Falls and broken bones are costly health problems among the elderly, even more so when there is a growing older population aged over 65 years. In Australia about 1 million older people have at least one fall each year and about 40-60% will sustain major injuries including broken bones. Therefore there is a need to identify effective ways to reduce falls and improve outcomes of those who break a bone, especially of the hip.
Addressing Missing Links In The Care Of Older People To Improve Practice And Outcomes: Program Efficacy, Implementation Effectiveness And Knowledge Translation
Funder
National Health and Medical Research Council
Funding Amount
$259,507.00
Summary
Many older people live with disability and can struggle to perform even simple day-to-day activities. Unfortunately, disability escalates with age. Our population is ageing rapidly—one of the fastest in the world—due to a world-class health system and low fertility. Despite a growth in health and research initiatives over the last decade, there remains much room to improve the health and well-being of older people. This research addresses this need by undertaking an innovative and targeted progr ....Many older people live with disability and can struggle to perform even simple day-to-day activities. Unfortunately, disability escalates with age. Our population is ageing rapidly—one of the fastest in the world—due to a world-class health system and low fertility. Despite a growth in health and research initiatives over the last decade, there remains much room to improve the health and well-being of older people. This research addresses this need by undertaking an innovative and targeted program of work.Read moreRead less
The ASPREE-fracture Sub-study: Does Daily Low-dose Aspirin Reduce Fracture Risk In Healthy Older Adults?
Funder
National Health and Medical Research Council
Funding Amount
$1,351,150.00
Summary
Disability, mortality and healthcare burden from fractures in older people is a growing problem worldwide. This is despite decades of clinical research, best practice guidelines and advances in therapies that aim to reduce fracture risk. The World Health Organization has identified fracture prevention as a public health priority. This study will determine whether a widely available, simple and inexpensive health intervention—aspirin—can reduce the incidence of fracture and associated disability ....Disability, mortality and healthcare burden from fractures in older people is a growing problem worldwide. This is despite decades of clinical research, best practice guidelines and advances in therapies that aim to reduce fracture risk. The World Health Organization has identified fracture prevention as a public health priority. This study will determine whether a widely available, simple and inexpensive health intervention—aspirin—can reduce the incidence of fracture and associated disability amongst older Australians.Read moreRead less
Improving Adherence With The Use Of Hip Protectors, In Community, Residential Aged Care And Hospital Settings
Funder
National Health and Medical Research Council
Funding Amount
$405,250.00
Summary
Hip protectors are plastic shields or foam pads worn over the hip in specially adapted underwear. A number of studies in older people have shown that hip protectors are very effective if worn when a fall occurs and these have been available for the last few years in Australia. Unfortunately it has been difficult for older people to wear the hip protectors reliably and because of limited compliance with their use they have not been fully effective. This study will compare provision of a brochure, ....Hip protectors are plastic shields or foam pads worn over the hip in specially adapted underwear. A number of studies in older people have shown that hip protectors are very effective if worn when a fall occurs and these have been available for the last few years in Australia. Unfortunately it has been difficult for older people to wear the hip protectors reliably and because of limited compliance with their use they have not been fully effective. This study will compare provision of a brochure, with supply of the older person's choice of hip protectors , with or without cost, and with or without contact with a nurse who will assist with use of the hip protector. After six months the level of use of the hip protectors will be checked. The new strategies tested in this study may increase compliance with hip protectors to a level where they will be effective if used at home in the community, in residential aged care facilities, and in hospitals.Read moreRead less
Vitamin D, Bone Loss, Fracture And Mortality Outcome
Funder
National Health and Medical Research Council
Funding Amount
$408,736.00
Summary
Vitamin D most commonly from sunlight exposure is considered an important determinant of health, including the liability to falls and fractures; not only in the elderly but in adulthood in general. This study aims to distinguish if low vitamin D levels cause adverse health outcomes or relate to ill health, limited sunlight exposure and nutritional change. Only if low vitamin D level is causative of ill health does replacement make good public health sense.
Whole Body Vibration For Osteoporosis: Shaking Up Our Treatment Options
Funder
National Health and Medical Research Council
Funding Amount
$961,017.00
Summary
Our aim is to examine the ability of vibration alone and in combination with osteoporosis drugs to reduce hip fracture in postmenopausal women. In Australia, 1 in 2 women >60yrs, will sustain an osteoporotic fracture. Only drugs notably decrease fracture; however none are entirely effective and some patients don’t respond. Whole body vibration has emerged as a potentially effective therapy. A combination of vibration and drugs may enhance the effects of both and revolutionise treatment.
Geelong Osteoporosis Study: Fracture Risk Prediction Based On Twenty Years Of Prospective Data.
Funder
National Health and Medical Research Council
Funding Amount
$1,107,758.00
Summary
In this population-based study we will generate evidence, both environmental and genetic, for defining fracture risk in Australian men and women. This will help identify individuals likely to sustain fragility fractures so that suitable therapies can be recommended. The data will be useful for developing prognostic models in both a clinical setting and for genetic screening programmes.
Extension Of The Calcium Intake Fracture Outcome Study
Funder
National Health and Medical Research Council
Funding Amount
$272,025.00
Summary
Osteoporosis is a largely preventable disease yet 1 in 10 Australians have osteoporosis. Every year >64,000 osteoporotic fractures occur, which is one every 8.1 minutes and women are three times as likely to have the disease than men. The Bone and Calcium Research Group at the University of Western Australia, is studying how to prevent osteoporosis in elderly women. This study is called the Calcium Intake Fracture Outcome Study or CAIFOS. During 1998, 1,500 women were recruited to study wheth ....Osteoporosis is a largely preventable disease yet 1 in 10 Australians have osteoporosis. Every year >64,000 osteoporotic fractures occur, which is one every 8.1 minutes and women are three times as likely to have the disease than men. The Bone and Calcium Research Group at the University of Western Australia, is studying how to prevent osteoporosis in elderly women. This study is called the Calcium Intake Fracture Outcome Study or CAIFOS. During 1998, 1,500 women were recruited to study whether a daily calcium supplement for 5 years helps to prevent fractures compared to a diet without a supplement. To do this only half of the women were given calcium supplements and the other half were given matched placebo tablets. Each year the study participants are reviewed and asked whether or not they have broken any bones and have other measurements to monitor their bone health and overall health. The subjects are entering their last year of treatment and will finish the study during 2003. At this appointment all subjects will undergo the same series of measurements that they had at the beginning of the study to determine whether or not they have fractured any bones, improved their bone mass and overall health during the treatment stage. The main outcome of the study is to determine whether calcium is useful as a supplement to prevent osteoporotic fracture in elderly women. If this study finds that fewer women fractured in the calcium treated group compared to the non treated group, given that both groups were similar to begin with, we can say that supplementation with calcium prevents fractures. Thus, public health messages about preventing osteoporosis will be able to direct the community to take supplements to prevent a disease that creates pain and disability in later life. The advantage of this study is that it is studying other aspects of these women health, so we can determine whether the calcium is safe to use and improves people's quality of life.Read moreRead less