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Physical Activity, Injurious Falls, and Physical Function in Aging: An Umbrella Review.
- Source :
-
Medicine & Science in Sports & Exercise . 2019, Vol. 51 Issue 6, p1303-1313. 11p. - Publication Year :
- 2019
-
Abstract
- Supplemental digital content is available in the text. Purpose: To review and update the evidence of the relationship between physical activity, risk of fall-related injury, and physical function in community-dwelling older people that was presented in the 2018 Physical Activity Guidelines Advisory Committee Scientific Report (PAGAC Report). Methods: Duplicate independent screenings of 1415 systematic reviews and meta-analyses published between 2006 and 2016 identified from PubMed®, Cochrane Library, and CINAHL databases yielded 111 articles used for the PAGAC Report. The PAGAC Aging Subcommittee members graded scientific evidence strength based upon a five-criteria rubric and assigned one of four grades: strong, moderate, limited, or not assignable. An updated search of 368 articles published between January 2017 and March 2018 yielded 35 additional pertinent articles. Results: Strong evidence demonstrated that physical activity reduced the risk of fall-related injuries by 32% to 40%, including severe falls requiring medical care or hospitalization. Strong evidence also supported that physical activity improved physical function and reduced the risk of age-related loss of physical function in an inverse graded manner among the general aging population, and improved physical function in older people with frailty and with Parkinson's disease. Aerobic, muscle-strengthening, and/or multicomponent physical activity programs elicited the largest improvements in physical function in these same populations. Moderate evidence indicated that for older adults who sustained a hip fracture or stroke, extended exercise programs and mobility-oriented physical activity improved physical function. Conclusions: Regular physical activity effectively helps older adults improve or delay the loss of physical function and mobility while reducing the risk of fall-related injuries. These important public health benefits underscore the importance of physical activity among older adults, especially those living with declining physical function and chronic health conditions. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PARKINSON'S disease treatment
*STROKE treatment
*HIP joint injuries
*BONE fractures
*AEROBIC exercises
*AGING
*CINAHL database
*EXERCISE
*ACCIDENTAL falls
*FRAIL elderly
*HOSPITAL care
*INFORMATION storage & retrieval systems
*MEDICAL databases
*MEDICAL care
*MEDICAL protocols
*MEDLINE
*MUSCLE strength
*ONLINE information services
*PUBLIC health
*SYSTEMATIC reviews
*INDEPENDENT living
*PHYSICAL activity
*OLD age
*THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 01959131
- Volume :
- 51
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Medicine & Science in Sports & Exercise
- Publication Type :
- Academic Journal
- Accession number :
- 136564659
- Full Text :
- https://doi.org/10.1249/MSS.0000000000001942