b4134036848d59e50c56f36981a8647b pmc_9642810.pdf 5d56125c681c0472cf1a9764d33d70b30242bdd8 pmc_9642810.pdf faf9e4701f1889d0214fd8fdba318013bd864b5cc9528a31e3f92d73272f2841 pmc_9642810.pdf Title: Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis Subject: DOI: 10.1093/ageing/afac243, Age and Ageing, 51, 00, 19 1 2022. Abstract: 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. Keywords: Author: Creator: LaTeX with hyperref package Producer: Acrobat Distiller 22.0 (Windows) CreationDate: Fri Nov 4 10:18:04 2022 CET ModDate: Fri Nov 4 10:18:04 2022 CET Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 10 Encrypted: no Page size: 612.332 x 790.759 pts Page rot: 0 File size: 1603484 bytes Optimized: yes PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- NDFHMJ+GillSansStd-Bold Type 1C Custom yes yes yes 2768 0 NDFHNJ+GillSansStd-LightItalic Type 1C Custom yes yes yes 2752 0 NDFHNK+GillSansStd-Light Type 1C Custom yes yes yes 2753 0 NDFHOL+AGaramondPro-Regular Type 1C Custom yes yes yes 2769 0 NDFHOM+GillSansMTStd-Light Type 1C Custom yes yes yes 2754 0 NDFICL+MTSYN Type 1C Custom yes yes yes 2770 0 NDFIDM+AGaramondPro-Bold Type 1C Custom yes yes yes 2771 0 NDFIHL+AGaramondPro-Italic Type 1C Custom yes yes yes 2772 0 NDFIOK+GillSansStd-BoldItalic Type 1C Custom yes yes yes 92 0 NDFJPE+MTMI Type 1C Custom yes yes yes 10 0 NDFOEL+GillSansMTStd-MediumItalic Type 1C Custom yes yes yes 94 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-07-04 02:30:44 CEST RepresentationInformation: pmc_9642810.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2022-12-15 02:14:25 CET Size: 1603484 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Linearized PDF, Tagged PDF PDFMetadata: Objects: 2803 FreeObjects: 1 IncrementalUpdates: 1 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: en Outlines: Item: Title: Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@11758f2a Children: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@e720b71 Item: Title: Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1b26f7b2 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@491cc5c9 Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@74ad1f1f Item: Title: Conclusion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@6a1aab78 Item: Title: 6 Supplementary Data: Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@462d5aee Item: Title: 7 Declaration of Conflicts of Interest: Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@69b0fd6f Item: Title: 8 Declaration of Sources of Funding: Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@757942a1 Info: Title: Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis Author: Subject: DOI: 10.1093/ageing/afac243, Age and Ageing, 51, 00, 19 1 2022. Abstract: 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. Keywords: Creator: LaTeX with hyperref package Producer: Acrobat Distiller 22.0 (Windows) CreationDate: Fri Nov 04 10:48:04 CET 2022 ModDate: Fri Nov 04 10:48:04 CET 2022 ID: 0x1f1756bd3b3a48f18dd8ba8e8fc7a4ac, 0xbecea0c058939d59136331febe55b630 Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: NDFHMJ+GillSansStd-Bold FontSubset: true FirstChar: 2 LastChar: 121 FontDescriptor: FontName: NDFHMJ+GillSansStd-Bold Flags: Symbolic, ForceBold FontBBox: -177, -250, 1167, 929 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFHNJ+GillSansStd-LightItalic FontSubset: true FirstChar: 65 LastChar: 110 FontDescriptor: FontName: NDFHNJ+GillSansStd-LightItalic Flags: Symbolic, Italic FontBBox: -205, -250, 1051, 894 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFHNK+GillSansStd-Light FontSubset: true FirstChar: 38 LastChar: 243 FontDescriptor: FontName: NDFHNK+GillSansStd-Light Flags: Symbolic FontBBox: -215, -250, 1036, 897 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFHOL+AGaramondPro-Regular FontSubset: true FirstChar: 2 LastChar: 243 FontDescriptor: FontName: NDFHOL+AGaramondPro-Regular Flags: Serif, Symbolic FontBBox: -183, -354, 1356, 917 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFICL+MTSYN FontSubset: true FirstChar: 43 LastChar: 183 FontDescriptor: FontName: NDFICL+MTSYN Flags: Symbolic FontBBox: 0, -954, 1043, 900 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFHOM+GillSansMTStd-Light FontSubset: true FirstChar: 2 LastChar: 86 FontDescriptor: FontName: NDFHOM+GillSansMTStd-Light Flags: Symbolic FontBBox: -215, -232, 1036, 937 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFIDM+AGaramondPro-Bold FontSubset: true FirstChar: 46 LastChar: 148 FontDescriptor: FontName: NDFIDM+AGaramondPro-Bold Flags: Serif, Symbolic, ForceBold FontBBox: -158, -302, 1147, 899 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFIHL+AGaramondPro-Italic FontSubset: true FirstChar: 46 LastChar: 116 FontDescriptor: FontName: NDFIHL+AGaramondPro-Italic Flags: Serif, Symbolic, Italic FontBBox: -182, -338, 1668, 917 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFJPE+MTMI FontSubset: true FirstChar: 60 LastChar: 62 FontDescriptor: FontName: NDFJPE+MTMI Flags: Serif, Symbolic, Italic FontBBox: 0, -213, 987, 680 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFIOK+GillSansStd-BoldItalic FontSubset: true FirstChar: 46 LastChar: 116 FontDescriptor: FontName: NDFIOK+GillSansStd-BoldItalic Flags: Symbolic, Italic, ForceBold FontBBox: -190, -250, 1074, 915 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true Font: BaseFont: NDFOEL+GillSansMTStd-MediumItalic FontSubset: true FirstChar: 65 LastChar: 121 FontDescriptor: FontName: NDFOEL+GillSansMTStd-MediumItalic Flags: Symbolic, Italic FontBBox: -201, -233, 1009, 931 FontFile3: true EncodingDictionary: Differences: true ToUnicode: true XMP: application/pdf Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis Solis-Navarro LilianGismero AinaFernández-Jané CarlesTorres-Castro RodrigoSolá-Madurell MireiaBergé ClaraPérez Laura MónicaArs JoanMartín-Borràs CarmeVilaró JordiSitjà-Rabert Mercè DOI: 10.1093/ageing/afac243, Age and Ageing, 51, 00, 19 1 2022. Abstract: 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. Home-based exerciseolder adultsdigital health interventionphysical functionsystematic reviewolder people © The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. 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