Effects of resistance bands exercise for frail older adults: A systematic review and meta‐analysis of randomised controlled studies

2021 ◽  
Author(s):  
Ita Daryanti Saragih ◽  
Ice Septriani Saragih ◽  
Sakti Oktaria Batubara ◽  
Ya‐Ping Yang ◽  
Chia‐Ju Lin
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Meta Analysis ◽  
Frail Older Adults ◽  
Resistance Bands ◽  
Randomised Controlled

scholarly journals Effects of Olympic Combat Sports on Older Adults’ Health Status: A Systematic Review

2021 ◽  
Vol 18 (14) ◽  
pp. 7381
Author(s):  
Pablo Valdés-Badilla ◽  
Tomás Herrera-Valenzuela ◽  
Rodrigo Ramirez-Campillo ◽  
Esteban Aedo-Muñoz ◽  
Eduardo Báez-San Martín ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Health Status ◽  
Web Of Science ◽  
Meta Analysis ◽  
Health Anxiety ◽  
Combat Sports ◽  
High Adherence ◽  
Randomised Controlled

The aim of this systematic review was to analyse the studies centered on the effects of Olympic combat sports (OCS [i.e., boxing, fencing, judo, karate, taekwondo, wrestling]) on older adults’ physical-functional, physiological, and psychoemotional health status. The review comprised randomised-controlled trials with OCS interventions, including older adults (>60 years), and measures of physical-functional, physiological, and/or psychoemotional health. The studies were searched through SCOPUS, PubMed/MEDLINE, Web of Science, PsycINFO, and EBSCO databases until 5 January 2021. The PRISMA-P and TESTEX scales were used to assess the quality of the selected studies. The protocol was registered in PROSPERO (code: CRD42020204034). Twelve OCS intervention studies were found (scored ≥60% for methodological quality), comprising 392 females and 343 males (mean age: 69.6 years), participating in boxing, judo, karate, and taekwondo. The qualitative analysis revealed that compared to controls, OCS training improved muscle strength, cardiorespiratory capacity, agility, balance, movement, attention, memory, mental health, anxiety, and stress tolerance. Meta-analysis was available only for the chair stand test, and an improvement was noted after OCS training compared to control. In conclusion, OCS interventions improves older adults’ physical-functional, physiological, and psychoemotional health. Our systematic review confirms that OCS training has high adherence (greater than 80%) in older adults.

scholarly journals Pulsed electromagnetic fields can prevent bone loss and improve balance function in older adults with primary osteoporosis: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Siyi Zhu ◽  
Yi Li ◽  
Liqiong Wang ◽  
Jinming Huang ◽  
Kangping Song ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Electromagnetic Fields ◽  
Meta Analysis ◽  
Primary Osteoporosis ◽  
Pulsed Electromagnetic Fields ◽  
Balance Function ◽  
Femur Neck ◽  
Pulsed Electromagnetic ◽  
Randomised Controlled

Question(s): What is the effectiveness of pulsed electromagnetic fields (PEMFs) for the management of primary osteoporosis in older adults? Design: Systematic review and meta-analysis of randomised or quasi-randomised controlled trial. Participants: Older adults aged over 50 years with primary osteoporosis. Intervention: PEMFs at extremely low frequencies. Outcome measures: Bone mass, number of incident fractures, functional assessments, and adverse events. Results: Eight trials including 396 participants met the inclusion criteria. Low certainty evidence showed that PEMFs was non-inferior to conventional pharmacological agents in preventing the decline of Bone Mineral Density (BMD) at the lumbar (MD 0.01; CI -0.04 to 0.06) and femur neck (MD 0.01; CI -0.02 to 0.04), and improving balance function measured by Berg Balance Scale (BBS) (MD 0.01; CI -0.09 to 0.11) and Timed Up and Go test (MD -0.04; CI -0.80 to 0.72), directly after intervention. The similar effects were observed in BMD and BBS at 12- and 24-weeks follow-up from baseline with moderate certainty evidence. Very low certainty evidence showed that PEMFs (versus exercise) had small but significant effect on BMD at the femur neck (MD 0.10; CI 0.01 to 0.20), and no effect on BMD at the lumbar (MD 0.15; CI -0.04 to 0.35). Conclusion: PEMFs had positive effects non-inferior to first-line treatment on BMD and balance function in older adults with primary osteoporosis, but with low to very low certainty evidence and short-term follow-ups. There is a need for high-quality randomised controlled trials evaluating PEMFs for the management of primary osteoporosis. Registration: PROSPERO CRD42018099518.

scholarly journals The impact of interventions on management of frailty in hospitalized frail older adults: a systematic review and meta-analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Zahra Rezaei-Shahsavarloo ◽  
Foroozan Atashzadeh-Shoorideh ◽  
Robbert J. J. Gobbens ◽  
Abbas Ebadi ◽  
Gholamreza Ghaedamini Harouni
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Patient Satisfaction ◽  
Older People ◽  
Meta Analysis ◽  
Clinical State ◽  
Frail Older Adults ◽  
Hospitalized Older Adults ◽  
The Impact

Abstract Background One of the most challenging issues for the elderly population is the clinical state of frailty. Frailty is defined as a cumulative decline across psychological, physical, and social functioning. Hospitalization is one of the most stressful events for older people who are becoming frail. The aim of the present study was to determine the effectiveness of interventions focused on management of frailty in hospitalized frail older adults. Methods A systematic review and meta-analysis of research was conducted using the Medline, Embase, Cochrane, ProQuest, CINAHL, SCOPUS and Web of Science electronic databases for papers published between 2000 and 2019. Randomized controlled studies were included that were aimed at the management of frailty in hospitalized older adults. The outcomes which were examined included frailty; physical, psychological, and social domains; length of stay in hospital; re-hospitalization; mortality; patient satisfaction; and the need for post discharge placement. Results After screening 7976 records and 243 full-text articles, seven studies (3 interventions) were included, involving 1009 hospitalized older patients. The quality of these studies was fair to poor and the risk of publication bias in the studies was low. Meta-analysis of the studies showed statistically significant differences between the intervention and control groups for the management of frailty in hospitalized older adults (ES = 0.35; 95% CI: 0. 067–0.632; z = 2.43; P < 0.015). However, none of the included studies evaluated social status, only a few of the studies evaluated other secondary outcomes. The analysis also showed that a Comprehensive Geriatric Assessment unit intervention was effective in addressing physical and psychological frailty, re-hospitalization, mortality, and patient satisfaction. Conclusions Interventions for hospitalized frail older adults are effective in management of frailty. Multidimensional interventions conducted by a multidisciplinary specialist team in geriatric settings are likely to be effective in the care of hospitalized frail elderly. Due to the low number of RCTs carried out in a hospital setting and the low quality of existing studies, there is a need for new RCTs to be carried out to generate a protocol appropriate for frail older people.

scholarly journals The health impacts of preventive cardiovascular medication reduction on older populations: protocol for a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Rik S. van der Veen ◽  
Joseph J. Lee ◽  
Richard J. McManus ◽  
Richard F. D. Hobbs ◽  
Kamal R. Mahtani ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Older Adults ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Safety And Efficacy ◽  
Cardiovascular Medication ◽  
Randomised Controlled ◽  
Older Populations

Abstract Background Polypharmacy is inevitable and appropriate for many conditions, but in some cases, it can be problematic resulting in an increased risk of harm and reduced quality of life. There has been an increasing interest to reduce cardioprotective medications in older adults to potentially reduce the risk of harm due to treatment; however, there is no evidence on safety and efficacy to support this practice currently. This paper describes a protocol for a systematic review on the safety and efficacy of reducing cardioprotective medication in older populations. Methods MEDLINE (PubMed), Embase (Ovid), and CENTRAL (Cochrane Central Register of Controlled Trials) will be searched from their inception onwards for relevant studies. Randomised controlled trials and non-randomised studies on interventions (prospective, retrospective cohort, case-control) conducted in older adults (75 years or older) examining reduction of cardioprotective medications will be included. The primary outcome of this study will be all-cause hospitalisation. Secondary outcome variables of interest are all-cause hospitalisation, mortality, quality of life, serious adverse events, major adverse cardiovascular events, falls, fractures, cognitive functioning, bleeding events, renal functioning, medication burden, drug reinstatement, time-in-hospital, and frailty status. Two reviewers will independently screen all citations, full-text articles, and extract data. Confidence in cumulative evidence will be assessed using the GRADE approach; the risk of bias will be assessed by the RoB-II tool for randomised controlled studies and ROBINS-I for non-randomised studies. Where sufficient data are available, we will conduct a random effects meta-analysis by combining the outcomes of the included studies. Sub-group analysis and meta-regression are planned to assess the potential harms and risks of different drug classes and the impacts in different patient populations (e.g. sex, cognitive status, renal status, and age). Discussion The study will be a comprehensive review on all published articles identified using our search strategy on the safety and efficacy of cardioprotective medication reduction in the older population. The findings will be crucial to inform clinicians on potential health outcomes of reducing cardiovascular medication in the elderly. Systematic review registration PROSPERO CRD42020208223

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