Citation

Alhambra-Borrás T, Durá-Ferrandis E, Ferrando-García M. Int. J. Environ. Res. Public Health 2019; 16(12): e16122086.

Affiliation

Kveloce I+D+i, R&D+i Consultancy, 46002 Valencia, Spain. mferrando@kveloce.com.

Copyright

(Copyright © 2019, MDPI: Multidisciplinary Digital Publishing Institute)

DOI

10.3390/ijerph16122086

PMID

31200434

Abstract

This study analyses the effectiveness and cost-effectiveness of a group-based multicomponent physical exercise programme aimed at reducing the risk of falling and frailty in community-dwelling older adults. This is a pretest-posttest non-equivalent control group design, with an intervention group and a comparison group. Participants were evaluated at baseline and after 9 months. The effectiveness analyses showed significant reduction in the risk of falling (-45.5%; p = 0.000) and frailty (-31%; p = 0.000) after the intervention for the participants in the physical exercise programme. Moreover, these participants showed an improvement in limitations in activities of daily living, self-care ability and the use of health resources, physical performance, balance and body mass index. The cost-effectiveness analyses showed that the intervention was cost-saving and more effective than usual care scenario. A novel group-based multicomponent physical exercise programme showed to be more effective and cost-effective than usual care for older adults suffering from risk of falling and frailty.

Language: en

Keywords

ageing; falls; frailty; older adults; physical exercise; risk of falling