Effect of home-based exercise programs with e-devices on falls among community-dwelling older adults: a meta-analysis

J Comp Eff Res. 2022 Nov;11(16):1201-1217. doi: 10.2217/cer-2022-0130. Epub 2022 Sep 23.

Abstract

Aim: To explore the effectiveness of home-based exercise programs with e-devices (HEPEs) on falls among community-dwelling older adults. Methods: Twelve randomized controlled trials were included in the meta-analysis considering four fall-related outcomes. Results: HEPEs significantly reduced the rate of falls (risk ratio: 0.82; 95% CI: 0.72-0.95; p = 0.006) and improved lower extremity strength (mean difference: -0.94; 95% CI: -1.71 to -0.47; p < 0.001). There was a significant improvement favoring HEPEs on balance if the participants were aged >75 years (mean difference: -0.55; 95% CI: -1.05 to -0.05; p = 0.03), or the intervention duration was at least 16 weeks (mean difference: -0.81; 95% CI: -1.58 to -0.05; p = 0.04). Conclusion: HEPEs demonstrated an overall positive effect on falls among community-dwelling older adults.

Keywords: aged; community-dwelling; electronic device; exercise; fall.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Exercise Therapy
  • HEPES
  • Humans
  • Independent Living*
  • Postural Balance*

Substances

  • HEPES