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Vision and Relevant Risk Factor Interventions for Preventing Falls among Older People: A Network Meta-analysis.


ABSTRACT: Our study objective was to determine the effect of vision intervention and combinations of different intervention components on preventing falls and fall-related injuries among older people. Six electronic databases were searched to identify seven articles published before May, 2014. We conducted a systematic review of data from seven randomized controlled trails and identified eight regimens: vision intervention alone (V), vision plus exercise (referred to as physical exercise) interventions (V?+?E), vision plus home hazard interventions (V?+?HH), vision plus exercise plus home hazard interventions (V?+?E?+?HH), vision plus exercise plus sensation interventions (V?+?E?+?S), vision plus hearing interventions (V?+?H), vision plus various risk factor assessment and interventions (V?+?VRF), and the control group (C, no intervention group). The main outcome was the incidence of falls during the follow-up period. Seven papers included 2723 participants. Network meta-analysis of seven trials, using pairwise comparisons between each intervention, indicated there was no significant difference. However, there was a trend in which intervention incorporating V?+?VRF had more advantages than any other combination of interventions. In conclusion, V?+?VRF proves to be more effective than other V combination interventions in preventing falls in older people (?65 years of age). V alone appears less effective in our network meta-analysis.

SUBMITTER: Zhang XY 

PROVIDER: S-EPMC4447164 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Vision and Relevant Risk Factor Interventions for Preventing Falls among Older People: A Network Meta-analysis.

Zhang Xin-Yi XY   Shuai Jian J   Li Li-Ping LP  

Scientific reports 20150528


Our study objective was to determine the effect of vision intervention and combinations of different intervention components on preventing falls and fall-related injuries among older people. Six electronic databases were searched to identify seven articles published before May, 2014. We conducted a systematic review of data from seven randomized controlled trails and identified eight regimens: vision intervention alone (V), vision plus exercise (referred to as physical exercise) interventions (V  ...[more]

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