We explore the effects of adapted physical exercise programs in nursing homes, in which some residents suffer from dementia and/or physical limitations and others do not. We use data from 452 participants followed over 12 months in 32 retirement homes in four European countries. Using a difference-in-difference with individual random effects model, we show that the program had a significant impact on the number of falls and the self-declared health and health-related quality of life of residents (EQ-5D). The wide scope of this study, in terms of sites, countries, and measured outcomes, brings generality to previously existing evidence. A simple computation, in the case of France, suggests that such programs are highly cost-efficient.

我们探讨了适应性体育锻炼计划在养老院中的效果，其中一些居民患有痴呆症和/或身体限制，而其他居民则没有。我们使用来自452个参与者的数据，在12个月中追踪了欧洲四个国家/地区的32个养老院。使用个体差异效应的差异差异模型，我们表明该程序对跌倒次数以及居民的自我宣称的健康及与健康有关的生活质量（EQ-5D）有重大影响。就地点，国家和测量结果而言，这项研究的广泛范围使以前存在的证据具有普遍性。对于法国而言，简单的计算表明此类程序具有很高的成本效益。