Vision and Relevant Risk Factor Interventions for Preventing Falls among Older People: A Network Meta-analysis

Sci Rep. 2015 May 28:5:10559. doi: 10.1038/srep10559.

Abstract

Our study objective was to determine the effect of vision intervention and combinations of different intervention components on preventing falls and fall-related injuries among older people. Six electronic databases were searched to identify seven articles published before May, 2014. We conducted a systematic review of data from seven randomized controlled trails and identified eight regimens: vision intervention alone (V), vision plus exercise (referred to as physical exercise) interventions (V + E), vision plus home hazard interventions (V + HH), vision plus exercise plus home hazard interventions (V + E + HH), vision plus exercise plus sensation interventions (V + E + S), vision plus hearing interventions (V + H), vision plus various risk factor assessment and interventions (V + VRF), and the control group (C, no intervention group). The main outcome was the incidence of falls during the follow-up period. Seven papers included 2723 participants. Network meta-analysis of seven trials, using pairwise comparisons between each intervention, indicated there was no significant difference. However, there was a trend in which intervention incorporating V + VRF had more advantages than any other combination of interventions. In conclusion, V + VRF proves to be more effective than other V combination interventions in preventing falls in older people (≥65 years of age). V alone appears less effective in our network meta-analysis.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Accidental Falls*
  • Aged
  • Aged, 80 and over
  • Exercise*
  • Female
  • Humans
  • Risk Factors
  • Vision, Ocular / physiology*