Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review
Objectives: The study aimed to carry out a systematic review and meta-analysis to explore the effects of multicomponent exercise on frailty status and physical function in frail older adults. Design: A systematic review and meta-analysis. Setting and participants: Older adults aged ≥60 years diagnos...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-11-01
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| Series: | Experimental Gerontology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S053155652400250X |
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| author | Xinyu Yang Shasha Li Lingfen Xu Haibing Liu Yue Li Xiaofang Song Jianyi Bao Shufang Liao Yingxue Xi Guojing Guo |
| author_facet | Xinyu Yang Shasha Li Lingfen Xu Haibing Liu Yue Li Xiaofang Song Jianyi Bao Shufang Liao Yingxue Xi Guojing Guo |
| author_sort | Xinyu Yang |
| collection | DOAJ |
| description | Objectives: The study aimed to carry out a systematic review and meta-analysis to explore the effects of multicomponent exercise on frailty status and physical function in frail older adults. Design: A systematic review and meta-analysis. Setting and participants: Older adults aged ≥60 years diagnosed with frailty using the Frailty Assessment Tool. Methods: PubMed, EMBASE, Web of Science, Cochrane Library, CNKI, and Wanfang were searched from inception to March 10, 2024. Two reviewers independently screened and selected the publications, extracted the data, and assessed risk of bias. This study included randomized controlled trials and quasi-experimental designs. Review Manager 5.4 was used for data analysis. Results: Twenty-eight randomized controlled trials with 4857 older adults were included. Multicomponent exercise significantly improved frailty status (SMD = −1.40, 95 % CI:−2.05 to −0.75, P < .05) and had a significant impact on physical function (muscle strength: SMD = 0.31, 95 % CI: 0.01–0.61, P < .05; gait speed: SMD = 0.27, 95 % CI: 0.02–0.52, P < .001; balance: SMD = 0.27, 95 % CI: 0.05–0.49, P = .02; Short Physical Performance Battery [SPPB]: SMD = 1.03, 95 % CI: 0.65–1.42, P < .001; and Timed Up and Go [TUG]: SMD = −3.05, 95 % CI: −3.90 to −2.19, P < .001). Subgroup analysis suggested that a 12-week duration is optimal for multicomponent exercise interventions, demonstrating significantly greater effectiveness in hospital compared with out-of-hospital. Conclusions: Multicomponent exercise intervention can improve frailty status in older adults and promote enhancement of physical functional abilities (muscle strength, gait speed, balance, SPPB, and TUG). Therefore, a possible protective effect of multicomponent exercise in frailty older adults is suggested. |
| format | Article |
| id | doaj-art-e7ddbf00b76e433b830337268d52254c |
| institution | OA Journals |
| issn | 1873-6815 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Experimental Gerontology |
| spelling | doaj-art-e7ddbf00b76e433b830337268d52254c2025-08-20T02:09:47ZengElsevierExperimental Gerontology1873-68152024-11-0119711260410.1016/j.exger.2024.112604Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic reviewXinyu Yang0Shasha Li1Lingfen Xu2Haibing Liu3Yue Li4Xiaofang Song5Jianyi Bao6Shufang Liao7Yingxue Xi8Guojing Guo9Department of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, ChinaDepartment of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, China; Corresponding author.Department of Nursing, Huzhou Central Hospital, 1558 Sanhuan North Road, Wuxing District, Huzhou, Zhejiang 313000, ChinaRehabilitation medicine department, The First People's Hospital of Huzhou, No.158, Back Square Road, Wuxing District, Huzhou, Zhejiang 313000, ChinaDepartment of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, ChinaDepartment of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, ChinaDepartment of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, ChinaDepartment of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, ChinaDepartment of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, ChinaDepartment of Nursing, College of Medical Science, Huzhou University, 759 Second Ring Road, Huzhou District, Zhejiang 313000, ChinaObjectives: The study aimed to carry out a systematic review and meta-analysis to explore the effects of multicomponent exercise on frailty status and physical function in frail older adults. Design: A systematic review and meta-analysis. Setting and participants: Older adults aged ≥60 years diagnosed with frailty using the Frailty Assessment Tool. Methods: PubMed, EMBASE, Web of Science, Cochrane Library, CNKI, and Wanfang were searched from inception to March 10, 2024. Two reviewers independently screened and selected the publications, extracted the data, and assessed risk of bias. This study included randomized controlled trials and quasi-experimental designs. Review Manager 5.4 was used for data analysis. Results: Twenty-eight randomized controlled trials with 4857 older adults were included. Multicomponent exercise significantly improved frailty status (SMD = −1.40, 95 % CI:−2.05 to −0.75, P < .05) and had a significant impact on physical function (muscle strength: SMD = 0.31, 95 % CI: 0.01–0.61, P < .05; gait speed: SMD = 0.27, 95 % CI: 0.02–0.52, P < .001; balance: SMD = 0.27, 95 % CI: 0.05–0.49, P = .02; Short Physical Performance Battery [SPPB]: SMD = 1.03, 95 % CI: 0.65–1.42, P < .001; and Timed Up and Go [TUG]: SMD = −3.05, 95 % CI: −3.90 to −2.19, P < .001). Subgroup analysis suggested that a 12-week duration is optimal for multicomponent exercise interventions, demonstrating significantly greater effectiveness in hospital compared with out-of-hospital. Conclusions: Multicomponent exercise intervention can improve frailty status in older adults and promote enhancement of physical functional abilities (muscle strength, gait speed, balance, SPPB, and TUG). Therefore, a possible protective effect of multicomponent exercise in frailty older adults is suggested.http://www.sciencedirect.com/science/article/pii/S053155652400250XFrailtyOlder adultsMulticomponent exercisePhysical functionmeta-analysis |
| spellingShingle | Xinyu Yang Shasha Li Lingfen Xu Haibing Liu Yue Li Xiaofang Song Jianyi Bao Shufang Liao Yingxue Xi Guojing Guo Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review Experimental Gerontology Frailty Older adults Multicomponent exercise Physical function meta-analysis |
| title | Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review |
| title_full | Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review |
| title_fullStr | Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review |
| title_full_unstemmed | Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review |
| title_short | Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review |
| title_sort | effects of multicomponent exercise on frailty status and physical function in frail older adults a meta analysis and systematic review |
| topic | Frailty Older adults Multicomponent exercise Physical function meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S053155652400250X |
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