falls prevention exercise programmes did not influence BMD in older people. To increase bone strength, programmes may require exercise that exerts higher strains on bone or longer duration.
Altogether, 4170 studies met the initial search criteria but only six were included in the review, with a total of 1522 participants. The interventions ranged from six weeks to six months. One study showed a statistically significant increase in physical activity in the intervention compared with the control group (P < or = 0.007). Four studies measured quality of life using the SF-36, of which three reported inconsistent results. This review shows some evidence of the effectiveness of physical activity promotion for older adults through general practice, but not enough to warrant widespread commissioning and implementation. Large-scale developmental projects with long follow-up (beyond two years), objective measures of physical activity and comprehensive documentation of resource use, should now be conducted.
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