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Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
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Digitally Delivered, Group-Based Exercise Interventions for Older Adults: Scoping Review.

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Digitally delivered exercise programs show partial effectiveness in improving physical function for older adults, enhancing balance and strength for fall prevention. These real-time, instructor-led programs are safe, well-attended, and enjoyed by participants.

Keywords:
SkypeZoomfunctional fitnessolder adultsonline instructionphysical trainingstrength, balance, fall preventionvideoconferencing

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Area of Science:

  • Gerontology
  • Exercise Science
  • Digital Health

Background:

  • Falls and fractures are leading causes of injury in older adults, impacting mortality, morbidity, physical function, and quality of life.
  • In-person exercise programs improve physical function and reduce fall risk, but technology-driven approaches enhance accessibility.
  • Digitally delivered exercise programs offer a way to balance risks and benefits, promoting engagement and potentially improving physical function in older adults.

Purpose of the Study:

  • To summarize research on the efficacy, usability, and safety of digitally delivered exercise programs for older adults.
  • To evaluate the impact of real-time, instructor-led digital exercise interventions on physical function and fall prevention.
  • To assess participant acceptance and safety of these technology-enhanced exercise programs.

Main Methods:

  • A systematic review of randomized controlled trials, nonrandomized trials, and single-arm pilot studies was conducted.
  • Studies included digitally delivered, real-time, instructor-led exercise programs for healthy older adults, with a minimum duration of 6 weeks.
  • Searches were performed in MEDLINE, CENTRAL, and Embase, with updates in July 2024. Interventions for specific clinical subpopulations were excluded.

Main Results:

  • 23 studies met inclusion criteria, with interventions lasting 6-24 weeks, typically 2-3 days/week.
  • 78% of studies reported physical outcomes, with 14 showing clinically meaningful improvements in strength and balance.
  • 87% reported safety/usability data, with most adverse events being minor. 65% of authors noted high participant acceptance of digital delivery.

Conclusions:

  • Digitally delivered exercise programs demonstrate partial effectiveness in enhancing physical function for fall prevention in older adults.
  • High attendance rates, participant enjoyment, and safety confirm the utility of these real-time, instructor-led digital programs.
  • These findings support the integration of technology to improve accessibility and engagement in exercise for the aging population.