangas, Tiina
A1  - Hänninen, Tuomo
A1  - Alén, Markku
A1  - Fielding, Roger A.
A1  - Kivipelto, Miia
A1  - Stigsdotter Neely, Anna
A1  - Tormakangas, Timo
A1  - Sipilä, Sarianna
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: The aim of this study is to investigate whether combined cognitive and physical training provides additional benefits to fall prevention when compared with physical training alone in older adults. <br><br>METHODS: This is a prespecified secondary analysis of a single-blind, randomized controlled trial involving community-dwelling men and women aged 70 to 85 years who did not meet the physical activity guidelines. The participants were randomized into combined physical and cognitive training (PTCT, n=155) and physical training (PT, n=159) groups. PT included supervised and home-based physical exercises following the physical activity recommendations. PTCT included PT and computer-based cognitive training. The outcome was the rate of falls over the 12-month intervention (PTCT, n=151 and PT, n=155) and 12-month postintervention follow-up (PTCT, n=143 and PT, n=148). Falls were ascertained from monthly diaries. Exploratory outcomes included the rate of injurious falls, faller/recurrent faller/fall-related fracture status, and concern about falling. <br><br>RESULTS: Estimated incidence rates of falls per person-year were 0.8 (95% CI 0.7-1.1) in the PTCT and 1.1 (95% CI 0.9-1.3) in the PT during the intervention and 0.8 (95% CI 0.7-1.0) versus 1.0 (95% CI 0.8-1.1), respectively, during the postintervention follow-up. There was no significant difference in the rate of falls during the intervention (incidence rate ratio [IRR] 0.78; 95% CI 0.56-1.10, p=0.152) or in the follow-up (IRR=0.83; 95% CI 0.59-1.15, p=0.263). No significant between-group differences were observed in any exploratory outcomes. <br><br>CONCLUSION: A yearlong PTCT intervention did not result in a significantly lower rate of falls or concern about falling than PT alone in older community-dwelling adults.<p />  <p>Language: en</p>
LA  - en
SN  - 1079-5006
UR  - http://dx.doi.org/10.1093/gerona/glab375
ID  - ref1
ER  -