Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review
Background Physical activity (PA) is important for older people to maintain functional independence and healthy ageing. There is strong evidence to support the benefits of physical activity interventions on the health outcomes of older adults. Nonetheless, innovative approaches are needed to ensure...
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| Veröffentlicht in: | Aging clinical and experimental research 2021-04, Vol.33 (4), p.843-853 |
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| container_title | Aging clinical and experimental research |
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| creator | Lim, S. E. R. Cox, N. J. Tan, Q. Y. Ibrahim, K. Roberts, H. C. |
| description | Background
Physical activity (PA) is important for older people to maintain functional independence and healthy ageing. There is strong evidence to support the benefits of physical activity interventions on the health outcomes of older adults. Nonetheless, innovative approaches are needed to ensure that these interventions are practical and sustainable.
Aim
This systematic review explores the effectiveness of volunteer-led PA interventions in improving health outcomes for community-dwelling older people.
Methods
Five databases (MEDLINE, Embase, CINAHL, PEDro, Cochrane library) were systematically searched for studies using trained volunteers to deliver PA interventions for community-dwelling older people aged ≥ 65 years. Meta-analysis was not conducted due to included study heterogeneity.
Results
Twelve papers describing eight studies (five papers reported different outcomes from the same study) were included in the review. All eight studies included strength and balance exercises and frequency of PA ranged from weekly to three times a week. Volunteer-led exercises led to improvements in functional status measured using the short physical performance battery, timed up and go test, Barthel Index, single leg stand, step touch test, chair stand test, and functional reach. Frailty status identified by grip strength measurement or the use of long-term care insurance improved with volunteer-led exercises. Interventions led to improvement in fear of falls and maintained or improved the quality of life. The impact on PA levels were mixed.
Conclusion
Limited evidence suggests that volunteer-led PA interventions that include resistance exercise training, can improve outcomes of community-dwelling older adults including functional status, frailty status, and reduction in fear of falls. More high-quality RCTs are needed to investigate the effects of volunteer-led PA interventions among older people. |
| doi_str_mv | 10.1007/s40520-020-01556-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8084781</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2519561278</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-8e5190268e3ddb3ed3124ca5afb952015951295f771e37e4f8e18baa3b281d9c3</originalsourceid><addsrcrecordid>eNp9Uctu1TAQjRCIlsIPsECW2LAJ-BE_wgKpqqBFqsQG2FqOM7nXlRMH20l1l_w5jm4phQWLkWc0Z874zKmqlwS_JRjLd6nBnOIab0E4F7V4VJ0SWUrFSPv4QX5SPUvpBuOGlOJpdcIo44IwcVr9_B78MmWAWHvo0bw_JGeNR8Zmt7p8QK404wpTdmFKKAfkxjmGFdAejM97FJZswwgJDSGiko3LVMbq_ha8d9MOBd9DRDOE2cN7ZFA6pAyjyc6iCKuD2-fVk8H4BC_u3rPq26ePXy-u6usvl58vzq9ryxucawWctJgKBazvOwY9I7Sxhpuha8sVCG85oS0fpCTAJDSDAqI6Y1hHFelby86qD0feeelG6G2RFI3Xc3SjiQcdjNN_dya317uwaoVVIxUpBG_uCGL4sUDKenTJFplmgrAkTVkrhaBSqAJ9_Q_0JixxKvI0LTLK7ancUPSIsjGkFGG4_wzBenNYHx3WeIvNYS3K0KuHMu5HfltaAOwISKU17SD-2f0f2l8wsbU_</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2519561278</pqid></control><display><type>article</type><title>Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Lim, S. E. R. ; Cox, N. J. ; Tan, Q. Y. ; Ibrahim, K. ; Roberts, H. C.</creator><creatorcontrib>Lim, S. E. R. ; Cox, N. J. ; Tan, Q. Y. ; Ibrahim, K. ; Roberts, H. C.</creatorcontrib><description>Background
Physical activity (PA) is important for older people to maintain functional independence and healthy ageing. There is strong evidence to support the benefits of physical activity interventions on the health outcomes of older adults. Nonetheless, innovative approaches are needed to ensure that these interventions are practical and sustainable.
Aim
This systematic review explores the effectiveness of volunteer-led PA interventions in improving health outcomes for community-dwelling older people.
Methods
Five databases (MEDLINE, Embase, CINAHL, PEDro, Cochrane library) were systematically searched for studies using trained volunteers to deliver PA interventions for community-dwelling older people aged ≥ 65 years. Meta-analysis was not conducted due to included study heterogeneity.
Results
Twelve papers describing eight studies (five papers reported different outcomes from the same study) were included in the review. All eight studies included strength and balance exercises and frequency of PA ranged from weekly to three times a week. Volunteer-led exercises led to improvements in functional status measured using the short physical performance battery, timed up and go test, Barthel Index, single leg stand, step touch test, chair stand test, and functional reach. Frailty status identified by grip strength measurement or the use of long-term care insurance improved with volunteer-led exercises. Interventions led to improvement in fear of falls and maintained or improved the quality of life. The impact on PA levels were mixed.
Conclusion
Limited evidence suggests that volunteer-led PA interventions that include resistance exercise training, can improve outcomes of community-dwelling older adults including functional status, frailty status, and reduction in fear of falls. More high-quality RCTs are needed to investigate the effects of volunteer-led PA interventions among older people.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-020-01556-6</identifier><identifier>PMID: 32356136</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Exercise ; Frailty ; Geriatrics/Gerontology ; Humans ; Independent Living ; Medicine ; Medicine & Public Health ; Older people ; Outcome Assessment, Health Care ; Postural Balance ; Quality of Life ; Review ; Systematic review ; Time and Motion Studies ; Volunteers</subject><ispartof>Aging clinical and experimental research, 2021-04, Vol.33 (4), p.843-853</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-8e5190268e3ddb3ed3124ca5afb952015951295f771e37e4f8e18baa3b281d9c3</citedby><cites>FETCH-LOGICAL-c540t-8e5190268e3ddb3ed3124ca5afb952015951295f771e37e4f8e18baa3b281d9c3</cites><orcidid>0000-0003-2496-2362</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-020-01556-6$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-020-01556-6$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32356136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lim, S. E. R.</creatorcontrib><creatorcontrib>Cox, N. J.</creatorcontrib><creatorcontrib>Tan, Q. Y.</creatorcontrib><creatorcontrib>Ibrahim, K.</creatorcontrib><creatorcontrib>Roberts, H. C.</creatorcontrib><title>Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Background
Physical activity (PA) is important for older people to maintain functional independence and healthy ageing. There is strong evidence to support the benefits of physical activity interventions on the health outcomes of older adults. Nonetheless, innovative approaches are needed to ensure that these interventions are practical and sustainable.
Aim
This systematic review explores the effectiveness of volunteer-led PA interventions in improving health outcomes for community-dwelling older people.
Methods
Five databases (MEDLINE, Embase, CINAHL, PEDro, Cochrane library) were systematically searched for studies using trained volunteers to deliver PA interventions for community-dwelling older people aged ≥ 65 years. Meta-analysis was not conducted due to included study heterogeneity.
Results
Twelve papers describing eight studies (five papers reported different outcomes from the same study) were included in the review. All eight studies included strength and balance exercises and frequency of PA ranged from weekly to three times a week. Volunteer-led exercises led to improvements in functional status measured using the short physical performance battery, timed up and go test, Barthel Index, single leg stand, step touch test, chair stand test, and functional reach. Frailty status identified by grip strength measurement or the use of long-term care insurance improved with volunteer-led exercises. Interventions led to improvement in fear of falls and maintained or improved the quality of life. The impact on PA levels were mixed.
Conclusion
Limited evidence suggests that volunteer-led PA interventions that include resistance exercise training, can improve outcomes of community-dwelling older adults including functional status, frailty status, and reduction in fear of falls. More high-quality RCTs are needed to investigate the effects of volunteer-led PA interventions among older people.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Exercise</subject><subject>Frailty</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Older people</subject><subject>Outcome Assessment, Health Care</subject><subject>Postural Balance</subject><subject>Quality of Life</subject><subject>Review</subject><subject>Systematic review</subject><subject>Time and Motion Studies</subject><subject>Volunteers</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9Uctu1TAQjRCIlsIPsECW2LAJ-BE_wgKpqqBFqsQG2FqOM7nXlRMH20l1l_w5jm4phQWLkWc0Z874zKmqlwS_JRjLd6nBnOIab0E4F7V4VJ0SWUrFSPv4QX5SPUvpBuOGlOJpdcIo44IwcVr9_B78MmWAWHvo0bw_JGeNR8Zmt7p8QK404wpTdmFKKAfkxjmGFdAejM97FJZswwgJDSGiko3LVMbq_ha8d9MOBd9DRDOE2cN7ZFA6pAyjyc6iCKuD2-fVk8H4BC_u3rPq26ePXy-u6usvl58vzq9ryxucawWctJgKBazvOwY9I7Sxhpuha8sVCG85oS0fpCTAJDSDAqI6Y1hHFelby86qD0feeelG6G2RFI3Xc3SjiQcdjNN_dya317uwaoVVIxUpBG_uCGL4sUDKenTJFplmgrAkTVkrhaBSqAJ9_Q_0JixxKvI0LTLK7ancUPSIsjGkFGG4_wzBenNYHx3WeIvNYS3K0KuHMu5HfltaAOwISKU17SD-2f0f2l8wsbU_</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Lim, S. E. R.</creator><creator>Cox, N. J.</creator><creator>Tan, Q. Y.</creator><creator>Ibrahim, K.</creator><creator>Roberts, H. C.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2496-2362</orcidid></search><sort><creationdate>20210401</creationdate><title>Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review</title><author>Lim, S. E. R. ; Cox, N. J. ; Tan, Q. Y. ; Ibrahim, K. ; Roberts, H. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-8e5190268e3ddb3ed3124ca5afb952015951295f771e37e4f8e18baa3b281d9c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Exercise</topic><topic>Frailty</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Older people</topic><topic>Outcome Assessment, Health Care</topic><topic>Postural Balance</topic><topic>Quality of Life</topic><topic>Review</topic><topic>Systematic review</topic><topic>Time and Motion Studies</topic><topic>Volunteers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, S. E. R.</creatorcontrib><creatorcontrib>Cox, N. J.</creatorcontrib><creatorcontrib>Tan, Q. Y.</creatorcontrib><creatorcontrib>Ibrahim, K.</creatorcontrib><creatorcontrib>Roberts, H. C.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, S. E. R.</au><au>Cox, N. J.</au><au>Tan, Q. Y.</au><au>Ibrahim, K.</au><au>Roberts, H. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>33</volume><issue>4</issue><spage>843</spage><epage>853</epage><pages>843-853</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>Background
Physical activity (PA) is important for older people to maintain functional independence and healthy ageing. There is strong evidence to support the benefits of physical activity interventions on the health outcomes of older adults. Nonetheless, innovative approaches are needed to ensure that these interventions are practical and sustainable.
Aim
This systematic review explores the effectiveness of volunteer-led PA interventions in improving health outcomes for community-dwelling older people.
Methods
Five databases (MEDLINE, Embase, CINAHL, PEDro, Cochrane library) were systematically searched for studies using trained volunteers to deliver PA interventions for community-dwelling older people aged ≥ 65 years. Meta-analysis was not conducted due to included study heterogeneity.
Results
Twelve papers describing eight studies (five papers reported different outcomes from the same study) were included in the review. All eight studies included strength and balance exercises and frequency of PA ranged from weekly to three times a week. Volunteer-led exercises led to improvements in functional status measured using the short physical performance battery, timed up and go test, Barthel Index, single leg stand, step touch test, chair stand test, and functional reach. Frailty status identified by grip strength measurement or the use of long-term care insurance improved with volunteer-led exercises. Interventions led to improvement in fear of falls and maintained or improved the quality of life. The impact on PA levels were mixed.
Conclusion
Limited evidence suggests that volunteer-led PA interventions that include resistance exercise training, can improve outcomes of community-dwelling older adults including functional status, frailty status, and reduction in fear of falls. More high-quality RCTs are needed to investigate the effects of volunteer-led PA interventions among older people.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32356136</pmid><doi>10.1007/s40520-020-01556-6</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-2496-2362</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Aging clinical and experimental research, 2021-04, Vol.33 (4), p.843-853 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8084781 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Aged, 80 and over Exercise Frailty Geriatrics/Gerontology Humans Independent Living Medicine Medicine & Public Health Older people Outcome Assessment, Health Care Postural Balance Quality of Life Review Systematic review Time and Motion Studies Volunteers |
| title | Volunteer-led physical activity interventions to improve health outcomes for community-dwelling older people: a systematic review |
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