Effectiveness of home-based exercise delivered by digital health in older adults : a systematic review and meta-analysis
Solis-Navarro, Lilian (Universitat Ramon Llull)
Gismero, Aina (Universitat Ramon Llull)
Fernández-Jané, Carles (Universitat Ramon Llull)
Torres-Castro, Rodrigo (Hospital Clínic i Provincial de Barcelona)
Solá-Madurell, Mireia (Associació de Dones no Estàndards)
Bergé, Clara (Universitat Pompeu Fabra)
Pérez, Laura Mónica (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Ars, Joan (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Martín-Borràs, Carme (Universitat Ramon Llull)
Vilaró, Jordi (Universitat Ramon Llull)
Sitjà-Rabert, Mercè (Universitat Ramon Llull)
Universitat Autònoma de Barcelona

Date:	2022
Abstract:	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. systematic review and meta-analysis. community-dwelling older adults over 65 years. exercises at home through DHI. physical function, HRQoL and falls. 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). 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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Home-based exercise ; Older adults ; Digital health intervention ; Physical function ; Systematic review ; Older people
Published in:	Age and Ageing, Vol. 51 (november 2022) , ISSN 1468-2834

DOI: 10.1093/ageing/afac243
PMID: 36346736

10 p, 1.5 MB

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