Effectiveness and Estimation of Cost-Effectiveness of a Group-Based Multicomponent Physical Exercise Programme on Risk of Falling and Frailty in Community-Dwelling Older Adults.

Author: Alhambra-Borrás T1, Durá-Ferrandis E2, Ferrando-García M3
Affiliation: <sup>1</sup>Polibienestar Research Institute, Universitat de València, 46022 Valencia, Spain. tamara.alhambra@uv.es. <sup>2</sup>Polibienestar Research Institute, Universitat de València, 46022 Valencia, Spain. estrella.dura@uv.es. <sup>3</sup>Kveloce I+D+i, R&amp;D+i Consultancy, 46002 Valencia, Spain. mferrando@kveloce.com.
Conference/Journal: Int J Environ Res Public Health.
Date published: 2019 Jun 13
Other: Volume ID: 16 , Issue ID: 12 , Special Notes: doi: 10.3390/ijerph16122086. , Word Count: 166

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.

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

PMID: 31200434 PMCID: PMC6617042 DOI: 10.3390/ijerph16122086