European Review of Aging and Physical Activity最新文献

{"title":"Effects of balance physical therapy with or without cognitive training in adults with cognitive and balance impairments : a systematic review.","authors":"Gulnaz Magauina, Michalis Tsoukatos, Christos Nikitas, Sofia Papadopoulou, Dimitris Kikidis, Nattawan Utoomprurkporn, Patcharaorn Limkitisupasin, Doris-Eva Bamiou","doi":"10.1186/s11556-025-00383-w","DOIUrl":"10.1186/s11556-025-00383-w","url":null,"abstract":"<p><strong>Background: </strong>Cognitive impairments, including MCI and dementia, significantly heighten fall risk due to motor dysfunction and balance deficits. Although physical activity is essential for dementia prevention, older adults often struggle with balance issues, fear of falling, and reduced mobility. This study investigated the impact of balance training, alone or combined with cognitive exercises, on functional balance and cognitive performance in individuals with cognitive impairments.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across three electronic databases to identify peer-reviewed studies written in English that examined the effects of balance-oriented physical therapy, either alone or in combination with cognitive training, on individuals with cognitive or concurrent cognitive and balance impairments. The outcomes of interest included balance and cognitive function. The risk of bias was evaluated independently by two reviewers using the ROB-1 tool. The effectiveness of the intervention was analyzed using RevMan software.</p><p><strong>Results: </strong>This systematic review found that stand-alone physical exercise significantly improved postural stability in 15 out of 24 studies and enhanced cognitive function in 5 out of 25 studies. Furthermore, the integration of cognitive training alongside physical exercise demonstrated additional benefits in improving balance and cognition in 7 out of 11 studies. These findings suggest that such interventions may be beneficial for older adults with cognitive impairments, warranting further research to establish definitive conclusions.</p><p><strong>Conclusion: </strong>This systematic review emphasizes the potential benefits of physical balance exercises, often combined with cognitive training, in improving balance, cognitive function, and certain aspects of quality of life among individuals with cognitive impairment.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"16"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between sensor-based assessments of daily physical activity patterns and physical fitness in older adults: a systematic review and meta-analysis.","authors":"Shan Su, Jing-Yuan Liu, Clare Chung-Wah Yu, Shirley Pui-Ching Ngai, Siu-Ngor Fu","doi":"10.1186/s11556-025-00381-y","DOIUrl":"10.1186/s11556-025-00381-y","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the association between sensor-based assessment of daily physical activity patterns and physical fitness among older adults by meta-analyses of relevant studies.</p><p><strong>Methods: </strong>A systematic search was conducted across six databases (PubMed, CINAHL by EBSCOhost, Web of Science, PsycInfo by ProQuest, Embase, and Scopus) from inception until January 18, 2025. Manual searches of reference lists and Google Scholar were also performed, utilizing predefined keywords to identify observational studies with bivariate association analyses. Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Studies was employed to assess study quality. The association analyses were further categorized based on the characteristics of daily activity (sedentary, light, moderate-to-vigorous) and physical fitness (e.g., grip strength, knee muscle strength, leg power, walking endurance, mobility function, and gait speed).</p><p><strong>Results: </strong>Thirteen cross-sectional studies were included in the meta-analyses. On average, older adults spent 78% of their day sedentary, 15% in light-intensity activity, and 7% in moderate-to-vigorous activity. Sedentary behavior was linked to lower physical fitness ([Formula: see text] to [Formula: see text]), while moderate-to-vigorous activity was linked to better fitness ([Formula: see text] to 0.43); light-intensity activity showed only weak and selective associations with better mobility function and gait speed ([Formula: see text] to 0.26).</p><p><strong>Conclusion: </strong>This review shows that while older adults spend much of their day sedentary, both moderate-to-vigorous and light-intensity physical activity are linked to better physical fitness. Promoting light-intensity activities may be a practical strategy to support mobility and independence, especially for those unable to meet higher activity guidelines. However, recommendations should remain cautious, as the evidence supporting an association between light-intensity physical activity and physical fitness is currently weak.</p><p><strong>Prospero registration: </strong>The protocol of this systematic review was registered on PROSPERO (Registration number: CRD42023471302).</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"15"},"PeriodicalIF":3.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of digital physical activity interventions on muscle mechanical function in community-dwelling older adults: a systematic review and meta-analysis.","authors":"Carlo Della Valle, Charlotte Gatti, Alessio Bricca, Valentina Mancini, Orgesa Qipo, Nerijus Masiulis, Jon André Christensen, Mohammad Mosaferi Ziaaldini, Günay Yildizer, Soran Aminiaghdam, Paolo Caserotti","doi":"10.1186/s11556-025-00380-z","DOIUrl":"10.1186/s11556-025-00380-z","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the effect of digital exercise interventions on muscle mechanical function in community-dwelling older adults aged 60 and above.</p><p><strong>Methods: </strong>Systematic review of randomised controlled trials (RCTs) retrieved from PubMed, EMBASE (Ovid), the Cochrane Central Register of Controlled Trials, and Web of Science until end of March 2024. The Cochrane RoB2.0 tool and GRADE were employed for quality assessment. We performed meta-analysis using random-effects model and sub-group and meta-regression analyses to investigate the robustness of the findings. GRADE was used to assess the overall certainty of the evidence.</p><p><strong>Results: </strong>Thirty RCTs, comprising 1697 participants with a mean age of 71.27 years, were included in the data analysis. The meta-analysis revealed a significant overall effect of technology-based physical activity intervention on muscle mechanical function (Hedge's g = 0.27, p = < 0.001). In the sub-analysis, 18 studies focused on interactive interventions on handgrip strength (SMD 0.10, 95% CI -0.17 to 0.38) and leg strength (SMD 0.56, 95% CI 0.19 to 0.93). The overall certainty of the evidence was deemed low.</p><p><strong>Conclusion: </strong>Digital interventions focusing on physical activity interventions have generally shown small but significant improvements in older adults. Interactive and semi-interactive interventions were effective, while passive ones were not.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"14"},"PeriodicalIF":3.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supramaximal high-intensity interval training for older adults in a community setting: a pragmatic feasibility study.","authors":"Erik Frykholm, Beatrice Pettersson, Mattias Hedlund, Maria Wiklund, Bengt Johansson, Carl-Johan Boraxbekk, Erik Rosendahl, Nina Lindelöf","doi":"10.1186/s11556-025-00379-6","DOIUrl":"10.1186/s11556-025-00379-6","url":null,"abstract":"<p><strong>Background: </strong>Supramaximal high-intensity interval training (HIT) programmes can be challenging to replicate outside research settings. This study aimed to explore its feasibility for older adults in a community setting, incorporating perspectives from exercise participants and instructors.</p><p><strong>Methods: </strong>A pragmatic feasibility study using a convergent mixed- methods design involving four exercise instructors from one training facility and 21 older adult exercise participants (14 women, age-range 65-78). The previously used HIT programme consisted of 20-minute sessions that included a warm-up, ten 6-second intervals, and cool-down. Instructors first adapted the programme around these core components to their setting and then conducted 25 sessions. Both qualitative (individual interviews) and quantitative (estimated maximal oxygen consumption, estimated 6-second power, exercise- related motivation, and self-efficacy) data were collected and analysed (content analysis and descriptive statistics) in parallel. A taxonomy for implementation outcomes was used as an analytical matrix.</p><p><strong>Results: </strong>Experiences of both participants and instructors revealed that the structure of the training was regarded as engaging, enjoyable, and supportive for establishing routines and promoting ownership of training progression. Participants found personalised and motivating approaches to engage with the programme and confidence in their abilities grew. Changes in exercise-related motivation and self-efficacy showed individual variation without a group trend. Participants who completed the intervention showed a positive median change in estimated 6-second power and maximal oxygen consumption, although individual responses varied. Experienced challenges included coordinating tasks during intervals and confidence in managing the programme. Barriers to fidelity and to scale-up were related to the practical complexity and fixed structure.</p><p><strong>Conclusions: </strong>Supramaximal HIT can be implemented for older adults in a community setting with appropriate support, including individualised watt-based intensity and structured progression. The findings highlight how participants took ownership of their intensity progression, enabling them to challenge their limits. However, the fixed structure and complexity in managing short intervals may pose barriers to broader adoption. To enhance feasibility and scalability, simplifying interval management and providing clear, structured guidance are recommended. These insights help refine and optimize supramaximal HIT implementation for older adults in community settings.</p><p><strong>Trial registration: </strong>Open Science Framework 31 January 2023 ( https://doi.org/10.17605/OSF.IO/B7T2G ).</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"13"},"PeriodicalIF":3.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The alternation of neural oscillations during dual task standing in older adults with low back pain.","authors":"Le Ge, Yao Zu, Zhicheng Li, Xin Li, Huanjie Huang, Yan Li, Xiaoyu Gao, Xi Chen, Qiuhua Yu, Chuhuai Wang","doi":"10.1186/s11556-025-00378-7","DOIUrl":"10.1186/s11556-025-00378-7","url":null,"abstract":"<p><strong>Background: </strong>Previous studies showed that the difficulty levels of posture and cognitive tasks and pain could interactively modulate the brain oscillations. Older adults with low back pain (LBP) have poorer postural control than healthy older adults under dual-task conditions. However, the underlying mechanism remains unclear. Hence, this study aimed to investigate alterations in brain activation during dual tasks in older people with LBP.</p><p><strong>Methods: </strong>This cross-sectional study involved older participants with LBP (n = 21) and healthy older adults (n = 18) without a history of LBP. Electroencephalogram data and balance performance data were recorded simultaneously during dual and single tasks that required the participants to maintain stability in posture tasks with or without a concurrent cognitive task. The posture tasks had two levels of difficulty: a two-leg stance and one-leg stance. Cognitive tasks involved three levels of difficulty: no-cognition tasks, counting tasks, and arithmetic tasks. Brain activities were assessed using the power spectral density (PSD) of alpha-, beta-, and theta-band power rhythms within three regions of interest including the frontal, central, and parietal regions of the brain.</p><p><strong>Results: </strong>A repeated-measures analysis of variance (2 postural tasks × 3 cognitive tasks × 2 groups) was used to test balance performance, cognitive performance and brain activities under different task conditions between the two groups. Compare to controls, LBP participants showed poorer performance in postural tasks (reflected by larger COP parameters) and cognitive tasks (reflected by lower accuracy rates) regardless of task difficulty level (p < 0.05). LBP participants showed larger COP parameters in the dual task with high and low cognitive difficulties than those in single task (p < 0.05), which was not observed in control group. The theta band power of control group was higher during one-leg stance than during two-leg stance in frontocentral regions (p < 0.05), which was not observed in LBP group. The LBP group showed greater beta-band power in the frontal regions than the control group in all conditions(p < 0.05). Correlations between COP parameters and theta band power in frontal regions were significant in dual task or one-leg stance(p < 0.05).</p><p><strong>Conclusions: </strong>In older people with LBP, the brain oscillations as assessed on the PSD of beta and theta power rhythms is changed under the dual-task condition compared with control group. Cognitive and postural difficulty levels could modulate theta band power in frontal region, which subsequently affected the balance performance in older people with LBP.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"12"},"PeriodicalIF":3.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of two-year adapted physical exercise program and nutritional counselling on cardio-sarcopenia syndrome in older adults with low muscle function.","authors":"Giovanna Pelà, Sara Tagliaferri, Elisa Adorni, Marina Aiello, Marco Salvi, Irene Zucchini, Riccardo Calvani, Emanuele Marzetti, Fulvio Lauretani, Giampaolo Niccoli, Marcello Maggio","doi":"10.1186/s11556-025-00377-8","DOIUrl":"10.1186/s11556-025-00377-8","url":null,"abstract":"","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"11"},"PeriodicalIF":3.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical fitness and incident mild cognitive impairment: a systematic review.","authors":"Matteo Bergmann, Yonas Endale Geda, Klaus Boes, Alexander Woll, Janina Krell-Roesch","doi":"10.1186/s11556-025-00376-9","DOIUrl":"10.1186/s11556-025-00376-9","url":null,"abstract":"","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"10"},"PeriodicalIF":3.7,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modifiable determinants of older adults' physical activity and sedentary behavior in community and healthcare settings: a DE-PASS systematic review and meta-analysis.","authors":"Simone Ciaccioni, Sofie Compernolle, Maren Lerfald, Federico Palumbo, Floriana Fadda, Ginevra Toma, Selcuk Akpinar, Katja Borodulin, Emine Caglar, Greet Cardon, Murat Cenk Celen, Joanna Cieślińska-Świder, Cristina Cortis, Andrea Di Credico, Murat Emirzeoğlu, Andrea Fusco, Daniel Gallardo Gómez, Linn Marita Hagen, Ayda Karaca, Mohammed Khudair, Marianna De Maio, Paul Jarle Mork, Livia Oddi, Kandianos Emmanouil Sakalidis, Petru Sandu, Sevil Turhan, Wei Wang, Melda Pelin Yargıç, Ekaterina Zotcheva, Laura Capranica, Ciaran MacDonncha, Linda Ernstsen","doi":"10.1186/s11556-025-00373-y","DOIUrl":"10.1186/s11556-025-00373-y","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the modifiable determinants targeted in interventions involving older adults, and to determine which of these interventions effectively increased physical activity (PA) and/or reduced sedentary behaviour (SB). Additionally, to explore whether the effects of these interventions vary based on the implementation setting.</p><p><strong>Methods: </strong>A search of randomized controlled trials (RCTs) and controlled trials (CTs) was performed in Medline, APA PsycArticles, SPORTDiscus, and Web of Science. Risk of bias assessment was performed with Cochrane's tool. Modifiable determinants were narratively synthesized, and random-effects models were performed to meta-analyse studies reporting device-measured physical activity or sedentary behaviour. Moderator analyses were performed to investigate the role of implementation setting. Standardized between-group mean difference (SMD) with 95% confidence interval (CI) was used to indicate effect sizes.</p><p><strong>Results: </strong>From 31,727 individual records, 52 eligible studies published between 2012-2022 were identified, 30 and 22 studies from community and health care settings, respectively. Determinants within the category physical health and wellbeing (n = 23) were most frequently reported while only one study reported determinants within a social or cultural context. Eighteen studies were included in the meta-analysis. Interventions targeting physical health and wellbeing revealed an increase in steps (SMD = 0.46; 95%CI: 0.15 to 0.77) and minutes of moderate-to-vigorous intensity physical activity (SMD = 0.41; 95%CI: 0.19 to 0.64) among intervention participants compared to controls, whereas interventions targeting psychological or behavioural determinants showed no between-group differences in steps (SMD = 0.10; 95%CI: -0.12 to 0.32) and moderate-to-vigorous intensity physical activity (SMD = 0.26; 95%CI: -0.24 to -0.75). Interventions targeting physical health and wellbeing showed significant heterogeneity (p < 0.0001; I² = 73.10%). Subgroup analyses showed a significant effect on device-measured physical activity for the eight community-based interventions (SMD = 0.42; 95%CI: 0.07 to 0.77), while no significant effect was found for the eight studies performed in healthcare settings (SMD = 0.26; 95%CI; -0.10 to 0.62).</p><p><strong>Conclusion: </strong>Interventions targeting physical health and wellbeing may increase PA in older adults, with community-based studies appearing more effective than studies in healthcare settings. The significant heterogeneity of study findings indicates that further research is needed to fully understand the influence of PA and SB determinants across settings, particularly those related to psychological, behavioural, social, and cultural factors.</p><p><strong>Systematic review registration: </strong>PROSPERO: CRD42022287606.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"9"},"PeriodicalIF":3.7,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dose-response relationship of treadmill perturbation-based balance training for improving reactive balance in older adults at risk of falling: results of the FEATURE randomized controlled pilot trial.","authors":"Natalie Hezel, Theresa Buchner, Clemens Becker, Jürgen M Bauer, Lizeth H Sloot, Simon Steib, Christian Werner","doi":"10.1186/s11556-025-00375-w","DOIUrl":"10.1186/s11556-025-00375-w","url":null,"abstract":"<p><strong>Background: </strong>The inability to appropriately react to balance perturbations is a common cause of falls. Perturbation-based balance training (PBT) is especially beneficial for improving reactive balance and shows high potential for fall prevention. However, its dose-response relationship, feasibility, and acceptability remain to be determined among older adults at risk of falling. The FEATURE study aimed to compare the efficacy of two treadmill PBT protocols with different session numbers to improve reactive balance, and to evaluate their feasibility and acceptability in this population.</p><p><strong>Methods: </strong>In this randomized controlled pilot trial, 36 older adults at risk of falling were allocated to receive either six (6PBT) or two treadmill PBT sessions (2PBT). Reactive balance in standing (Stepping Threshold Test [STT]) and walking (Dynamic Stepping Threshold Test [DSTT]) was assessed as primary outcome at baseline (T1), post-intervention (T2), and 6-week follow-up (T3). Secondary outcomes included measures on physical, psychological, and cognitive functioning. Feasibility was assessed via PBT adherence, planned perturbations completed, and adverse events; acceptability via questionnaire. Between-group changes over time were compared using repeated-measures analyses of variance with Bonferroni-corrected post-hoc tests. Data analyses followed the intention-to-treat principle.</p><p><strong>Results: </strong>A significant time effect was observed for the DSTT (p = 0.008), with both groups significantly improving from T1 to T2 (ps < 0.01). A significant interaction effect (p = 0.027) revealed that only the 6PBT group maintained these improvements (T1 vs. T3: p < 0.001) and scored significantly higher than the 2PBT group at T3 (p = 0.015). No significant interaction effects were found for the STT or any secondary outcome, but improvements over time were observed for dynamic balance, gait capacity, functional mobility, physical activity, concerns about falling, and executive functioning (time effects: ps < 0.05). PBT adherence, planned perturbations completed, and acceptability were high in both groups, with no significant between-group differences. No intervention-related serious adverse events were reported.</p><p><strong>Conclusions: </strong>Findings suggest that a low number of treadmill PBT sessions can lead to task-specific improvements in reactive balance during walking, with a higher practice dose enhancing sustainability. Treadmill PBT appears feasible and well-accepted among older adults at risk of falling, regardless of sessions received.</p><p><strong>Trial registration: </strong>DRKS00030805 ; prospectively registered December 14, 2022.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"8"},"PeriodicalIF":3.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of exercise prescription variables to reduce fall risk among older adults: a meta-analysis.","authors":"Tian-Rui Zhu, Hong-Qi Xu, Jin-Peng Wei, He-Long Quan, Xue-Jiao Han, Tian-Xiang Li, Ji-Peng Shi","doi":"10.1186/s11556-025-00374-x","DOIUrl":"10.1186/s11556-025-00374-x","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis explored the relationship between various exercise prescription variables and their effects on fall risk reduction in older adults, enabling the selection of targeted and evidence-based intervention prescription variables tailored to individual risk-assessment results.</p><p><strong>Method: </strong>Databases including PubMed, Embase, Web of Science, and the Cochrane Library were systematically searched for randomized controlled trials that investigated the impact of exercise intervention on fall prevention. Study quality was assessed using the Cochrane risk-of-bias tool. Meta-analyses, subgroup analyses, sensitivity analyses, and assessments of publication bias were performed using Stata 16.0.</p><p><strong>Results: </strong>A total of 43 articles comprising 51 studies and involving 2,743 participants were included. The results indicated significant improvements in fall risk assessment indices due to Mind-body Exercise (MBE), Multi-component Physical Activity (MCPA), and Muscle-strengthening Activity(MSA). Subgroup analyses revealed differential optimal type, cycle (week), frequency (day/week), and session time (minutes) across assessment tools, such as the unipedal stance test with eyes open (MCPA, < 8, 3, 45 ≤ Time < 60), functional reach (MCPA, < 8, < 3, ≥ 60), the \"get-up and go\" test (MSA, ≥ 24, < 3, 30 ≤ Time < 45), Berg balance scale (MBE, 8 ≤ Time < 12, 3, 30 ≤ Time < 45), Five stands sit-to-stand (MCPA, ≥ 24, > 3, 30 ≤ Time < 45), the 30-s chair-stand test (MSA, 12 ≤ Time, < 3, 45 ≤ Time < 60), short physical performance battery (MCPA, 12 ≤ Time < 24, < 3, ≥ 60), and Falls Efficacy Scale-International (MBE, 8 ≤ Time < 12, < 3, 45 ≤ Time < 60).</p><p><strong>Conclusion: </strong>The findings suggest that prescription variables combining MCPA and MBE, ≥ 8-week programs, and ≥ 30-min sessions, effectively reduce fall risk through concurrent enhancement of balance, strength, and self-efficacy; their integration into community-based protocols with individualized resistance-balance combinations optimizes functional outcomes in older adults.</p>","PeriodicalId":50477,"journal":{"name":"European Review of Aging and Physical Activity","volume":"22 1","pages":"7"},"PeriodicalIF":3.7,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}