@article{ref1,
title="The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults",
journal="Journals of gerontology. Series A: Biological sciences and medical sciences",
year="1997",
author="Buchner, D. M. and Cress, M. E. and de Lateur, B. J. and Esselman, Peter C. and Margherita, A. J. and Price, R. and Wagner, E. H.",
volume="52",
number="4",
pages="M218-24",
abstract="BACKGROUND: The study tested the effect of strength and endurance training on gait, balance, physical health status, fall risk, and health services use in older adults. METHODS: The study was a single-blinded, randomized controlled trial with intention-to-treat analysis. Adults (n = 105) age 68-85 with at least mild deficits in strength and balance were selected from a random sample of enrollees in a health maintenance organization. The intervention was supervised exercise (1-h sessions, three per week, for 24-26 weeks), followed by self-supervised exercise. Exercise groups included strength training using weight machines (n = 25), endurance training using bicycles (n = 25), and strength and endurance training (n = 25). Study outcomes included gait tests, balance tests, physical health status measures, self-reported falls (up to 25 months of follow-up), and inpatient and outpatient use and costs. RESULTS: There were no effects of exercise on gait, balance, or physical health status. Exercise had a protective effect on risk of falling (relative hazard = .53, 95% CI = .30-.91). Between 7 and 18 months after randomization, control subjects had more outpatient clinic visits (p < .06) and were more likely to sustain hospital costs over $5000 (p < .05). CONCLUSIONS: Exercise may have beneficial effects on fall rates and health care use in some subgroups of older adults. In community-living adults with mainly mild impairments in gait, balance, and physical health status, short-term exercise may not have a restorative effect on these impairments.<p /><p>Language: en</p>",
language="en",
issn="1079-5006",
doi="",
url="http://dx.doi.org/"
}