The effect of functional exercise program on physical functioning in older adults aged 60 years or more: A systematic review and meta-analysis of randomized controlled trials

Author: Arghavan Niyazi1, Ehsan Mir2, Negin Ghasemi Kahrizsangi3, Nasser Mohammad Rahimi4, Rokhsare Fazolahzade Mousavi5, Shayan Setayesh6, Ali Nejatian Hoseinpour7, Fatemeh Mohammad Rahimi8, Gholam Rasul Mohammad Rahimi9
Affiliation:
1 Department of Exercise Physiology, Ayandegan-e-Sharq Healthcare Center, Mashhad, Iran.
2 Faculty of Sport Sciences, Department of Exercise Physiology, Ferdowsi University of Mashhad, Mashhad, Iran.
3 Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
4 Department of Sports Injuries and Corrective Exercises, Ayandegan-e-Sharq Healthcare Center, Mashhad, Iran.
5 Department of Sport Sciences, Binaloud Institute of Higher Education, Mashhad, Iran.
6 Department of Exercise Physiology, Sanabad Golbahar Institute of Higher Education, Golbahar, Iran.
7 Department of Exercise Physiology, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran.
8 Faculty of Sport Sciences, Department of Motor Behavior, Ferdowsi University of Mashhad, Mashhad, Iran; Department of Motor Behavior, Ayandegan-e-Sharq Healthcare Center, Mashhad, Iran.
9 Department of Exercise Physiology, Ayandegan-e-Sharq Healthcare Center, Mashhad, Iran. Electronic address: rmohammadrahimi@outlook.com.
Conference/Journal: Geriatr Nurs
Date published: 2024 Nov-Dec
Other: Volume ID: 60 , Pages: 548-559 , Special Notes: doi: 10.1016/j.gerinurse.2024.10.019. , Word Count: 148


Objective:
In this systematic review and meta-analysis, we assessed the impact of functional exercise training on physical functioning parameters in older adults 60 years and older.

Method:
Databases including PubMed, MEDLINE, CINAHL, SPORTDiscus, and Cochrane Library were systematically searched.

Results:
Sixteen articles were included. Meta-analysis demonstrated that functional training significantly improved Barthel index (p = 0.01), gait speed (p = 0.002), gait cadence (p = 0.0002), Berg Balance Scale (p = 0.0003), Timed Up and Go test (TUG; p = 0.02), step length (p < 0.0001), Five Chair Stand (p < 0.0001) and physical activity questionnaire for the older adults score (p < 0.00001). However, hand grip strength remained unchanged.

Discussion:
These findings underscore the significance of incorporating functional exercises in interventions for healthy aging and maintaining independence among older individuals. Further investigation is needed to explore long-term effects and optimal implementation strategies for functional exercise regimens in this populations.

Keywords: Balance, Independence; Functional training; Meta-analysis; Older adults.

PMID: 39461107 DOI: 10.1016/j.gerinurse.2024.10.019

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