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Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis.
- Source :
- Age & Ageing; Nov2022, Vol. 51 Issue 11, p1-10, 10p, 5 Graphs
- Publication Year :
- 2022
-
Abstract
- Background regular physical exercise is essential to maintain or improve functional capacity in older adults. Multimorbidity, functional limitation, social barriers and currently, coronavirus disease of 2019, among others, have increased the need for home-based exercise (HBE) programmes and digital health interventions (DHI). Our objective was to evaluate the effectiveness of HBE programs delivered by DHI on physical function, health-related quality of life (HRQoL) improvement and falls reduction in older adults. Design systematic review and meta-analysis. Participants community-dwelling older adults over 65 years. Intervention exercises at home through DHI. Outcomes measures physical function, HRQoL and falls. Results twenty-six studies have met the inclusion criteria, including 5,133 participants (range age 69.5 ± 4.0–83.0 ± 6.7). The HBE programmes delivered with DHI improve muscular strength (five times sit-to-stand test, −0.56 s, 95% confidence interval, CI −1.00 to −0.11; P = 0.01), functional capacity (Barthel index, 5.01 points, 95% CI 0.24–9.79; P = 0.04) and HRQoL (SMD 0.18; 95% CI 0.05–0.30; P = 0.004); and reduce events of falls (odds ratio, OR 0.77, 95% CI 0.64–0.93; P = 0.008). In addition, in the subgroup analysis, older adults with diseases improve mobility (SMD −0.23; 95% CI −0.45 to −0.01; P = 0.04), and balance (SMD 0.28; 95% CI 0.09–0.48; P = 0.004). Conclusion the HBE programmes carried out by DHI improve physical function in terms of lower extremity strength and functional capacity. It also significantly reduces the number of falls and improves the HRQoL. In addition, in analysis of only older adults with diseases, it also improves the balance and mobility. [ABSTRACT FROM AUTHOR]
- Subjects :
- TELEREHABILITATION
ONLINE information services
CINAHL database
META-analysis
CONFIDENCE intervals
MEDICAL information storage & retrieval systems
PHYSICAL therapy
HOME care services
SYSTEMATIC reviews
CHRONIC diseases
POSTURAL balance
DIGITAL health
GERIATRIC assessment
TREATMENT effectiveness
QUALITY of life
ACCIDENTAL falls
INDEPENDENT living
MUSCLE strength
DESCRIPTIVE statistics
PHYSICAL mobility
GERIATRIC rehabilitation
ODDS ratio
MEDLINE
EXERCISE therapy
EVALUATION
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 51
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 160583009
- Full Text :
- https://doi.org/10.1093/ageing/afac243