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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.
Full-Text Availability Options:https://www.ncbi.nlm.nih.gov/pubmed/29029557
NIDILRR Affiliation:Post-Doctoral Training in Rehabilitation Outcomes Measurement Research
Record Updated:2018-10-24
 

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