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Your search keyword '"Kirsti Uusi-Rasi"' showing total 2 results
Start Over Author "Kirsti Uusi-Rasi" Journal bmc geriatrics
2 results on '"Kirsti Uusi-Rasi"'

1. Does long-term recreational gymnastics prevent injurious falls in older women? A prospective 20-year follow-up

Author

Kirsti Uusi-Rasi, Saija Karinkanta, Pekka Kannus, Kari Tokola, and Harri Sievänen

Subjects
Exercise, Physical activity, Falls, Fractures, Older women, Geriatrics, RC952-954.6
Abstract

Abstract Background Exercise interventions focusing on balance and strength training have been shown to be effective for falls prevention. The aim of this 20-year register-based follow-up was to examine whether long-term participation in recreational female gymnastics is associated with a lower risk of medically-attended injurious falls. Methods Health care register data of 187 women (103 recreational gymnasts and 84 sedentary controls) from the original cohort of 243 women were assessed. The mean age (sd) at baseline was 62.8 (5.4) years and the mean follow-up time was 19.4 (2.7) years (range from 5.6 to 21.0 years). Injurious falls were scrutinized from medical records. An injurious fall was defined as an event in which falling was mentioned as a reason for making contact with health-care professionals. Negative binomial regression was used to estimate incidence rate ratios (IRR) for injurious falls, and Cox-regression models for calculating hazard ratios (HR) for injured fallers with the control group as reference. Results Recreational gymnasts had about 30% less injurious falls compared to controls, the mean IRR (95% CI) being 0.71 (0.51 to 0.96). The HR for injured fallers was 0.73 (0.52 to 1.02) favoring the recreational gymnasts. There were no statistically significant between-group differences for fractures. Conclusions Long-term recreational gymnastics appears to reduce the risk of injurious falls in old age.

Published
2020
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2. Study protocol for prevention of falls: A randomized controlled trial of effects of vitamin D and exercise on falls prevention

Author

Radhika Patil, Christel Lamberg-Allardt, Pekka Kannus, Kirsti Uusi-Rasi, Matti Pasanen, Harri Sievänen, Saija Karinkanta, Lääketieteen yksikkö - School of Medicine, University of Tampere, Department of Food and Nutrition, and Christel Lamberg-Allardt / Research Group

Subjects
Bone density, Poison control, HOME-BASED EXERCISE, lcsh:Geriatrics, Fear of falling, law.invention, REDUCES FALLS, Study Protocol, 0302 clinical medicine, Randomized controlled trial, law, Risk Factors, 030212 general & internal medicine, Vitamin D, Aged, 80 and over, 3. Good health, Exercise Therapy, Treatment Outcome, POSTMENOPAUSAL WOMEN, Female, Falls, medicine.symptom, Quality of life, medicine.medical_specialty, CALCIUM SUPPLEMENTATION, education, PARATHYROID-HORMONE, 030209 endocrinology & metabolism, Motor Activity, Placebo, ELDERLY-PEOPLE, 03 medical and health sciences, Physical medicine and rehabilitation, Double-Blind Method, Neuromuscular functioning, OSTEOPOROTIC FRACTURES, Injury prevention, medicine, Vitamin D and neurology, Humans, OLDER-PEOPLE, Exercise physiology, Exercise, Aged, business.industry, HIP FRACTURE, 3141 Health care science, Oikeuslääketiede ja muut lääketieteet - Forensic science and other medical sciences, Mobility function, lcsh:RC952-954.6, Physical therapy, Accidental Falls, PHYSICAL PERFORMANCE, Geriatrics and Gerontology, business, Physical functioning, Follow-Up Studies
Abstract

Background Falls are the leading cause of unintentional injury and injury-related death among older people. In addition to physical activity, vitamin D also may affect balance and neuromuscular function. Low serum 25-hydroksivitamin D level increases the risk of bone loss, falls and fractures. Thus, an appropriate exercise program and sufficient vitamin D intake may significantly improve not only functional balance, but also balance confidence. Balance represents a complex motor skill determined by reaction time, muscle strength, and speed and coordination of movement. Methods/Design A 2-year randomized double-blind placebo-controlled vitamin D and open exercise trial of 409 home-dwelling women 70 to 80 years of age comprising four study arms: 1) exercise + vitamin D (800 IU/d), 2) exercise + placebo, 3) no exercise + vitamin D (800 IU/d), 4) no exercise + placebo. In addition to monthly fall diaries, general health status, life style, bone health, physical functioning, and vitamin D metabolism will be assessed. The primary outcomes are the rate of falls and fall-related injuries. Secondary outcomes include changes in neuromuscular functioning (e.g. body balance, muscle strength), ADL- and mobility functions, bone density and structure, cardiovascular risk factors, quality of life and fear of falling. Discussion The successful completion of this trial will provide evidence on the effectiveness of exercise and vitamin D for falls reduction. Trial Registration ClinicalTrial.gov -register (NCT00986466).

Published
2012

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