Effects of an 18-month community-based, multifaceted, exercise program on patient-reported outcomes in older adults at risk of fracture: secondary analysis of a randomised controlled trial
Authors' conclusion
This study supports the importance of adherence to exercise regimes, as adherence to the Osteo-cise: Strong Bones for Life program was associated with improvements in HRQoL and osteoporosis knowledge in older adults at increased risk for falls and fractures.
Study context
- Population
- Older adults aged ≥ 60 years with osteopenia or increased falls/fracture risk148 (91%) completed
- Participants
- 162 adults
- Comparison
- Osteo-cise program vs control
- Osteo-cisen = 81
- Controln = 81reference
- Primary endpoint
- HRQoL (EQ-5D-3L), osteoporosis knowledge (Osteoporosis Knowledge Assessment Tool) and osteoporosis health beliefs (Osteoporosis Health Belief Scale)
- Follow-up
- 12 and 18 months
Methodological details18-month, community-based
- 18-month
- Community-based
Primary result
As reported in the abstract
HRQoL, osteoporosis knowledge and health beliefs
- No significant effects of the Osteo-cise program on health-related quality of life (HRQoL), osteoporosis knowledge or health beliefs relative to controls
Further findings
| Outcome | P value |
|---|---|
| Per protocol (≥ 66% exercise adherence): EQ-5D-3L utility, net benefit · 12 monthsSignificant net benefit | P = 0.024 |
| Per protocol (≥ 66% exercise adherence): EQ-5D-3L utility, net benefit · 18 monthsSignificant net benefit | P = 0.029 |
| Per protocol (≥ 66% exercise adherence): osteoporosis knowledge scores, net improvement · 18 monthsSignificant net improvement | P = 0.014 |
- Per protocol (≥ 66% exercise adherence): EQ-5D-3L utility, net benefit: per protocol analysis; n = 41
- Per protocol (≥ 66% exercise adherence): EQ-5D-3L utility, net benefit: per protocol analysis; n = 41
- Per protocol (≥ 66% exercise adherence): osteoporosis knowledge scores, net improvement: per protocol analysis; n = 41
Adherence and attendance
- Mean exercise adherence
- 55%
- Mean attendance for the three osteoporosis educational sessions
- 63-82%
Original publication
Effects of an 18-month community-based, multifaceted, exercise program on patient-reported outcomes in older adults at risk of fracture: secondary analysis of a randomised controlled trial. Osteoporos Int. Published 2 March 2023. doi:10.
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