Efectividade de programas de intervenção na prevenção de quedas em idosos com osteoporose: revisão sistemática

• Autor(a) principal: Correia, Maria Goretti
• Data de Publicação: 2010
• Outros Autores: Moniz, Rubina, Roque, Ana, Santos, Cátia, Robalo, Lina
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10400.26/8693

Background: Falls are the third cause of chronic incapacity among elders. Among others, elders with osteoporosis are more vulnerable to negative consequences such as fractures. Recent research evidence suggests that some interventions are effective in preventing elderly falls but there is limited information concerning the effectiveness of fall prevention programmes for elders with osteoporosis. Objectives: To identify the most effective programmes in falls prevention in elders with osteoporosis, living in the community and compare the results with prevention for a non-specific condition. Search Strategy: We searched RCT’s published in the last 5 years conducted on PubMed, PEdro, CENTRAL, Web of Knowledge and CINAHL (January, 2009). Selection criteria: RCT’s, published in English in the last 5 years that addressed interventions to prevent falls for community-dwelling elders with osteoporosis. Results: Eight RCT’s were included in this review. For falls reduction, different approaches were evaluated, but only the intervention with hip protectors and the intervention with an exercise program to promote balance had significant statistical results. However the confidant intervals are unknown. For fractures reduction, only two interventions had significant statistical results – annual intramuscular Vitamin D2 over 3 years (HR- 1,49; 95%CI – 1,02 – 2,18), and Hip protectors (OR- 0,75; 95%CI- 0,57-0,97). Finally for risk of falling reduction, despite the significant statistical results – exercise program and a exercise program plus protein supplement, the confidants intervals are unknown. Conclusion: Our results are similar to the most recent systematic review of literature data concerning preventing falls for elders with a non-specific condition. However more studies are needed in this health issue.