Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis

被引:5
作者
Lazo Green, Kimberly [1 ,2 ,3 ,4 ]
Yang, Yang [2 ,3 ,4 ,5 ]
Abaraogu, Ukachukwu [1 ,6 ,7 ]
Eastaugh, Claire H. [8 ,9 ]
Beyer, Fiona R. [8 ,9 ]
Norman, Gill [5 ,10 ]
Todd, Chris [1 ,2 ,3 ,4 ,5 ]
机构
[1] Univ Manchester, Natl Inst Hlth & Care Res, Manchester M13 9PL, England
[2] Univ Manchester, Hlth Ageing Res Grp, Manchester M13, England
[3] Univ Manchester, Manchester Acad Hlth Sci Ctr, Manchester M13, England
[4] Univ Manchester, Manchester Inst Collaborat Res Ageing, Manchester M13 9PL, England
[5] Univ Manchester, Natl Inst Hlth, Care Res Appl Res Collaborat Greater Manchester NI, Manchester M13, England
[6] Glasgow Caledonian Univ, Res Ctr Hlth, Glasgow G4 0BA, Scotland
[7] Univ West Scotland, Dept Biol Sci & Hlth, Glasgow G72 0LH, Scotland
[8] Newcastle Univ, Natl Inst Hlth & Care Res Older People & Frailty P, Newcastle Upon Tyne NE4 5PL, England
[9] Newcastle Univ, Populat Hlth Sci Inst, Evidence Synth Grp, Innovat Observ, Newcastle Upon Tyne NE45TG, England
[10] Univ Manchester, Fac Biol Med & Hlth, Sch Hlth Sci, Div Nursing Midwifery & Social Work, Manchester M139PL, England
关键词
dance interventions; falls; falls prevention; older adults; community-dwelling older adults; systematic review; older people; ARGENTINE TANGO DANCE; FUNCTIONAL MOBILITY; PARKINSON DISEASE; BALANCE; COMMUNITY; PEOPLE; EXERCISE; PROGRAM; RISK; FEASIBILITY;
D O I
10.1093/ageing/afae104
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Introduction Fall prevention is a global health priority. Strength and balance exercise programmes are effective at reducing falls. Emerging literature suggests dance is an enjoyable and sociable form of exercise. However, there is little evidence that dance reduces fall incidence.Methods Systematic review and meta-analysis examining effectiveness and cost-effectiveness of dance for falls prevention in older adults. Five databases were searched with no restrictions on publication date or intervention settings. Risk of bias was assessed using variants of Cochrane Risk of bias tools, Mixed-Methods Appraisal and Drummond checklist as appropriate. Certainty of evidence was assessed using GRADE.Results Forty-one studies were included (19 RCTs, 13 quasi-experimental, two mixed-method, seven observational studies, 2,451 participants). Five types of dance interventions were identified: ballroom and Latin dance, dance exercise, cultural dance, dance therapy, and low-impact dance. Meta-analysis was only possible for functional outcome measures: Timed-Up-and-Go (dance versus usual care, mean difference (MD) = 1.36; 95% CI -3.57 to 0.85), Sit-to-Stand (dance versus exercise MD = -0.85; 95% CI -2.64 to 0.93: dance versus education MD = -1.64; 95% CI -4.12 to 0.85), Berg Balance Scale (dance versus usual care MD = 0.61; 95% CI -4.26 to 5.47). There was unexplained variance in effects and no significant differences between intervention and control groups. Overall, certainty of evidence was very low; we are uncertain about the effect of dance interventions in reducing falls.Conclusions There is very low certainty evidence for dance as an alternative to strength and balance training if the aim is to prevent falls. No robust evidence on the cost-effectiveness of dance interventions for the prevention of falls was found.PROSPERO registration CRD42022382908.
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