Home-based exercise programmes improve physical fitness of healthy older adults: A PRISMA-compliant systematic review and meta-analysis with relevance for COVID-19

被引:95
作者
Chaabene, H. [1 ]
Prieske, O. [2 ]
Herz, M. [1 ]
Moran, J. [3 ]
Hoehne, J. [1 ]
Kliegl, R. [1 ]
Ramirez-Campillo, R. [4 ]
Behm, D. G. [5 ]
Hortobagyi, T. [6 ]
Granacher, U. [1 ]
机构
[1] Univ Potsdam, Div Training & Movement Sci, Neuen Palais 10, D-14469 Potsdam, Germany
[2] Univ Appl Sci Sport & Management Potsdam, Div Exercise & Movement, Luftschiffhafen 1, D-14471 Potsdam, Germany
[3] Univ Essex, Sch Sport Rehabil & Exercise Sci, Colchester, Essex, England
[4] Univ Mayor, Fac Ciencias, Ctr Invest Fisiol Ejercicio, Santiago, Chile
[5] Mem Univ Newfoundland, Sch Human Kinet & Recreat, St John, NF, Canada
[6] Univ Groningen, Univ Med Ctr Groningen, Ctr Human Movement Sci, Groningen, Netherlands
关键词
Intervention effectiveness; Physical activity; Training; Elderly people; Evidence-based review; BALANCE PERFORMANCE; SITTING TIME; STRENGTH; INTERVENTIONS; MOBILITY; SENIORS; FRAILTY; WOMEN; SPEED;
D O I
10.1016/j.arr.2021.101265
中图分类号
Q2 [细胞生物学];
学科分类号
071013 [干细胞生物学];
摘要
This systematic review and meta-analysis aimed to examine the effects of home-based exercise programmes on measures of physical-fitness in healthy older adults. Seventeen randomized-controlled trials were included with a total of 1,477 participants. Results indicated small effects of home-based training on muscle strength (betweenstudy standardised-mean-difference [SMD] = 0.30), muscle power (SMD = 0.43), muscular endurance (SMD = 0.28), and balance (SMD = 0.28). We found no statistically significant effects for single-mode strength vs. multimodal training (e.g., combined balance, strength, and flexibility exercises) on measures of muscle strength and balance. Single-mode strength training had moderate effects on muscle strength (SMD = 0.51) and balance (SMD = 0.65) while multimodal training had no statistically significant effects on muscle strength and balance. Irrespective of the training type, 3 weekly sessions produced larger effects on muscle strength (SMD = 0.45) and balance (SMD = 0.37) compared with <3 weekly sessions (muscle strength: SMD = 0.28; balance: SMD = 0.24). For session-duration, only <30 min per-session produced small effects on muscle strength (SMD = 0.35) and balance (SMD = 0.34). No statistically significant differences were observed between all independentlycomputed single-training factors. Home-based exercise appears effective to improve components of health- (i. e., muscle strength and muscular endurance) and skill-related (i.e., muscle power, balance) physical-fitness. Therefore, in times of restricted physical activity due to pandemics, home-based exercises constitute an alternative to counteract physical inactivity and preserve/improve the health and fitness of healthy older adults aged 65-to-83 years.
引用
收藏
页数:12
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