Evidence map›Paper›PMID 39354428›Full record

SynthesisBMC geriatrics2024

The effectiveness of unsupervised home-based exercise for improving lower extremity physical function in older adults in Western and Eastern cultures: a systematic review and meta-analysis.

Ian Ju Liang, Oliver J Perkin, Polly M McGuigan, Bruno Spellanzon, Molly Robb, Chien-Yu Liu, Linda L Lin, Dylan Thompson, Max J Western

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Similar exercise adherence and physical fitness outcomes are observed across distinct motivation profiles in older adults participating in a home-based structured exercise programme.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    Article
  3. Article
  4. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ian Ju LiangDepartment for Health, University of Bath, 1 West 5.108, Bath, BA2 7AY, UK.
Oliver J PerkinDepartment for Health, University of Bath, 1 West 5.108, Bath, BA2 7AY, UK.
Polly M McGuiganDepartment for Health, University of Bath, 1 West 5.108, Bath, BA2 7AY, UK.
Bruno SpellanzonDepartment for Health, University of Bath, 1 West 5.108, Bath, BA2 7AY, UK.
Molly RobbDepartment for Health, University of Bath, 1 West 5.108, Bath, BA2 7AY, UK.
Chien-Yu LiuDepartment of Physical Education and Sport Sciences, National Taiwan Normal University, Taipei, Taiwan.
Linda L LinGraduate Institute of Physical Education, Health & Leisure Studies, National Cheng Kung University, Tainan, Taiwan.
Dylan ThompsonDepartment for Health, University of Bath, 1 West 5.108, Bath, BA2 7AY, UK.
Max J WesternDepartment for Health, University of Bath, 1 West 5.108, Bath, BA2 7AY, UK. m.j.western@bath.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAgeing leads to decreased physical function, which can impact independent living and raise health risks, increasing demand on healthcare resources. Finding affordable and accessible exercise to improve physical function is necessary for a population seemingly resistant to strength and balance training in leisure settings. This review aimed to evaluate whether unsupervised home-based exercises improve lower extremity function in older adults.

methodsWe systematically searched for randomised controlled trials (RCTs) and cluster RCTs investigating unsupervised home-based exercises' effects on physical function in older adults through English and Mandarin databases. Studies' methodological quality was assessed using the Cochrane's Risk of Bias Tool. Meta-analyses were conducted on lower extremity functions outcomes.

resultsOf the 6791 identified articles, 10 English studies (907 participants) were included, 8 studies (839 participants) were used for final meta-analysis, with no Mandarin studies. Studies were largely based in Europe with mostly moderate risk of bias. Most interventions were multicomponent lasting 10-40 min/session, 3 times/week. Meta-analysis showed no statistically significant differences in 5 sit-to-stand (p = 0.05; I

conclusionsThis meta-analysis suggests that unsupervised home-based exercise programmes have little impact on lower extremity functions in older adults. This review is limited by the small number of included studies, sample sizes, and high heterogeneity. There is a need to understand why this format lacks efficacy, and design more beneficial home-based exercise programmes.

Indexed as

Exercise TherapyLower ExtremityAgedExerciseHumansRandomized Controlled Trials as TopicAgeing populationHome-based activitiesIndependent livingLower extremity physical performanceUnsupervised exercise intervention

Identifiers

PMID39354428
PMCPMC11443890

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.