Company-Sancho, María ConsueloAlonso-Poncelas, EmmaRich-Ruiz, ManuelCidoncha-Moreno, María ÁngelesGonzalez-Pisano, AnaAbad-Corpa, Eva2022-12-132022-12-132021-06-16cite Company-Sancho MC, Alonso-Poncelas E, Rich-Ruiz M, Cidoncha-Moreno MÁ, Gonzalez-Pisano A, Abad-Corpa E, On Behalf Of Otago Project Working Group. The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis. Int J Environ Res Public Health. 2021 Jun 16;18(12):65011661-7827http://hdl.handle.net/10668/4492Fall prevention is a key priority in healthcare policies. Multicomponent exercises reduce the risk of falls. The purpose of this study is to describe the relationship between functional performance and falls after following the Otago multicomponent exercise programme and previous falls. A prospective multi-centre intervention study was performed on 498 patients aged over 65 in primary care, with or without a history of previous falls. Sociodemographic, anthropometric and functionality data were collected. The primary outcome was the occurrence of falls; functional performance was measured using the Tinetti, Short Physical Performance Battery and Timed Up and Go tests. Among the patients, 29.7% referred to previous falls. There was a statistically significant (p < 0.001) increase in falls at 6 months (10.1%) and at 12 months (7.6%) among participants with previous falls in the baseline assessment compared to those without. In addition, the existence of previous falls could be considered a risk factor at 6 and 12 months (OR =2.37, p = 0.002, and OR = 1.76, p = 0.046, respectively). With regard to balance and gait, differences between the groups were observed at 6 months in the Tinetti score (p < 0.001) and in the baseline assessment Timed Up and Go score (p < 0.044). Multicomponent exercises improve the fall rate, balance and gait in older people, although this improvement is less in people with previous falls. Earlier intervention and tailoring of exercises in patients with previous falls could help improve outcomes.enAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/FallsElderlyCommunityPrimary carePreventionExerciseGaitRisk FactorsPhysical functional performanceAccidentes por caídasAncianoAtención primaria de saludPrevenciónEjercicio físicoMarchaFactores de riesgoRendimiento físico funcionalMedical Subject Headings::Persons::Persons::Age Groups::Adult::AgedMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities::Exercise TherapyMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective StudiesMedical Subject Headings::Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Postural BalanceMedical Subject Headings::Health Care::Environment and Public Health::Public Health::Accidents::Accidental FallsMedical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Psychology, Applied::Human Engineering::Task Performance and Analysis::Time and Motion StudiesMedical Subject Headings::Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Musculoskeletal Physiological Processes::Movement::GaitMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk FactorsMedical Subject Headings::Health Care::Health Care Economics and Organizations::Policy::Social Control Policies::Public Policy::Health PolicyMedical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Careresearch article34208713open access10.3390/ijerph181265011660-4601PMC8296346