Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Greenwood-Hickman, Mikael Anne ; Rosenberg, Dori E. ; Phelan, Elizabeth A. ; Fitzpatrick, Annette L.
Greenwood-Hickman, Mikael Anne ; Rosenberg, Dori E. ; Phelan, Elizabeth A. ; Fitzpatrick, Annette L. Less -
Description:
Introduction

Physical activity is known to prevent falls; however, use of widely available exercise programs for older adults, including Enhance Fitness and Silver Sneakers, has not been examined in relation to effects on falls among program participants. We aimed to determine whether participation in Enhance Fitness or Silver Sneakers is associated with a reduced risk of falls resulting in medical care.

Methods

A retrospective cohort study examined a demographically representative sample from a Washington State integrated health system. Health plan members aged 65 or older, including 2,095 Enhance Fitness users, 13,576 Silver Sneakers users, and 55,127 nonusers from 2005 through 2011, were classified as consistent users (used a program ≥2 times in all years they were enrolled in the health plan during the study period); intermittent users (used a program ≥2 times in 1 or more years enrolled but not all years), or nonusers of Enhance Fitness or Silver Sneakers. The main outcome was measured as time-to-first-fall requiring inpatient or out-of-hospital medical treatment based on the International Classification of Diseases, 9th Revision, Clinical Modification, Sixth Edition and E-codes.

Results

In fully adjusted Cox proportional hazards models, consistent (hazard ratio [HR], 0.74; 95% confidence interval [CI], 0.63–0.88) and intermittent (HR, 0.87; 95% CI, 0.8–0.94) Enhance Fitness participation were both associated with a reduced risk of falls resulting in medical care. Intermittent Silver Sneakers participation showed a reduced risk (HR, 0.93; 95% CI, 0.90–0.97).

Conclusion

Participation in widely available community-based exercise programs geared toward older adults (but not specific to fall prevention) reduced the risk of medical falls. Structured programs that include balance and strength exercise, as Enhance Fitness does, may be effective in reducing fall risk.


Subjects:
[+]
Accidental Falls Aged Aged, 80 And Over Body Mass Index Chronic Disease Comorbidity Electronic Health Records Exercise Therapy Female Fitness Centers Geriatric Assessment Group Practice Health Promotion Humans Kaplan-Meier Estimate Male Medicare Patient Participation Program Evaluation Proportional Hazards Models Retrospective Studies Smoking Wounds And Injuries
Source:
Prev Chronic Dis. 12.
Pubmed ID:
26068411
Pubmed Central ID:
PMC4467255
Document Type:
Journal Article
Funding:
K23 HL119352/HL/NHLBI NIH HHS/United States
Place as Subject:
Washington
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:76e0e26f674562546f749b8dbeb6f0beb8e2c0218afe2b89cfc70b956a53a5eb
Download URL:
https://stacks.cdc.gov/view/cdc/31885/cdc_31885_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-12-E90.nxml	txt
  	PCD-12-E90s01.gif	gif
  	PCD-12-E90s01.jpg	jpeg

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