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1- Department of Physical Education, Vinh University, Vinh City, Vietnam. , hungnm@vinhuni.edu.vn
2- Department of Physical Education, Vinh University, Vinh City, Vietnam.
2- Department of Physical Education, Vinh University, Vinh City, Vietnam.
Abstract: (252 Views)
Background. Vietnam is experiencing rapid population aging, with the proportion of individuals aged 60 and older projected to increase. This demographic shift is accompanied by a rise in frailty, a condition characterized by decreased physical and functional abilities, significantly increasing the risk of falls among older adults.
Objectives. This study aimed to evaluate the impacts of physical exercises on balance, lower body strength, and fall risk in sedentary older adults. The primary hypothesis of this study was that physical exercises would significantly improve balance ability, lower body strength and reduce the risk of falls in sedentary older adults.
Methods. Sixty subjects aged 65 to 75 were recruited to participate in this study. Subjects were divided into two groups: Experiment group (30 subjects: 17 males, 13 females) and Control group (30 subjects: 17 males, 13 females). Prior to intervention, participants were asked to complete an informed consent. Participants in the experiment group attended a 60-minute physical exercise session twice a week for 12 weeks. Control group participants were informed not to do any new exercise program but to maintain daily activities.
Results. A randomized controlled trial was conducted. After 12 weeks of physical exercise training, participants in the experiment group showed significantly better results in balance ability and lower body strength via tests compared to the control group determined by statistical one-way ANOVA. Specifically, improvements were observed in standing on one leg with eyes open (F=15.50, P=0.000), standing on one leg with eyes closed (F=92.13, P=0.000), falls efficacy scale (F=106.89, P=0.000), chair stand (F=52.13, P=0.000), and 8-foot up and go test (F=23.12, P=0.000).
Conclusion. Based on the results, physical exercise can significantly enhance balance ability and lower body strength in sedentary older adults. Further study could be conducted specifically targeting individuals with multiple chronic conditions. Alternatively, studies could explore the impact of exercise interventions on individuals with frailty syndromes.
Objectives. This study aimed to evaluate the impacts of physical exercises on balance, lower body strength, and fall risk in sedentary older adults. The primary hypothesis of this study was that physical exercises would significantly improve balance ability, lower body strength and reduce the risk of falls in sedentary older adults.
Methods. Sixty subjects aged 65 to 75 were recruited to participate in this study. Subjects were divided into two groups: Experiment group (30 subjects: 17 males, 13 females) and Control group (30 subjects: 17 males, 13 females). Prior to intervention, participants were asked to complete an informed consent. Participants in the experiment group attended a 60-minute physical exercise session twice a week for 12 weeks. Control group participants were informed not to do any new exercise program but to maintain daily activities.
Results. A randomized controlled trial was conducted. After 12 weeks of physical exercise training, participants in the experiment group showed significantly better results in balance ability and lower body strength via tests compared to the control group determined by statistical one-way ANOVA. Specifically, improvements were observed in standing on one leg with eyes open (F=15.50, P=0.000), standing on one leg with eyes closed (F=92.13, P=0.000), falls efficacy scale (F=106.89, P=0.000), chair stand (F=52.13, P=0.000), and 8-foot up and go test (F=23.12, P=0.000).
Conclusion. Based on the results, physical exercise can significantly enhance balance ability and lower body strength in sedentary older adults. Further study could be conducted specifically targeting individuals with multiple chronic conditions. Alternatively, studies could explore the impact of exercise interventions on individuals with frailty syndromes.
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APPLICABLE REMARKS
APPLICABLE REMARKS
- Physical exercise is beneficial in helping prevent the risk of falls for older people.
- Programs incorporating balance-challenging exercises are more effective at preventing falls.
- The physical exercises in this study can be widely applied in the community to reduce the risk of falls in the elderly.
Type of Study: Original Article |
Subject:
Sport Physiology and its related branches
Received: 2024/12/8 | Accepted: 2025/02/13
Received: 2024/12/8 | Accepted: 2025/02/13
References
1. 1. World Health Organization, Ageing and health. World Health Organization, https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (Assecced December 2024). 2024.
2. Huynh, T.Q.H., et al., Frailty and Associated Factors among the Elderly in Vietnam: A Cross-Sectional Study. Geriatrics (Basel). 2022. 7(4). [DOI:10.3390/geriatrics7040085] [PMID] []
3. Vu, H.T.T., et al., prevalence of frailty and its associated factors in older hospitalised patients in Vietnam. BMC Geriatrics. 2017. 17(1): p. 216. [DOI:10.1186/s12877-017-0609-y] [PMID] []
4. Ha, V.-A.T., et al., Prevalence and Factors Associated with Falls among Older Outpatients. Int. J. Environ. Res. Public Health. 2021. 18(8): p. 4041. [DOI:10.3390/ijerph18084041] [PMID] []
5. Vu, H.M., et al., Economic burden and financial vulnerability of injuries among the elderly in Vietnam. Scientific Reports. 2023. 13(1): p. 19254. [DOI:10.1038/s41598-023-46662-3] [PMID] []
6. World Health Organization, World report on ageing and health. , 1, 1-246. World Health Organization. 2015. 1(1-246).
7. Merom, D., et al., prevalence and correlates of participation in fall prevention exercise/physical activity by older adults. Preventive Medicine. 2012. 55(6): p. 613-617. [DOI:10.1016/j.ypmed.2012.10.001] [PMID]
8. Nugraha, S., et al., Intrinsic and Extrinsic Risk Factor for Fall among Community Dwelling Indonesian Elderly. Open Access Macedonian Journal of Medical Sciences. 2022. 10 (B): p. 619-624. [DOI:10.3889/oamjms.2022.8626]
9. Mehta, J., K. Knowles, and E. Wilson, Prevalence of Falls in Patients Presenting to an Ophthalmic Outpatients Department- A Surveillance Study. Br Ir Orthopt J. 2021. 17(1): p. 134-141. [DOI:10.22599/bioj.178] [PMID] []
10. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS), (Accessed December, 2024).
11. Kakara, R., et al., Nonfatal and Fatal Falls Among Adults Aged ≥65 Years - United States, 2020-2021. MMWR Morb Mortal Wkly Rep. 2023. 72(35): p. 938-943. [DOI:10.15585/mmwr.mm7235a1] [PMID]
12. World Health Organization, WHO global report on falls prevention in older age. Available at: https://www.who.int/publications/i/item/9789241563536 (Accessed December 10, 2024). 2007.
13. Hirase, T., et al., Risk Factors for Falls and Fall-Related Fractures in Community-Living Older People with Pain: A Prospective Cohort Study. Int. J. Environ. Res. Public Health. 2023. 20(11). [DOI:10.3390/ijerph20116040] [PMID] []
14. Tiedemann, A., et al., Exercise and Sports Science Australia position statement on exercise and falls prevention in older people. J Sci Med Sport. 2013. 14(6): p. 489-95. [DOI:10.1016/j.jsams.2011.04.001] [PMID]
15. Gillespie, L.D., et al., Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012(9). [DOI:10.1002/14651858.ED000053]
16. James, S.L., et al., The global burden of falls: global, regional and national estimates of morbidity and mortality from the Global Burden of Disease Study 2017. Inj Prev. 2020. 26 (Supp 1): p. i3-i11. [DOI:10.1136/injuryprev-2019-043484corr1] [PMID] []
17. Khasnis, A. and R.M. Gokula, Romberg's test. Journal of Postgraduate Medicine. 2003. 49(2): p. 169-172.
18. Tinetti, M.E., D. Richman, and L. Powell, Falls Efficacy as a measure of fear of falling. Journal of Gerontology. 1990. 45(6): p. 239-243. [DOI:10.1093/geronj/45.6.P239] [PMID]
19. Rikli, R. and C.J. Jones, Senior Fitness Tests Manual. Champaign, IL: Human Kinetics. 2001.
20. AllActive, Balance exercises for older adults, retrieved 6.12.2024. https://allactive.co.uk/wp-content/uploads/2016/04/Balance-exercises-for-older-adults-AllActive-Information-Guide.
21. Wickramarachchi, B., M.R. Torabi, and B. Perera, Effects of Physical Activity on Physical Fitness and Functional Ability in Older Adults. Gerontol Geriatr Med. 2023. 9. [DOI:10.1177/23337214231158476] [PMID] []
22. Buriticá-Marín, E.D., et al., Effects of a Physical Exercise Program on the Physical Capacities of Older Adults: A Quasi-Experimental Study. Clin Interv Aging. 2023. 18: p. 273-282. [DOI:10.2147/CIA.S388052] [PMID] []
23. Adams, M., et al., Effects of Physical Activity Interventions on Strength, Balance and Falls in Middle-Aged Adults: A Systematic Review and Meta-Analysis. Sports Med Open. 2023. 9(1): p. 61. [DOI:10.1186/s40798-023-00606-3] [PMID] []
24. Otero, M., et al., The effectiveness of a basic exercise intervention to improve strength and balance in women with osteoporosis. Clin Interv Aging. 2017. 12: p. 505-513. [DOI:10.2147/CIA.S127233] [PMID] []
25. Stijepić, I., Effects of a 12-week strength and balance exercise program on functional fitness of older men. Sport I Zdravlje. 2019. 14. [DOI:10.7251/SIZEN0119041S]
26. Kim, H. and H. Nam, The Effect of Thera Band Exercise on Muscle Flexibility, Balance Ability, Muscle Strength in Elderly Women. Journal of Korean Academy of Community Health Nursing. 2011. 22: p. 451. [DOI:10.12799/jkachn.2011.22.4.451]
27. Barzegari, M., S.S. Shojaedin, and M. Bayattork, The Effect of 8-Week Strength Training, Balance Training and Combined Training on the Dynamic and Static Balance of the Elderly Inactive Men. Physical Treatments: Specific Physical Therapy Journal. 2019. 9. [DOI:10.32598/PTJ.9.1.15]
28. Andrieieva, O., et al., Effects of Physical Activity on Aging Processes in Elderly Persons. Journal of physical Education and Sport. 2019. 19: p. 1308-1314.
29. Choi, Y., D. Kim, and S.K. Kim, Effects of Physical Activity on Body Composition, Muscle Strength, and Physical Function in Old Age: Bibliometric and Meta-Analyses. Healthcare (Basel). 2024. 12(2). [DOI:10.3390/healthcare12020197] [PMID] []
30. Langhammer, B., A. Bergland, and E. Rydwik, The Importance of Physical Activity Exercise among Older People. Biomed Res Int. 2018. 2018: p. 7856823. [DOI:10.1155/2018/7856823] [PMID] []
31. Fatmanur, E.R., The Effect of Physical Exercise on Physical Fitness and Depression Levels of the Elderly. Mediterranean Journal of Sport Science. 2022. 5(2): p. 881-894. [DOI:10.38021/asbid.1210042]
32. Vafaeenasab MR, Kuchakinejad Meybodi N, Morowatisharifabad MA, Namayandeh SM, Beigomi A. The effect of lower limb resistance exercise with elastic band on balance, walking speed, and muscle strength in elderly women. Elderly Health Journal. 2019 Jun 10;5(1):58-64. [DOI:10.18502/ehj.v5i1.1201]
33. Lam, F.M., et al., Physical exercise improves strength, balance, mobility, and endurance in people with cognitive impairment and dementia: a systematic review. J Physiother. 2018. 64(1): p. 4-15. [DOI:10.1016/j.jphys.2017.12.001] [PMID]
34. Keller, K. and M. Engelhardt, Strength and muscle mass loss with aging process. Age and strength loss. Muscles Ligaments Tendons J. 2014. 3(4): p. 346-350. [DOI:10.32098/mltj.04.2013.17]
35. Clemson L, Singh MA, Bundy A, Cumming RG, Manollaras K, O'Loughlin P, Black D. Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. Bmj. 2012 Aug 7;345. [DOI:10.1136/bmj.e4547] [PMID] []
36. Cho, S.I., D.H. An, and W.G. Yoo, Effects of Recreational Exercises on the Strength, Flexibility, and Balance of Old-old Elderly Individuals. J Phys Ther Sci. 2014. 26(10): p. 1583-1584. [DOI:10.1589/jpts.26.1583] [PMID] []
37. Cho, S.I. and D.H. An, Effects of a fall prevention exercise program on muscle strength and balance of the old-old elderly. J Phys Ther Sci. 2014. 26: p. 1771-1774. [DOI:10.1589/jpts.26.1771] [PMID] []
38. Papalia, G.F., et al., The Effects of Physical Exercise on Balance and Prevention of Falls in Older People: A Systematic Review and Meta-Analysis. J Clin Med. 2020. 9(8). [DOI:10.3390/jcm9082595] [PMID] []
39. Hafström, A., et al., Improved Balance Confidence and Stability for Elderly After 6 Weeks of a Multimodal Self-Administered Balance-Enhancing Exercise Program: A Randomized Single Arm Crossover Study. Gerontology & Geriatric Medicine. 2016. 2: p. 1-13. [DOI:10.1177/2333721416644149] [PMID] []
40. Hernandez, S.S., et al., Effects of physical activity on cognitive functions, balance and risk of falls in elderly patients with Alzheimer's dementia. Rev Bras Fisioter. 2010. 14(1): p. 68-74. [DOI:10.1590/S1413-35552010000100011] [PMID]
41. Klempel, N., et al., The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021. 18(4). [DOI:10.3390/ijerph18041902] [PMID] []
42. Živković, D., et al., The effects of physical activity on the balance of the elderly. FACTA UNIVERSITATIS. Series: Physical Education and Sport. 2018. 16(4): p. 761-781. [DOI:10.22190/FUPES190114002Z]
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