Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in a population of community dwelling elderly patients with impaired mobility, physical disability and/ or multi morbidity: a meta analysis

Nienke de Vries, Bart Staal, Dorine van Ravensburg, Hans Hobbelen, Marcel Olde Rikkert, Maria Nijhuis-van der Sande

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

This is the first meta-analysis focusing on elderly patients with mobility problems, physical disability and/or multi-morbidity. The aim of this study is to assess the effect of physical exercise therapy on mobility, physical functioning, physical activity and quality of life. A broad systematic literature search was performed in the databases PubMed, CINAHL, Embase, PEDro and The Cochrane Library. Relevant study characteristics were reviewed and meta-analyses using standardized mean differences (SMDs) were performed. The results show that physical exercise therapy has a positive effect on mobility (SMD final value: 0.18; 95% CI: 0.05, 0.30; SMD change value: 0.82; 95% CI: 0.54, 1.10) and physical functioning (SMD final value: 0.27; 95% CI: 0.08, 0.46; SMD change value: 2.93; 95% CI: 2.50, 3.36). High-intensity exercise interventions seem to be somewhat more effective in improving physical functioning than low-intensity exercise interventions (SMD final value: 0.22; 95% CI: −0.17, 0.62; SMD change value: 0.38; 95% CI: −0.48, 1.25). These positive effects are of great value for older adults who are already physically impaired. The effect on physical activity and quality of life was not evident and no definite conclusions on the most effective type of physical exercise therapy intervention can be drawn.
Original languageEnglish
Pages (from-to)136-149
JournalAgeing research reviews
Volume11
Issue number1
DOIs
Publication statusPublished - 2012

Keywords

  • physical exercise
  • elderly patients
  • morbidity

Cite this

@article{caed2d0c9f964404948e9cebc9cf7c55,
title = "Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in a population of community dwelling elderly patients with impaired mobility, physical disability and/ or multi morbidity: a meta analysis",
abstract = "This is the first meta-analysis focusing on elderly patients with mobility problems, physical disability and/or multi-morbidity. The aim of this study is to assess the effect of physical exercise therapy on mobility, physical functioning, physical activity and quality of life. A broad systematic literature search was performed in the databases PubMed, CINAHL, Embase, PEDro and The Cochrane Library. Relevant study characteristics were reviewed and meta-analyses using standardized mean differences (SMDs) were performed. The results show that physical exercise therapy has a positive effect on mobility (SMD final value: 0.18; 95{\%} CI: 0.05, 0.30; SMD change value: 0.82; 95{\%} CI: 0.54, 1.10) and physical functioning (SMD final value: 0.27; 95{\%} CI: 0.08, 0.46; SMD change value: 2.93; 95{\%} CI: 2.50, 3.36). High-intensity exercise interventions seem to be somewhat more effective in improving physical functioning than low-intensity exercise interventions (SMD final value: 0.22; 95{\%} CI: −0.17, 0.62; SMD change value: 0.38; 95{\%} CI: −0.48, 1.25). These positive effects are of great value for older adults who are already physically impaired. The effect on physical activity and quality of life was not evident and no definite conclusions on the most effective type of physical exercise therapy intervention can be drawn.",
keywords = "bewegen (activiteit), physical exercise, elderly patients, morbidity",
author = "{de Vries}, Nienke and Bart Staal and {van Ravensburg}, Dorine and Hans Hobbelen and {Olde Rikkert}, Marcel and {Nijhuis-van der Sande}, Maria",
year = "2012",
doi = "10.1016/j.arr.2011.11.002",
language = "English",
volume = "11",
pages = "136--149",
journal = "Ageing research reviews",
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}

Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in a population of community dwelling elderly patients with impaired mobility, physical disability and/ or multi morbidity: a meta analysis. / de Vries, Nienke; Staal, Bart; van Ravensburg, Dorine; Hobbelen, Hans; Olde Rikkert, Marcel; Nijhuis-van der Sande, Maria.

In: Ageing research reviews , Vol. 11, No. 1, 2012, p. 136-149.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in a population of community dwelling elderly patients with impaired mobility, physical disability and/ or multi morbidity: a meta analysis

AU - de Vries, Nienke

AU - Staal, Bart

AU - van Ravensburg, Dorine

AU - Hobbelen, Hans

AU - Olde Rikkert, Marcel

AU - Nijhuis-van der Sande, Maria

PY - 2012

Y1 - 2012

N2 - This is the first meta-analysis focusing on elderly patients with mobility problems, physical disability and/or multi-morbidity. The aim of this study is to assess the effect of physical exercise therapy on mobility, physical functioning, physical activity and quality of life. A broad systematic literature search was performed in the databases PubMed, CINAHL, Embase, PEDro and The Cochrane Library. Relevant study characteristics were reviewed and meta-analyses using standardized mean differences (SMDs) were performed. The results show that physical exercise therapy has a positive effect on mobility (SMD final value: 0.18; 95% CI: 0.05, 0.30; SMD change value: 0.82; 95% CI: 0.54, 1.10) and physical functioning (SMD final value: 0.27; 95% CI: 0.08, 0.46; SMD change value: 2.93; 95% CI: 2.50, 3.36). High-intensity exercise interventions seem to be somewhat more effective in improving physical functioning than low-intensity exercise interventions (SMD final value: 0.22; 95% CI: −0.17, 0.62; SMD change value: 0.38; 95% CI: −0.48, 1.25). These positive effects are of great value for older adults who are already physically impaired. The effect on physical activity and quality of life was not evident and no definite conclusions on the most effective type of physical exercise therapy intervention can be drawn.

AB - This is the first meta-analysis focusing on elderly patients with mobility problems, physical disability and/or multi-morbidity. The aim of this study is to assess the effect of physical exercise therapy on mobility, physical functioning, physical activity and quality of life. A broad systematic literature search was performed in the databases PubMed, CINAHL, Embase, PEDro and The Cochrane Library. Relevant study characteristics were reviewed and meta-analyses using standardized mean differences (SMDs) were performed. The results show that physical exercise therapy has a positive effect on mobility (SMD final value: 0.18; 95% CI: 0.05, 0.30; SMD change value: 0.82; 95% CI: 0.54, 1.10) and physical functioning (SMD final value: 0.27; 95% CI: 0.08, 0.46; SMD change value: 2.93; 95% CI: 2.50, 3.36). High-intensity exercise interventions seem to be somewhat more effective in improving physical functioning than low-intensity exercise interventions (SMD final value: 0.22; 95% CI: −0.17, 0.62; SMD change value: 0.38; 95% CI: −0.48, 1.25). These positive effects are of great value for older adults who are already physically impaired. The effect on physical activity and quality of life was not evident and no definite conclusions on the most effective type of physical exercise therapy intervention can be drawn.

KW - bewegen (activiteit)

KW - physical exercise

KW - elderly patients

KW - morbidity

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DO - 10.1016/j.arr.2011.11.002

M3 - Article

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SP - 136

EP - 149

JO - Ageing research reviews

JF - Ageing research reviews

SN - 1568-1637

IS - 1

ER -