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Registry of Systematic Reviews - Search Results

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1. Citation: Beauchamp, M. K., Lee, A., Wards, R. F., Harrison, S. M., Bain, P. A., Goldstein, R. S., . . . Jette, A. M. (2017). Do exercise interventions improve participation in life roles in older adults? A systematic review and meta-analysis. Physical Therapy, 97(10) 964-974.
Keywords: Community integration, exercise, intervention, literature reviews, older adults, outcomes, physical therapy
Abstract: This systematic review evaluated the effect of physical exercise interventions on participation in life roles in older adults residing in the community. The PubMed, Embase, CINAHL, Cochrane, and PEDro databases were searched from inception through March 2015 for randomized controlled trials comparing the effects of an exercise intervention to usual care on participation in life roles in adults who were 60 years of age or older. Teams of 2 investigators independently extracted data on participation. Methodological quality was appraised using the Cochrane tool for assessing the risk of bias. Eighteen randomized controlled trials with a total of 2,315 participants met the inclusion criteria. Standardized mean differences (SMDs) with 95-percent confidence intervals (95%CIs) were calculated using a random-effects model. A meta-analysis of 16 studies showed no overall effect of the exercise interventions on participation (SMD = 0.03; 95%CIs = −0.10 to 0.16). Subgroup analysis showed that exercise interventions lasting 12 months or more had a small positive effect on participation (SMD = 0.15; 95%CIs = 0.02 to 0.28). In general, exercise interventions do not improve participation in life roles in older adults. The results do not support the implicit assumption that exercise-based interventions associated with improved function/activity also result in improved participation. Investigation of complex interventions that go beyond exercise to address participation in life roles for older adults is warranted.
Plain Language Summary:

Plain Language Title

Do physical body, bodily, real exercise programs help older adults participate take part, join, share in life roles? A systematic planned out, orderly, regular review go over, check and meta-analysis

Review go over, check Question

Do physical body, bodily, real exercise programs help older adults participate take part, join, share in life roles? Examples of participation include taking care of others and visiting with friends.

Background

The World Health Organization recognizes that a key part of health is the ability skill, are able, can to take part in meaningful life roles, such as the role of a caregiver or a friend. As people age, they often have a harder time participating in these roles. The aim of this systematic planned out, orderly, regular review go over, check is to evaluate the effect result, cause of physical body, bodily, real exercise interventions on participation in life roles in older adults. The review go over, check also seeks to understand know, to get which types of exercise programs are most effective works well, good, strong and whether various research methods lead to different conclusions about the effectiveness of such programs.

Search Date

The review go over, check includes studies published through March 2015.

Study Characteristics

The review go over, check includes only randomized controlled trials (RCTs), which are considered the highest standard of evidence. Studies had to compare the effects of an exercise intervention care to a typical care regimen diet, plan, program for adults aged 60 years or older. An exercise intervention care is any planned activity or series of movements undertaken to increase add to, raise fitness or health. Eighteen studies with a total of 2,315 participants met the inclusion requirements. needs, regulations

NIDILRR Affiliation

90AR5012 (formerly H133P120001): Post-Doctoral Training in Rehabilitation Outcomes Measurement Research

Key Results

In general, exercise interventions do not have a significant big, serious, important impact on participation for older adults. Participation may improve slightly after long-term for a long time, over a long period of time interventions, which last for at least one year. Most of the interventions focused on physical body, bodily, real activities such as balance, walking, and strength. The authors conclude end, finish, judge, deem, that if the goal of a program is to improve participation, then practitioners should probably tailor the program to address specific aspects of participation.

Use of Statistics

The review go over, check used a standard statistical approach to meta-analysis to combine evidence from multiple studies.

Quality of Evidence

The quality of the evidence is high overall, as the review go over, check includes only RCTs (the highest standard of evidence). Few studies had a high risk chance of bias. The main limitation of the review go over, check is that included studies did not use a consistent stays the same definition of participation.

Full-Text Availability Options:https://www.ncbi.nlm.nih.gov/pubmed/29029557
NIDILRR Affiliation:Post-Doctoral Training in Rehabilitation Outcomes Measurement Research
Record Updated:2022-03-21
 

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