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Protocol
Yoga-based exercise to prevent falls in community-dwelling people aged 60 years and over: study protocol for the Successful AGEing (SAGE) yoga randomised controlled trial
  1. Juliana S Oliveira1,
  2. Catherine Sherrington1,
  3. Stephen Lord2,
  4. Romina Sesto3,
  5. Sabrina Youkhana1,
  6. Giane C Camara1,
  7. Anne C Grunseit4,
  8. Adrian Bauman4,
  9. Kaarin J Anstey2,
  10. Roberta B Shepherd5,
  11. Anne Tiedemann1
  1. 1 Institute for Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
  2. 2 Neuroscience Research Australia, University of New South Wales, Sydney, Australia
  3. 3 Yoga to Go Studio, Petersham, Australia
  4. 4 Prevention Research Collaboration, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
  5. 5 School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
  1. Correspondence to Anne Tiedemann; anne.tiedemann{at}sydney.edu.au

Abstract

Introduction Falls significantly reduce independence and quality of life in older age. Balance-specific exercise prevents falls in people aged 60+ years. Yoga is growing in popularity and can provide a high challenge to balance; however, the effect of yoga on falls has not been evaluated. This trial aims to establish the effect on falls of a yoga exercise programme compared with a yoga relaxation programme in community-dwellers aged 60+ years.

Method and Analysis This randomised controlled trial will involve 560 community-dwelling people aged 60+ years. Participants will be randomised to either: (1) the Successful AGEing (SAGE) yoga exercise programme or (2) a yoga relaxation programme. Primary outcome is rate of falls in the 12 months post randomisation. Secondary outcomes include mental well-being, physical activity, health-related quality of life, balance self-confidence, physical function, pain, goal attainment and sleep quality at 12 months after randomisation. The number of falls per person-year will be analysed using negative binomial regression models to estimate between-group difference in fall rates. Generalised linear models will assess the effect of group allocation on the continuously scored secondary outcomes, adjusting for baseline scores. An economic analysis will compare the cost-effectiveness and cost-utility of the two yoga programmes.

Ethics and dissemination Protocol was approved by the Human Research Ethics Committee at The University of Sydney, Australia (approval 2019/604). Trial results will be disseminated via peer-reviewed articles, conference presentations, lay summaries.

Trial registration number The protocol for this trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12619001183178).

  • Exercise
  • Fall
  • Prevention
  • Aging
  • Randomised controlled trial
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjsem-2020-000878

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    Footnotes

    • Twitter Anne Tiedemann @AnneTiedemann1.

    • Contributors AT, CS and SL conceived the study. All authors contributed to the study design, implementation methods, refinement of the study protocol and approved the final manuscript.

    • Funding The project outlined in this protocol is funded by the National Health and Medical Research Council Project Grant (APP1163067). AT, SL and CS received salary funding from National Health and Medical Research Council of Australia Fellowships. The funder had no role in the trial design and will not have any role during its execution, analyses, interpretation of the data or decision to submit results.

    • Competing interests RS and SY are practicing yoga instructors.

    • Ethics approval University of Sydney, Human Research Ethics Committee (approval number 2019/604).

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement Data sharing not applicable as no datasets generated and/or analysed for this study.

    • Trial sponsor The University of Sydney, Camperdown 2050 NSW, Sydney, Australia.