Types of Home and Community-Based Physical Activity and Their Effects on the Older Adults’ Quality of Life: A Systematic Review and Meta-Analysis

Author:

Huang Zishuo12,Xu Tingke3,Huang Yunyun12,Zhao Qianru2,Dong Weizhen4,Xu Jixiang5,Liu Xinyu2,Fu Yating2,Wang Ying6,Chen Chun12ORCID

Affiliation:

1. School of Medical Humanities and Management, Wenzhou Medical University, Wenzhou, China

2. School of Public Health and Management, Wenzhou Medical University, Wenzhou, China

3. Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China

4. Department of Sociology and Legal Studies, University of Waterloo, Waterloo, ON, Canada

5. School of Public Health, Fudan University, Shanghai, China

6. School of Public Health, Key Laboratory of Public Health Safety, NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai, China

Abstract

Home and community-based physical activity (HCBPA) has been extensively utilized among older adults. Nevertheless, the varying types of HCBPA, including different duration, intensity, and frequency, have sparked controversy regarding their impact on the quality of life in older adults. This study aims to explore the effects of HCBPA on QoL in older adults. We conducted a systematic review and retrieved studies published from January 2000 to April 2023 from multiple databases (PubMed, Embase, Cochrane, and the Web of Science Library). Seventeen articles met the inclusion criteria for this study. Long-term HCBPA interventions may have a more pronounced positive impact on older adults’ quality of life than short-term ones, with the intervention’s intensity and frequency playing a key role in its effectiveness. The results of the meta-analyses showed significant differences in PCS but not in MCS, both with low certainty of evidence. Policymakers should prioritize the importance of promoting HCBPA interventions with appropriate duration, intensity, and frequency to create a more age-inclusive society.

Funder

Philosophy and Social Science Project of Zhejiang Province, China

National Natural Science Foundation of China

2023 Joint Project of Science and Technology Department of National Administration of Traditional Chinese Medicine and Zhejiang Administration of Traditional Chinese Medicine

Zhejiang Provincial Natural Science Foundation

Zhejiang Provincial Key Research and Development Program of China

Publisher

SAGE Publications

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