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BMC Geriatr:运动干预对老年人跌倒相关骨折的有效性

2021-07-23 MedSci原创 MedSci原创

运动干预可以明显改善身体功能和骨强度;然而,运动对老年人跌倒相关骨折的影响仍有争议。本研究旨在通过对随机对照试验(RCTs)进行荟萃分析,评估运动干预对老年人跌倒相关骨折的有效性,研究结果已发表于BM

运动干预可以明显改善身体功能和骨强度;然而,运动对老年人跌倒相关骨折的影响仍有争议。本研究旨在通过对随机对照试验(RCTs)进行荟萃分析,评估运动干预对老年人跌倒相关骨折的有效性,研究结果已发表于BMC Geriatr。

2019年11月24日之前,研究人员搜索了PubMed、EMBASE和Cochrane数据库的RCTs,研究运动干预对老年人跌倒相关骨折的有效性。使用随机效应模型计算汇总相对风险(RR)和95%的置信区间(CI)。此外,研究人员还进行了敏感性、亚组和出版偏倚分析。

 

结果,研究共纳入了20项RCTs,包括7704名老年人和428起与跌倒相关的骨折事件进行荟萃分析。纳入的试验中,随访时间从6.0个月到7.0年不等。汇总RR表明,运动干预可降低老年人跌倒相关的骨折风险(RR:0.74;95% CI:0.59-0.92;P = 0.007;I2 = 12.6%)。汇总的结论是稳健的,没有受到任何单一试验的影响。亚组分析显示,运动干预对跌倒相关骨折的显著影响主要是在以下情况下检测出来的:研究报告了男性和女性受试者的结果,没有报告基线体重指数,个人同时接受家庭和中心干预,随访时间大于1.0年,以及是高质量的研究。

 

综上,定期运动干预可以预防老年人与跌倒有关的骨折。应进一步开展大规模的RCT,以评估不同的运动项目对不同地点的跌倒相关骨折的有效性。

 

原始出处:

 

Qiang Wang, et al., Effectiveness of exercise intervention on fall-related fractures in older adults: a systematic review and meta-analysis of randomized controlled trials. BMC Geriatr. 2020 Sep 4;20(1):322. doi: 10.1186/s12877-020-01721-6.

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  2. [GetPortalCommentsPageByObjectIdResponse(id=2021713, encodeId=a10f2021e1304, content=<a href='/topic/show?id=31e8e9669d' target=_blank style='color:#2F92EE;'>#GER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7966, encryptionId=31e8e9669d, topicName=GER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=48732500158, createdName=12498c32m68暂无昵称, createdTime=Mon Apr 18 02:38:42 CST 2022, time=2022-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1975109, encodeId=4a0919e510933, content=<a href='/topic/show?id=f145355379' target=_blank style='color:#2F92EE;'>#BMC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3553, encryptionId=f145355379, topicName=BMC)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/101173734/363C99735735B7F4CB11D5F78F580525/100, createdBy=aab22500211, createdName=ms3025846204744509, createdTime=Thu Jul 29 23:38:42 CST 2021, time=2021-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1005564, encodeId=7931100556471, content=太极拳是一个很好的运动,但是需要正确锻炼,避免损伤, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4ad5565601, createdName=ms8000001145054387, createdTime=Fri Aug 06 09:50:07 CST 2021, time=2021-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1001989, encodeId=b051100198916, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=589d2019858, createdName=何茫然, createdTime=Fri Jul 23 13:52:07 CST 2021, time=2021-07-23, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2021713, encodeId=a10f2021e1304, content=<a href='/topic/show?id=31e8e9669d' target=_blank style='color:#2F92EE;'>#GER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7966, encryptionId=31e8e9669d, topicName=GER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=48732500158, createdName=12498c32m68暂无昵称, createdTime=Mon Apr 18 02:38:42 CST 2022, time=2022-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1975109, encodeId=4a0919e510933, content=<a href='/topic/show?id=f145355379' target=_blank style='color:#2F92EE;'>#BMC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3553, encryptionId=f145355379, topicName=BMC)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdqq.qlogo.cn/qqapp/101173734/363C99735735B7F4CB11D5F78F580525/100, createdBy=aab22500211, createdName=ms3025846204744509, createdTime=Thu Jul 29 23:38:42 CST 2021, time=2021-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1005564, encodeId=7931100556471, content=太极拳是一个很好的运动,但是需要正确锻炼,避免损伤, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4ad5565601, createdName=ms8000001145054387, createdTime=Fri Aug 06 09:50:07 CST 2021, time=2021-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1001989, encodeId=b051100198916, content=很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=589d2019858, createdName=何茫然, createdTime=Fri Jul 23 13:52:07 CST 2021, time=2021-07-23, status=1, ipAttribution=)]
    2021-08-06 ms8000001145054387

    太极拳是一个很好的运动,但是需要正确锻炼,避免损伤

    0

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    2021-07-23 何茫然

    很好

    0

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