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Meta-Analysis
. 2017 Oct 1;97(10):964-974.
doi: 10.1093/ptj/pzx082.

Do Exercise Interventions Improve Participation in Life Roles in Older Adults? A Systematic Review and Meta-Analysis

Marla K Beauchamp  1   2 , Annemarie Lee  2 , Rachel F Ward  3   4 , Samantha L Harrison  5 , Paul A Bain  6 , Roger S Goldstein  2   7 , Dina Brooks  2   7 , Jonathan F Bean  3   4 , Alan M Jette  8
Affiliations
Meta-Analysis

Do Exercise Interventions Improve Participation in Life Roles in Older Adults? A Systematic Review and Meta-Analysis

Marla K Beauchamp et al. Phys Ther. .

Erratum in

Abstract

Background: The World Health Organization recognizes participation in meaningful life roles as a key component of health. However, the evidence base for interventions to improve participation remains inconclusive. In particular, whether exercise interventions improve participation in life roles is unclear.

Purpose: The aim of this review was to evaluate the effect of physical exercise interventions on participation in life roles in older adults residing in the community.

Data sources: The PubMed, Embase, CINAHL, Cochrane, and PEDro databases were searched from inception through March 2015.

Study selection: 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 were included in this review.

Data extraction: Teams of 2 investigators independently extracted data on participation. Methodological quality was appraised using the Cochrane tool for assessing the risk of bias. The protocol was registered with Prospero (CRD42014014880).

Data synthesis: Eighteen randomized controlled trials with a total of 2,315 participants met the inclusion criteria. Standardized mean differences (SMDs) with 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% CI = -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% CI = 0.02 to 0.28).

Limitations: Limitations included variability in definitions and measures of participation.

Conclusions: 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.

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Figures

Figure 1.
Figure 1.
Flow diagram illustrating selection process for included studies. RCT = randomized controlled trial.
Figure 2.
Figure 2.
Overall effect of exercise interventions on participation. Squares represent the point estimate. The size of a square is determined by how much weight the study contributes to the pooled effect estimate (diamond).
Figure 3.
Figure 3.
Effect of long-duration (≥12-month) exercise interventions on participation. Squares represent the point estimate. The size of a square is determined by how much weight the study contributes to the pooled effect estimate (diamond).
Figure 4.
Figure 4.
Effect of exercise interventions on the Late-Life Disability Instrument limitation scale. Squares represent the point estimate. The size of the square is determined by how much weight the study contributes to the pooled effect estimate (diamond).
See this image and copyright information in PMC

References

    1. International Classification of Functioning, Disability, and Health: ICF. neva, Switzerland: World Health Organization; 2001.
    1. Glass TA, de Leon CM, Marottoli RA, Berkman LF. Population based study of social and productive activities as predictors of survival among elderly Americans. BMJ 1999;319(7208):478–483. - PMC - PubMed
    1. Beauchamp MK, Bean JF, Ward RE, Kurlinski LA, Latham NK, Jette AM. How should disability be measured in older adults? An analysis from the Boston Rehabilitative Impairment Study of the Elderly. J Am Geriatr Soc 2015;63(6):1187–1191. - PMC - PubMed
    1. Wilkie R, Peat G, Thomas E, Croft P. The prevalence of person-perceived participation restriction in community-dwelling older adults. Qual Life Res 2006;15(9):1471–1479. - PubMed
    1. Hammel J, Magasi S, Heinemann A, Whiteneck G, Bogner J, Rodriguez E. What does participation mean? An insider perspective from people with disabilities. Disabil Rehabil 2008;30(19):1445–1460. - PubMed