2026-04-13T01:05:48Zhttps://recercat.cat/oai/requestoai:recercat.cat:20.500.14342/46702025-05-15T19:20:45Zcom_2072_482405com_2072_183628col_2072_482409
RECERCAT
author
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
2025-05-15T19:20:44Z
2025-05-15T19:20:44Z
2022-11
http://hdl.handle.net/20.500.14342/4670
https://doi.org/10.1093/ageing/afac243
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.
eng
© L'autor/a Attribution-NonCommercial 4.0 International
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
info:eu-repo/semantics/article