Do home-based exercise interventions improve outcomes for frail older people? Findings from a systematic review
Open accessAbstract
BACKGROUND: Frailty is common in older age, and is associated with important adverse health outcomes including increased risk of disability and long-term care admission. OBJECTIVES: To evaluate whether home-based exercise interventions improve outcomes for frail older people. DATA SOURCES: We searched systematically for randomised controlled trials (RCTs) and cluster RCTs, with literature searching to February 2010. STUDY SELECTION: All trials that evaluated home-based exercise interventions for frail older people were eligible. Primary outcomes were mobility, quality of life and daily living activities. Secondary outcomes included long-term care admission and hospitalisation. RESULTS: Six RCTs involving 987 participants met the inclusion criteria. Four trials were considered of high quality. One high quality trial reported improved disability in those with moderate but not severe frailty. Meta-analysis of long-term care admission rates identified a trend towards reduced risk. Inconsistent effects on other primary and secondary outcomes were reported in the other studies. CONCLUSIONS: There is preliminary evidence that home-based exercise interventions may improve disability in older people with moderate, but not severe, frailty. There is considerable uncertainty regarding effects on important outcomes including quality of life and long-term care admission. Home-based exercises are a potentially simple, safe and widely applicable intervention to prevent dependency decline for frail older people.
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Systematic reviews find strong evidence for positive effects of exercising on both mental and physical health outcomes for older people.
“Systematic reviews find strong evidence for positive effects of exercising on both mental and physical health outcomes for older people (Forbes et al., 2008;Clegg et al., 2012).”
From The relationship between physical and mental health: A mediation analysis (2017) · cites this paper as Clegg et al., 2012
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- Authors
- Clegg, A. P., Barber, S. E., Young, J. B., Forster, A., & Iliffe, S. J.
- Affiliations
- Bradford Teaching Hospitals NHS Foundation Trust (GB)
- University College London (GB)
- Corresponding author
- Clegg, Andrew P
- Venue
- Reviews in Clinical Gerontology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2011-08-24
- Volume
- 22
- Issue
- 1
- Pages
- 68-78
- ISSN
- 0959-2598 (ISSN-L)
- 1469-9036
- PMC
- PMC4876907
- OpenAlex
- W2081662307
- Cited by
- 99
- References
- 27
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 11 · 2023: 10 · 2022: 7 · 2021: 11 · 2020: 12 · 2019: 10 · 2018: 8 · 2017: 8 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 3
- FWCI
- 0.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Reviews in Clinical Gerontology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Keywords
- frailty, older adults, home-based exercise, exercise intervention, mobility (physical function), disability, long-term care admission, quality of life, activities of daily living, hospitalization
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