scholarly journals Effect of muscle power training on fall risk in older adults: A systematic review and meta-analysis

2021 ◽  
Author(s):  
Daniel Jiménez-Lupión ◽  
◽  
Daniel Jerez-Mayorga ◽  
Luis Javier Chirosa-Ríos ◽  
Darío Martínez-García
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Muscle Power ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Exercise Program ◽  
Lower Limbs ◽  
Power Training ◽  
Eligibility Criteria ◽  
Exercise Interventions

Review question / Objective: P: Older adults; I: Power training; C: Other type of exercise program; O: Fall Risk. Objective: To describe the effectiveness of muscle power training on fall risk in older adults. Condition being studied: Healthy older adults or those with different pathologies who undergo a muscle power training program for the prevention of falls. Eligibility criteria: Inclusion Criteria: Randomized Controlled Trial (RCT); Adults over 60 years of age, living independently in the community without disabilities and other diseases that make them unsuitable for exercise interventions; muscle power training of the lower limbs, without combining it with other types of exercise; Outcome: Fall Risk. Exclusion Criteria: Studies that used ergogenic drugs or aids; studies that manipulated diet; conference presentations, theses, books, editorials, review articles, and expert opinions; missing full text or incomplete data on outcome indicators.

scholarly journals Effectiveness of Multicomponent Exercise Interventions in Older Adults With Dementia: A Meta-Analysis

2020 ◽  
Author(s):  
Flávia Borges-Machado ◽  
Nádia Silva ◽  
Paulo Farinatti ◽  
Roberto Poton ◽  
Óscar Ribeiro ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Fitness ◽  
Cognitive Abilities ◽  
Meta Analysis ◽  
Intervention Strategy ◽  
Daily Basis ◽  
Eligibility Criteria ◽  
Performance Effect ◽  
Exercise Interventions ◽  
Design And Methods

Abstract Background and Objectives Multicomponent training (MT) combines aerobic, strength, postural, and balance exercises and may be a promising intervention strategy for dementia. This meta-analysis study aims to systematize evidence concerning the effectiveness of MT in physical fitness, cognition, and functionality on activities of daily living (ADL) in older adults with dementia and to identify moderation patterns regarding training variables. Research Design and Methods 4 databases were systematically searched to locate potential trials through March 2019. A total of 2,312 records were identified and a final set of 17 manuscripts reviewed; of these, 6 satisfied all eligibility criteria. Results Samples sizes ranged from 27 to 170 participants; MT programs lasted between 4 weeks and 12 months, took place from a daily basis to twice a week, and sessions ranged from 30 to 60 min. The TESTEX scale was used to analyze the methodological quality, and the funnel plots to assess the risk of bias. This meta-analysis revealed that MT interventions benefit older adults with dementia regarding ADL performance (effect size = 0.313 [0.16–0.46]; p < .01), but the evidence was not sufficiently robust to determine the effectiveness of MT on cognitive function and physical fitness, particularly, on agility. Discussion and Implications MT may be an important nonpharmacological strategy to enhance ADL functionality on older adults with dementia. Findings suggest that long-term interventions are more prevalent than high-frequency and longer duration exercise sessions. Further evidence is needed for acknowledging its benefits in specific cognitive abilities and physical fitness. This meta-analysis is registered in PROSPERO (no. CRD42020141545).

scholarly journals The Effect of Exercise Intervention on Reducing the Fall Risk in Older Adults: A Meta-Analysis of Randomized Controlled Trials

2021 ◽  
Vol 18 (23) ◽  
pp. 12562
Author(s):  
Mingyu Sun ◽  
Leizi Min ◽  
Na Xu ◽  
Lei Huang ◽  
Xuemei Li
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trials ◽  
Fall Risk ◽  
Exercise Intervention ◽  
Meta Analysis ◽  
Balance Training ◽  
Controlled Trials ◽  
Exercise Interventions ◽  
Randomized Controlled ◽  
Core Training

Exercise intervention has a positive effect on reducing the fall risk in older adults. To investigate the effect of different factors of exercise intervention (type, duration, and frequency) on reducing the fall risk in older adults, a meta-analysis was performed in this study. According to the PRISMA®, two researchers independently searched PubMed, Web of Science, and the China National Knowledge Infrastructure databases to assess the quality of the studies using the PEDro scale. A total of 648 subjects in 10 randomized controlled trials were included in this study, and the exercise interventions included integrated training (resistance training, core training, and balance training), balance training, core training, Pilates, Ba Duan Jin, and Tai Chi. These studies show that exercise intervention has a huge and significant impact on reducing the risk of falls of the elderly. In conclusion, an integrated intervention with a frequency of more than five times a week and a duration of more than 32 weeks are more effective in reducing the fall risk.

Feasibility and Acceptability of Home-Based Exercise Snacking and Tai Chi Snacking Delivered Remotely to Self-Isolating Older Adults During COVID-19

2021 ◽  
pp. 1-11
Author(s):  
Ian Ju Liang ◽  
Oliver J. Perkin ◽  
Polly M. McGuigan ◽  
Dylan Thompson ◽  
Max J. Western
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Tai Chi ◽  
Multilevel Models ◽  
Controlled Trial ◽  
Exercise Program ◽  
Well Being ◽  
Exercise Interventions ◽  
Home Based

The purpose of this study was to examine the feasibility and acceptability of remotely delivered, home-based exercise programs on physical function and well-being in self-isolating older adults during the COVID-19 pandemic. In a four-arm randomized controlled trial, 63 participants (aged 65 years and older) were allocated to one of three home-based daily (2 × 10-min) exercise interventions (exercise snacking, tai chi snacking, and combination) or control (UK National Health Service Web pages). Functional assessments were conducted via video call at baseline and 4-week follow-up. A web-based survey assessed the acceptability of each exercise program and secondary psychological/well-being outcomes. Ecological momentary assessment data, collected in Weeks 1 and 4, explored feeling states as antecedents and consequences of exercise. All intervention groups saw increased physical function at follow-up and displayed good adherence with exercise snacking considered the most acceptable program. Multilevel models revealed reciprocal associations between feelings of energy and exercise engagement. Further studies are needed with larger, more diverse demographic samples.

scholarly journals Effectiveness of Community-Delivered Functional Power Training Program for Frail and Pre-frail Community-Dwelling Older Adults: a Randomized Controlled Study

2021 ◽  
Author(s):  
Nien Xiang Tou ◽  
Shiou-Liang Wee ◽  
Wei Ting Seah ◽  
Daniella Hui Min Ng ◽  
Benedict Wei Jun Pang ◽  
...  
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Controlled Study ◽  
Power Training ◽  
Frail Older Adults ◽  
Frailty Status ◽  
Randomized Controlled ◽  
Community Dwelling Older Adults

AbstractTranslation of community-based functional training for older adults to reduce frailty is still lacking. We evaluated the effectiveness and implementation of a community-delivered group-based functional power training (FPT) program for frail older adults within their neighborhoods. A two-arm, multicenter assessor-blind stratified randomized controlled trial was conducted at four local senior activity centers in Singapore. Sixty-one community-dwelling older adults with low handgrip strength were randomized to intervention (IG) or control (CG) group. The IG underwent the FPT program (power and balance exercises using simple equipment) delivered by a community service provider. The 12-week program comprised 2 × 60 min sessions/week. CG continued usual activities at the centers. Functional performance, muscle strength, and frailty status were assessed at baseline and 3 months. Program implementation was evaluated using RE-AIM framework. The program was halted due to Coronavirus Disease 2019-related suspension of senior center activities. Results are reported from four centers, which completed the program. IG showed significantly greater improvement in the Short Physical Performance Battery test as compared to CG (p = 0.047). No effects were found for timed up and go test performance, muscle strength, and frailty status. The community program exhibited good reach, effectiveness, adoption, and implementation. Our study demonstrated that FPT was associated with greater improvement in physical function in pre-frail/frail participants as compared to exercise activities offered at local senior activity centers. It is a feasible intervention that can be successfully implemented for frail older adults in their neighborhoods. Trial registration ClinicalTrials.gov, NCT04438876. Registered 19 June 2020–retrospectively registered.

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