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Updated: Jul 26, 2025
A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
Home-Based Indoor Physical Activity Programs for Community-Dwelling Older Adults: A Systematic Review
Isis Kelly Dos Santos1, Ricardo Ney Cobucci2, Jason Azevedo de Medeiros1
1Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Brazil.
Context:
Home-based exercise programs are a good strategy to promote benefits to health for people who cannot visit gyms, clinics, or have limited time for physical activity outside.
Objective:
To synthesize the effect of home-based indoor physical activity on psychosocial outcomes and mobility in community-dwelling older adults.
Data Sources:
A comprehensive search was conducted in the MEDLINE, PubMed, Embase, SPORTDiscus, Cochrane Library, Scopus, and Google Scholar databases.
Study Selection:
A total of 11 studies (13 publications) were included involving a total of 1004 older adults.
Study Design:
A systematic review of randomized controlled trials was conducted using the aforementioned 7 databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed.
Level Of Evidence:
Level 2.
Data Extraction:
Two authors independently selected studies, extracted data, and determined the risk of bias and evidence level using the Grading quality of evidence and strength of recommendations (GRADE) guidelines. We conducted a synthesis without meta-analysis (SWiM) to assess the outcome.
Results:
There is moderately certain evidence that home-based exercise programs reduced the fear of falling. Psychosocial (mental health and quality of life) and mobility outcomes may improve after participating in the intervention inside the home.
Conclusion:
The review found very low to certain evidence that home-based exercises programs improved psychosocial outcomes (mental health and quality of life) and walking speed (mobility). Moderately certain evidence suggests that home-based exercises improved fear of falling.
Protocol Register Number:
CRD42020182008.
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