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| Name | Class |
|---|---|
| University of Eastern Finland | OTHER |
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This study evaluates the 6 month exercise intervention (Taiji and gym course) combined with free use of communal recreation facilities in fall prevention.
Morbidity, use of social services and health outcomes of aging women in province of Kuopio, Finland are also monitored. The study combines a six months supervised exercise, followed by six months free, but unsupervised, use of recreational facilities and observational period of second year into total of 2 year follow up duration.
In 2016, a 2-year randomized controlled trial (RCT) will be launched to investigate the effect of exercise on fall risk, injuries and subjective well-being (SWB) in aging women (n=1078) by using municipal sport services in cooperation with the city of Kuopio. The effect of the exercise intervention on functional capacity, muscle strength, bone, body composition, cognitive function, the use of health services and its cost effectiveness will also be studied.
The trial will be carried out on women belonging to the Kuopio Osteoporosis Risk Factor and Prevention (OSTPRE) Study, which is an ongoing population-based prospective cohort study, with a follow-up of 26 years. It investigates life style factors associated with fractures falls, bone mineral density and morbidity in a target population of 14 220 women, now aged between 75-84 year.
The study combines combination of a 2-year fall prevention trial with the 26 years of life style and medical data from the previous OSTPRE follow up to provide meaningful answers whether municipal exercise program can provide cost effective health gain in elderly. In addition, the study aims to answer, who will benefit from the exercise the most and what are the underlying factors explaining efficacy in the women's previous 26 years of lifestyle and medical history. The study will help to develop strategies for societal fall prevention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise intervention group | Experimental | Supervised exercise intervention of 12 months. One Taiji and one gym training per week for first six months followed by 6 months free independent use of municipal facilities, including gym, swimming hall and weight room. Written and oral health counselling provided. |
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| Control group | Active Comparator | Control group, without any induced exercise intervention. Written and oral health counselling provided. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supervised physical exercise | Behavioral | Supervised physical exercises in Taiji and weight training. Free use and access into municipal recreation and training facilities for one year. |
| Measure | Description | Time Frame |
|---|---|---|
| Risk of falls | Method of assessment; Personal fall diary. In case of fall, subject records the event into logbook. Outcome: Number of Falls during follow up. | Two years |
| Risk of fall | Biweekly text message (SMS) question concerning recent falls during last 2 weeks (Reply:Yes/No). In a case of a positive reply, following phone call to the subject to validate the event. Outcome: Number of Falls during follow up. | Two years |
| Measure | Description | Time Frame |
|---|---|---|
| Morbidity | Methods of assessment; Self reported health survey concerning chronic medical conditions. Outcome: Morbidity during follow up. | two years |
| All cause morbidity | Methods of assessment; Use of national health care registries and hospital discharge registries. Outcome: Validated morbidity during follow up. |
| Measure | Description | Time Frame |
|---|---|---|
| Life style habits | Self reported history of health behaviour by using OSTPRE study follow up data registry. Post hoc. Outcomes: Units on a scale. | two years |
| Use of healthcare services | Use of health service use during the follow up by utilizing hospital discharge registries. Outcome: Resources spent in healthcare during follow up(Euros) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Heikki Kröger, Professor | Department of Surgery, Kuopio University Hospital | Principal Investigator |
| Toni Rikkonen, Dr | Kuopio Musculoskeletal Research Unit, University of Eastern Finland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bone and Cartilage Research Unit, Clinical Research Centre, University of Kuopio | Kuopio | 70211 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39972017 | Derived | Tamminen AE, Honkanen R, Koivumaa-Honkanen H, Sirola J, Sund R, Kroger H, Rikkonen T. Exercise reduces the risk of falls in women with polypharmacy: secondary analysis of a randomized controlled trial. Sci Rep. 2025 Feb 19;15(1):6009. doi: 10.1038/s41598-025-88205-y. | |
| 37145268 | Derived | Vilpunaho T, Karinkanta S, Sievanen H, Kopra J, Kroger H, Rikkonen T. Predictive ability of a self-rated fall risk assessment tool in community-dwelling older women. Aging Clin Exp Res. 2023 Jun;35(6):1205-1212. doi: 10.1007/s40520-023-02423-w. Epub 2023 May 5. |
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| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| Health counselling | Other | Health counselling, fall prevention strategies at home, information concerning municipal recreational services available. |
|
| two years |
| Functional capacity | Methods of assessment; Timed Get Up and Go Test (TUG). Outcomes; Time consumed the time that a person takes to rise from a chair, walk three metres, turn around, walk back to the chair, and sit down. Outcome: Time consumed in the task (Seconds). | two years |
| Range of motion | Methods of assessment; Squatting test. Outcomes; Physical task to squat down, touch the floor with fingertips and get up, without additional support. Outcome: Able/unable to comply (Y/N). | two years |
| Postural Balance | Methods of assessment; One leg stand test. Outcomes; Able to maintain static one leg standing position for ten second (Seconds), Outcome: able/unable to comply (Y/N). | two years |
| Bone mineral density | Method of assessment; Dual X-ray Absorption (DXA) measurement in proximal femur. Outcomes; Areal bone mineral density (g/cm2). | two years |
| Body composition | Method of assessment; Dual X-ray Absorption (DXA) total body scan. Outcomes; body soft tissue and bone mass distribution (g). | two years |
| Grip strength | Methods of assessment; Maximal grip strength by using handheld dynamometer. Outcomes; Maximal muscle force produced (kg). | two years |
| Leg muscle strength | Methods of assessment; isometric leg extension strength in a sitting position with a force plate device. Outcomes; Maximal muscle force produced (kg). | two years |
| Muscle strength and balance | Methods of assessment; Balance test protocol by using force plate to measure body sway in various positions. Outcomes; velocity and distance of travel by the center of gravity (mm/second). | two years |
| Depression | Methods of assessment; Geriatric Depression Scale (GDS). Outcomes: Units on a Scale | two years |
| Life satisfaction | Methods of assessment; Life satisfaction scale (LS). Outcomes: Units on a Scale | two years |
| Psychological stress | Methods of assessment; Perceived Stress Scale (PSS). Outcomes: Units on a Scale. | two years |
| Psychological stress coping | Methods of assessment; Brief Resilience Coping Scale (BRCS). Outcomes: Units on a Scale. | two years |
| Life orientation | Methods of assessment; Life Orientation Test (LOT-R) questionnaire Outcomes: Units on a Scale. | two years |
| health-related quality of life (HRQoL) | Methods of assessment; 15-D self administered measure scale Outcomes: Units on a Scale. | two years |
| Self perceived quality of life | Methods of assessment; World Health Organization WHOQOL-BREF. Outcomes: Units on a Scale. | two years |
| two years |
| 34487834 | Derived | Vilpunaho T, Sund R, Koivumaa-Honkanen H, Honkanen R, Kroger H, Rikkonen T. Urban RCT participants were healthier than non-participants or rural women. J Clin Epidemiol. 2021 Dec;140:44-55. doi: 10.1016/j.jclinepi.2021.08.032. Epub 2021 Sep 3. |
| 31230026 | Derived | Vilpunaho T, Kroger H, Honkanen R, Koivumaa-Honkanen H, Sirola J, Kuvaja-Kollner V, Sund R, Rikkonen T. Randomised controlled trial (RCT) study design for a large-scale municipal fall prevention exercise programme in community-living older women: study protocol for the Kuopio Fall Prevention Study (KFPS). BMJ Open. 2019 Jun 21;9(6):e028716. doi: 10.1136/bmjopen-2018-028716. |