Evidence map›Paper›PMID 39871670›Full record

SynthesisJournal of clinical nursing2025

Effects of Exergaming on Frailty: A Systematic Review and Meta-Analysis.

Lily Yuen Wah Ho, Jodie Hau Yi Tse, Wayne Lap Sun Chan, Daphne Sze Ki Cheung

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
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

4 authors.

Lily Yuen Wah HoSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR.ORCID 0000-0001-8967-8763
Jodie Hau Yi TseSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR.
Wayne Lap Sun ChanDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR.ORCID 0000-0001-6689-3970
Daphne Sze Ki CheungSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the effects of exergaming on physical frailty in older adults.

designSystematic review with meta-analysis.

methodsSix electronic databases were searched for randomised controlled trials evaluating the effects of exergaming on frailty in older adults. Data were synthesised using narrative synthesis and meta-analysis. The risk of bias and the certainty of the evidence were assessed. DATA SOURCES: CINAHL, Cochrane Library, Embase, PubMed, Web of Science, and China Academic Journal Network Publishing Database were searched from their inception through February 2024.

resultsFive studies (n = 391) were included. Exergaming, which was delivered in 20-36 sessions over 8-12 weeks, resulted in improvements in frailty scores and indices, frailty status, and frailty phenotypes, including exhaustion, low physical activity levels, gait speed, and muscle weakness over time. There was no effect on unintentional weight loss. Meta-analyses showed that the effects of exergaming were not significantly different from those observed in the control groups. The rate of adherence to the intervention of the exergaming group was slightly higher than that of the comparison group (87.3%-87.7% vs. 81.1%-85.4%). The overall risk of bias was high in all studies. The certainty of the evidence was very low.

conclusionExergaming exerts effects on frailty comparable to those of conventional physical exercises. Participants appeared to have better adherence to exergaming. Future studies with robust designs are warranted. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: With effects comparable to those of conventional physical exercises, exergaming could be considered in clinical settings to address frailty. IMPACT: This review addressed the effects of exergaming on frailty instead of physical outcomes. Exergaming was comparable to conventional physical exercises in improving frailty scores and indices, frailty status, and four frailty phenotypes. The findings provide insights to healthcare providers on the design of exergames. REPORTING

methodPRISMA guidelines. PROTOCOL REGISTRATION: PROSPERO number: CRD42023460495. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

ExerciseExercise TherapyFrail ElderlyFrailtyVideo GamesAgedAged, 80 and overFemaleHumansMaleRandomized Controlled Trials as Topicagedexergamingfrailtymeta‐analysis

Identifiers

PMID39871670
PMCPMC12037923

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.