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The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis

Author

Listed:
  • Natalie Klempel

    (Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK)

  • Nicole E. Blackburn

    (Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK)

  • Ilona L. McMullan

    (Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK)

  • Jason J. Wilson

    (Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
    Sport and Exercise Sciences Research Institute, School of Sport, Newtownabbey BT37 0QB, UK
    Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK)

  • Lee Smith

    (The Cambridge Centre for Sport and Exercise Science, Anglia Ruskin University, Cambridge CB1 1PT, UK)

  • Conor Cunningham

    (Institute of Public Health, City Exchange, 11–13 Gloucester St, Belfast BT1 4LS, UK)

  • Roger O’Sullivan

    (The Bamford Centre for Mental Health & Wellbeing Ulster University, Coleraine BT52 1SA, UK)

  • Paolo Caserotti

    (Centre for Active and Healthy Ageing, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark)

  • Mark A. Tully

    (Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey BT37 0QB, UK
    Membership of the SITLESS Consortium is provided in the Acknowledgements.)

Abstract

Physical activity is an important determinant of health in later life. The public health restrictions in response to COVID-19 have interrupted habitual physical activity behaviours in older adults. In response, numerous exercise programmes have been developed for older adults, many involving chair-based exercise. The aim of this systematic review was to synthesise the effects of chair-based exercise on the health of older adults. Ovid Medline, EMBASE, CINAHL, AMED, PyscInfo and SPORTDiscus databases were searched from inception to 1 April 2020. Chair-based exercise programmes in adults ≥50 years, lasting for at least 2 weeks and measuring the impact on physical function were included. Risk of bias of included studies were assessed using Cochrane risk of bias tool v2. Intervention content was described using TiDieR Criteria. Where sufficient studies (≥3 studies) reported data on an outcome, a random effects meta-analysis was performed. In total, 25 studies were included, with 19 studies in the meta-analyses. Seventeen studies had a low risk of bias and five had a high risk of bias. In this systematic review including 1388 participants, results demonstrated that chair-based exercise programmes improve upper extremity (handgrip strength: MD = 2.10; 95% CI = 0.76, 3.43 and 30 s arm curl test: MD = 2.82; 95% CI = 1.34, 4.31) and lower extremity function (30 s chair stand: MD 2.25; 95% CI = 0.64, 3.86). The findings suggest that chair-based exercises are effective and should be promoted as simple and easily implemented activities to maintain and develop strength for older adults.

Suggested Citation

  • Natalie Klempel & Nicole E. Blackburn & Ilona L. McMullan & Jason J. Wilson & Lee Smith & Conor Cunningham & Roger O’Sullivan & Paolo Caserotti & Mark A. Tully, 2021. "The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1902-:d:500238
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Tracy L. Mitzner & Elena T. Remillard & Kara T. Mumma, 2022. "Research-Driven Guidelines for Delivering Group Exercise Programs via Videoconferencing to Older Adults," IJERPH, MDPI, vol. 19(13), pages 1-15, June.
    2. Conor Cunningham & Roger O’Sullivan, 2021. "Healthcare Professionals Promotion of Physical Activity with Older Adults: A Survey of Knowledge and Routine Practice," IJERPH, MDPI, vol. 18(11), pages 1-13, June.
    3. Harri Sievänen & Maarit Piirtola & Kari Tokola & Tanja Kulmala & Eerika Tiirikainen & Pekka Kannus & Juha Kiiski & Kirsti Uusi-Rasi & Saija Karinkanta, 2024. "Effect of 10-Week Whole-Body Vibration Training on Falls and Physical Performance in Older Adults: A Blinded, Randomized, Controlled Clinical Trial with 1-Year Follow-Up," IJERPH, MDPI, vol. 21(7), pages 1-14, July.
    4. Shinsuke Mizutani & Hideaki Matsuzaki & Kiyomi Iyota & Asuka Tani & Saori Oku & Hiroaki Tabuchi & Akiko Fujiwara & Shizuka Hase-Tamaru & Hiro Kishimoto & Kenji Narazaki, 2023. "Changes of Oral and Physical Functions in Older Japanese Who Participated in Keyboard Harmonica and Exercise Classes during COVID-19-Related Movement Restrictions," IJERPH, MDPI, vol. 20(4), pages 1-11, February.

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