2026-04-13T16:50:47Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.14342/46702025-05-15T19:20:45Zcom_2072_482405com_2072_183628col_2072_482409

00925njm 22002777a 4500 dc Solis-Navarro, Lilian author Gismero Serra, Aina author Fernández Jané, Carles author Torres Castro, Rodrigo author Solà-Madurell, Mireia author Bergé, Clara author Mónica Pérez, Laura author Ars , Joan author Martín-Borràs, Carme author Vilaro, Jordi author Sitjà-Rabert, Mercè author 2022-11 Background 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. Design systematic review and meta-analysis. Participants community-dwelling older adults over 65 years. Intervention exercises at home through DHI. Outcomes measures physical function, HRQoL and falls. Results 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). Conclusion 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. http://hdl.handle.net/20.500.14342/4670 https://doi.org/10.1093/ageing/afac243 Exercici a casa Exercici per a persones grans Intervenció digital en salut Condició física Ressenyes sistemàtiques (Investigació mèdica) Persones grans Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis