Departmentof Physical Therapy, Facultat Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
Global Research on Wellbeing (GRoW), Facultat Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
Age Ageing. 2022 Nov 2;51(11). doi: 10.1093/ageing/afac243.
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.
定期进行身体锻炼对于维持或改善老年人的身体功能至关重要。多种疾病、功能受限、社会障碍以及当前的 2019 年冠状病毒病等因素，增加了对家庭为基础的锻炼（HBE）计划和数字健康干预（DHI）的需求。我们的目的是评估通过 DHI 实施的 HBE 计划对老年人身体功能、健康相关生活质量（HRQoL）改善和减少跌倒的效果。
系统综述和荟萃分析。
年龄在 65 岁以上的社区居住老年人。
通过 DHI 在家中进行锻炼。
身体功能、HRQoL 和跌倒。
符合纳入标准的有 26 项研究，共纳入 5133 名参与者（年龄范围 69.5±4.0-83.0±6.7）。通过 DHI 实施的 HBE 计划可改善肌肉力量（5 次从座位站起测试，-0.56 秒，95%置信区间，CI -1.00 至 -0.11；P=0.01）、功能能力（巴氏指数，5.01 分，95% CI 0.24-9.79；P=0.04）和 HRQoL（SMD 0.18；95% CI 0.05-0.30；P=0.004）；并减少跌倒事件（比值比，OR 0.77，95% CI 0.64-0.93；P=0.008）。此外，在亚组分析中，患有疾病的老年人移动能力（SMD -0.23；95% CI -0.45 至 -0.01；P=0.04）和平衡能力（SMD 0.28；95% CI 0.09-0.48；P=0.004）得到改善。
通过 DHI 实施的 HBE 计划可改善下肢力量和功能能力等身体功能，还能显著减少跌倒次数并提高 HRQoL。此外，在仅分析患有疾病的老年人时，还能改善平衡和移动能力。
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