Prevention of falls and loss of balance in older people Signs and Symptoms 1. Falls 2. Poor balance
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 65 years or over 2. Two or more self-reported falls in the previous 12 months OR at least one fall resulting in hospitalisation in the previous 12 months 3. Able (in the Investigators opinion) and willing to comply with all study requirements.
Exclusion criteria
Exclusion criteria: 1. Unable to give written informed consent 2. Unable to stand without human assistance 3. Atrial fibrillation (as this group should usually be taking warfarin) 4. Taking warfarin (which antagonises vitamin K) or other coumadin derivatives 5. Taking vitamin K supplements 6. Known contraindication to Vitamin K 7. Currently enrolled in another trial (other than observational trials and registries), or within 30 days of completing another trial 8. Currently undertaking physiotherapy or another time-limited supervised non-pharmacological intervention to reduce falls risk 9. Intolerance to soya products
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in anterior-posterior sway measured using a balance platform at baseline and 12 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Additional markers of postural sway (mediolateral sway, 95% ellipse, RMS, total path length) measured using the AMTI sway meter at baseline, 6 and 12 months 2. Berg balance scale compared between groups at baseline, 6 and 12 months 3. Postural blood pressure drop on standing measured at baseline, 1 and 3 minutes after standing at 6 and 12 months 4. Vitamin K levels are determined by measuring dp-ucMGP levels in the blood at baseline and 12 months 5. Physical function determined with a short physical performance battery, timed up and go test at each time point at baseline, 6 and 12 months 6. Falls frequency determined from monthly falls diary to prospectively record falls 7. Health and social care utilisation data collected using a healthcare data and patient questionnaire at baseline, 6 and 12 months | — |
Countries
United Kingdom