Objective To summarize and evaluate the effectiveness of group exercise on preventing falls in community-living older adults.Method Randomized controlled trials(RCTs) involving effectiveness of group exercise on prventing falls in community-living older adults were searched,and then assessed and extracted by two researchers.The outcomes were analyzed and described the by Review Manager 5.3.Result 7 RCTs involving 3608 older adults met the inclusion criteria.Meta-analysis showed that group exercise made significant differences on preventing falls in community-living older aduhs[RR =0.90(0.83,0.99),Z =2.20,P =0.03].Conclusion Group exercise has effectiveness on preventing falls in community-living older adults.%目的 评价群组运动预防社区老年人跌倒的效果.方法 计算机检索中外数据库中关于群组运动预防社区老年人跌倒效果的随机对照试验,由2名研究者对文献进行质量的严格评价、资料提取,对符合质量标准的文献使用RevMan 5.3软件分析及描述结局指标.结果 共纳入7项临床随机对照研究,3 608例研究对象.Meta分析结果显示群组运动能降低社区居住老人运动期间的跌倒发生率[RR =0.90(0.83,0.99),Z=2.20,P=0.03],可未能改善其生命质量[M=0.89(-3.05,4.84),Z=0.44,P=0.66].结论 现有证据证明群组运动有助于预防社区老年人跌倒.
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