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A groundbreaking study conducted by researchers at the University of California San Diego has demonstrated the effectiveness of “Strong Foundations,” a digitally delivered fall prevention program aimed at improving posture, balance, and strength in older adults. The findings, recently published in JMIR Aging, underscore the program’s potential in mitigating fall risks among seniors.

Dr. Ryan Moran, M.D., M.P.H., associate clinical professor at UC San Diego School of Medicine, highlighted the significance of the study, stating, “This study showcases the potential of accessible, online exercise programs to significantly enhance physical function for older adults. Online delivery of exercise interventions eliminates barriers such as transportation difficulties and concerns about conventional gym environments while bringing expert guidance directly to those in need.”

Falls remain the leading cause of accidental death and mobility-related disability among older adults, with one in four individuals over 65 experiencing a fall annually. The risk is particularly pronounced in rural areas where access to traditional fitness facilities is limited. “Strong Foundations” seeks to address these challenges by providing a structured, at-home exercise regimen that enhances safety and accessibility.

The 12-week program consists of weekly, 60-minute sessions that incorporate postural alignment, balance exercises, and strength training. A key feature is the semi-individualized instruction provided in real time within small group settings, ensuring personalized attention to correct exercise form.

Using a quasi-experimental design, researchers recruited 92 participants aged 60 and older, categorizing them by fall risk level using the Centers for Disease Control and Prevention’s STEADI questionnaire. The study included 55 low-risk and 37 moderate-risk participants, both groups showing marked improvements in posture (up to 36% in certain metrics), physical strength, and overall stability. Notably, participants at moderate fall risk exhibited the most substantial gains, particularly in posture and physical strength.

Dr. Moran emphasized the importance of posture improvements, noting their strong correlation with fall risk and mobility. David Wing, M.S., senior clinical research supervisor at the Herbert Wertheim School of Public Health and Human Longevity Science, reinforced the broader significance of the findings: “Our results demonstrate the potential to deliver an effective fall prevention program to older adults through digital platforms.”

The researchers recommend further studies to assess the feasibility of implementing this intervention in lower-income and more remote populations. Additionally, translating the program into multiple languages in a culturally appropriate manner could expand its accessibility and impact.

The study, authored by David Wing, Jeanne F. Nichols, Hava Barkai, Olivia Culbert, Daniel Moreno, Michael Higgins, Anna O’Brien, Mariana Peres, and Hope Davey at UC San Diego, suggests that digital health initiatives could play a crucial role in improving the well-being of older adults worldwide.

Disclaimer: This article summarizes academic research findings and does not constitute medical advice. Individuals should consult their healthcare providers before beginning any new exercise program.

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