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Efectividade de programas de intervenção na prevenção de quedas em idosos com osteoporose: revisão sistemática
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Abstract(s)
Background: Falls are the third cause of chronic incapacity among elders. Among others, elders with osteoporosis
are more vulnerable to negative consequences such as fractures. Recent research evidence suggests that some
interventions are effective in preventing elderly falls but there is limited information concerning the effectiveness of
fall prevention programmes for elders with osteoporosis. Objectives: To identify the most effective programmes in
falls prevention in elders with osteoporosis, living in the community and compare the results with prevention for a
non-specific condition. Search Strategy: We searched RCT’s published in the last 5 years conducted on PubMed,
PEdro, CENTRAL, Web of Knowledge and CINAHL (January, 2009). Selection criteria: RCT’s, published in English
in the last 5 years that addressed interventions to prevent falls for community-dwelling elders with osteoporosis.
Results: Eight RCT’s were included in this review. For falls reduction, different approaches were evaluated, but only
the intervention with hip protectors and the intervention with an exercise program to promote balance had significant
statistical results. However the confidant intervals are unknown. For fractures reduction, only two interventions had
significant statistical results – annual intramuscular Vitamin D2 over 3 years (HR- 1,49; 95%CI – 1,02 – 2,18), and
Hip protectors (OR- 0,75; 95%CI- 0,57-0,97). Finally for risk of falling reduction, despite the significant statistical
results – exercise program and a exercise program plus protein supplement, the confidants intervals are unknown.
Conclusion: Our results are similar to the most recent systematic review of literature data concerning preventing
falls for elders with a non-specific condition. However more studies are needed in this health issue.
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Citation
Correia, M.G., Moniz, R., Roque, A., Santos, C. & Robalo, L. (2010). Efectividade de programas de intervenção na prevenção de quedas em idosos com osteoporose: Revisão sistemática. Ifisionline, 1(1).