Effectiveness and Estimation of Cost-Effectiveness of a Group-Based Multicomponent Physical Exercise Programme on Risk of Falling and Frailty in Community-Dwelling Older Adults

Int J Environ Res Public Health. 2019 Jun 13;16(12):2086. doi: 10.3390/ijerph16122086.


This study analyses the effectiveness and cost-effectiveness of a group-based multicomponent physical exercise programme aimed at reducing the risk of falling and frailty in community-dwelling older adults. This is a pretest-posttest non-equivalent control group design, with an intervention group and a comparison group. Participants were evaluated at baseline and after 9 months. The effectiveness analyses showed significant reduction in the risk of falling (-45.5%; p = 0.000) and frailty (-31%; p = 0.000) after the intervention for the participants in the physical exercise programme. Moreover, these participants showed an improvement in limitations in activities of daily living, self-care ability and the use of health resources, physical performance, balance and body mass index. The cost-effectiveness analyses showed that the intervention was cost-saving and more effective than usual care scenario. A novel group-based multicomponent physical exercise programme showed to be more effective and cost-effective than usual care for older adults suffering from risk of falling and frailty.

Keywords: ageing; falls; frailty; older adults; physical exercise; risk of falling.

Publication types

  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls / prevention & control*
  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Body Mass Index
  • Cost-Benefit Analysis
  • Exercise
  • Exercise Therapy / economics*
  • Female
  • Frailty / prevention & control*
  • Humans
  • Independent Living
  • Male
  • Postural Balance
  • Self Care

Associated data

  • ISRCTN/ISRCTN52788952