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. 2019 Jan 31;2019(1):CD012424. doi: 10.1002/14651858.CD012424.pub2

Park 2008.

Methods Study design: RCT
Number of study arms: 2
Length of follow‐up: 11 months
Participants Setting: Korea
Number of participants: 50
Number analysed: 45
Number lost to follow‐up: 5
Sample: Community‐dwelling participants in a community learning centre for seniors and senior members of local clubs
Age (years): mean 68.35 (SD 3.47)
Sex: 100% female
Inclusion criteria: community‐dwelling (e.g. in a private dwelling, apartment, residential facility); ambulatory (with or without an aid); competent to give consent; residents of Busan, Korea; aged 65 years
Exclusion criteria: < 5 years after menopause; history of chronic disease that might influence BMD, physical activity and balance ability; history of ovariectomy or diseases known to affect bone metabolism (e.g. cancer, renal disease, rheumatoid arthritis); current medication with bisphosphonate, oestrogens, or other hormonal preparations; weigh > 130% ideal body weight; other contraindications to participating in a regular exercise programme; already doing moderate or hard exercise for more than 7 hours a week
Interventions 1. Exercise group: Stretching for 9 minutes, strength training for 10 minutes followed by 23 minutes of weight‐bearing exercise at an intensity above 65 – 75% of the maximal heart rate, and 18 minutes of balance and posture correction training. The programme was conducted 3 times a week for 48 weeks
2. Control group: retained their sedentary lifestyle participation in physical exercise
Outcomes 1. Number of people who experienced 1 or more falls (risk of falling)
Duration of the study 48 weeks
Adherence Not reported
Notes Source of funding: Korea Science and Engineering Foundation
Economic information: not reported
Email communication regarding fall data, response received, data not included in review
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomly assigned (by a computer generated program)"
Allocation concealment (selection bias) Unclear risk Concealment not specified
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Participants and personnel implementing the intervention not blinded to allocated group, but impact of non‐blinding unclear
Blinding of outcome assessment (detection bias) 
 Falls Unclear risk Blinding not specified
Blinding of outcome assessment (detection bias) 
 Fractures Unclear risk Not applicable
Blinding of outcome assessment (detection bias) 
 Hospital admission, medical attention and adverse events Unclear risk Not applicable
Blinding of outcome assessment (detection bias) 
 Health related quality of life (self report) Unclear risk Not applicable
Incomplete outcome data (attrition bias) 
 Falls and fallers Low risk Less than 20% of fall data were missing (10%). Missing data were balanced in intervention (n = 3) and control (n = 2) groups. The reason for missing data was unclear
Selective reporting (reporting bias) High risk Falls were measured, but number of falls was not reported. Adverse events were not reported
Method of ascertaining falls (recall bias) High risk Retrospective. Participants were asked "Did you have any falls during the past one year? What was the reason for the fall?"