Citation

Sadaqa M, Németh Z, Makai A, Prémusz V, Hock M. Front. Public Health 2023; 11: e1209319.

Copyright

(Copyright © 2023, Frontiers Editorial Office)

DOI

10.3389/fpubh.2023.1209319

PMID

37601180

PMCID

PMC10435089

Abstract

OBJECTIVE: To present a systematic review of randomized controlled trials which summarizes the effects of community-based resistance, balance, and multi-component exercise interventions on the parameters of functional ability (e.g., lower extremities muscle strength, balance performance and mobility).

METHODS: This PROSPERO-registered systematic review (registration no. CRD42023434808) followed the PRISMA guidelines. Literature search was conducted in Cochrane, Embase, Ovid Medline, PEDro, Pubmed, Science Direct, Scopus and Web of Science. We included RCTs that investigated the following interventions: lower extremity strengthening, balance and multi-component exercise interventions on ambulatory community-dwelling adults aged ≥65 years.

RESULTS: Lower extremity strengthening exercises revealed significant effects on the strength of lower extremity, balance outcomes and mobility. Balance exercises reduce the rate of injurious falls, improve static, dynamic and reactive balance, lower extremity strength as well as mobility. Multi-component exercise training reduces medically-attended injurious falls and fallers, incidence of falls, fall-related emergency department visits as well as improves mobility, balance, and lower extremity strength.

CONCLUSION: Physical exercises are effective in improving the components of balance, lower extremity strength, mobility, and reducing falls and fall-related injuries. Further research on fall prevention in low-income countries as well as for older adults in vulnerable context is needed.

Language: en

Keywords

Aged; Humans; older adults; Emergency Service, Hospital; Activities of Daily Living; exercise; balance; fall; *Accidental Falls/prevention & control; *Independent Living; Exercise Therapy; multi-component; strength