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?" |