TY - JOUR
PY - 2022//
TI - Impact of physical activity programs and services for older adults: a rapid review
JO - International journal of behavioral nutrition and physical activity
A1 - Pinheiro, Marina B.
A1 - Oliveira, Juliana S.
A1 - Baldwin, Jennifer N.
A1 - Hassett, Leanne
A1 - Costa, Nathalia
A1 - Gilchrist, Heidi
A1 - Wang, Belinda
A1 - Kwok, Wing
A1 - Albuquerque, Bruna S.
A1 - Pivotto, Luiza R.
A1 - Carvalho-Silva, Ana Paula M. C.
A1 - Sharma, Sweekriti
A1 - Gilbert, Steven
A1 - Bauman, Adrian
A1 - Bull, Fiona C.
A1 - Willumsen, Juana
A1 - Sherrington, Catherine
A1 - Tiedemann, Anne
SP - 87
EP - 87
VL - 19
IS - 1
N2 - BACKGROUND: Knowledge of which physical activity programs are most effective for older adults in different sub-populations and contexts is limited. The objectives of this rapid review were to: 1) Overview evidence evaluating physical activity programs/services for older adults; and 2) Describe impact on physical activity, falls, intrinsic capacity (physical domain), functional ability (physical, social, and cognitive/emotional domains), and quality of life.
METHODS: We conducted a rapid review of primary studies from 350 systematic reviews identified in a previous scoping review (March 2021: PEDro, MEDLINE, CINAHL, Cochrane Database). For Objective 1, we included intervention studies investigating physical activity programs/services in adults ≥ 60 years. Of these, we included good quality (≥ 6/10 PEDro scale) randomised controlled trials (RCTs) with ≥ 50 participants per group in Objective 2.
RESULTS: Objective 1: Of the 1421 intervention studies identified from 8267 records, 79% were RCTs, 87% were in high income countries and 39% were good quality.
OBJECTIVE 2: We identified 87 large, good quality RCTs (26,861 participants). Overall activity promotion, structured exercise and recreation/sport had positive impacts (≥ 50% between-group comparisons positive) across all outcome domains. For overall activity promotion (21 intervention groups), greatest impacts were on physical activity (100% positive) and social outcomes (83% positive). Structured exercise (61 intervention groups) had particularly strong impacts on falls (91% positive), intrinsic capacity (67% positive) and physical functioning (77% positive). Recreation/sport (24 intervention groups) had particularly strong impacts on cognitive/emotional functioning (88% positive). Multicomponent exercise (39 intervention groups) had strong impacts across all outcomes, particularly physical activity (95% positive), falls (90% positive) and physical functioning (81% positive).
RESULTS for different populations and settings are presented.
CONCLUSION: Evidence supporting physical activity for older adults is positive. We outline which activity types are most effective in different populations and settings.
Language: en
LA - en SN - 1479-5868 UR - http://dx.doi.org/10.1186/s12966-022-01318-9 ID - ref1 ER -