title: Vision and Relevant Risk Factor Interventions for Preventing Falls among Older People: A Network Meta-analysis.
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.
authors.affiliation: Injury Prevention Research Center, Medical College of Shantou University, Shantou, Guangdong, China.
authors.forename: Xin-Yi
authors.initials: XY
authors.lastname: Zhang
authors.affiliation: Injury Prevention Research Center, Medical College of Shantou University, Shantou, Guangdong, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Shuai
authors.affiliation: Injury Prevention Research Center, Medical College of Shantou University, Shantou, Guangdong, China.
authors.forename: Li-Ping
authors.initials: LP
authors.lastname: Li
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise; D005260:Female; D006801:Humans; D012307:Risk Factors; D014785:Vision, Ocular / Q000502:physiology*