E-Health Interventions for Older Adults With Frailty: A Systematic Review

Objective To systematically review the efficacy of e-Health interventions on physical performance, activity and quality of life in older adults with sarcopenia or frailty. Methods A systematic review was conducted by searching the MEDLINE, Embase, Cochrane Library, CINHAL, Web of Science, and the Ph...

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Main Authors: Hyeong-Wook Han, Si-Woon Park, Doo Young Kim, Bum-Suk Lee, Daham Kim, Namo Jeon, Yun-Jung Yang
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2023-10-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://e-arm.org/upload/pdf/arm-23090.pdf
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author Hyeong-Wook Han
Si-Woon Park
Doo Young Kim
Bum-Suk Lee
Daham Kim
Namo Jeon
Yun-Jung Yang
author_facet Hyeong-Wook Han
Si-Woon Park
Doo Young Kim
Bum-Suk Lee
Daham Kim
Namo Jeon
Yun-Jung Yang
author_sort Hyeong-Wook Han
collection DOAJ
description Objective To systematically review the efficacy of e-Health interventions on physical performance, activity and quality of life in older adults with sarcopenia or frailty. Methods A systematic review was conducted by searching the MEDLINE, Embase, Cochrane Library, CINHAL, Web of Science, and the Physiotherapy Evidence Database for experimental studies published in English from 1990 to 2021. E-Health studies investigating physical activity, physical performance, quality of life, and activity of daily living assessment in adults aged ≥65 years with sarcopenia or frailty were selected. Results Among the 3,164 identified articles screened, a total of 4 studies complied with the inclusion criteria. The studies were heterogeneous by participant characteristics, type of e-Health intervention, and outcome measurement. Age criteria for participant selection and sex distribution were different between studies. Each study used different criteria for frailty, and no study used sarcopenia as a selection criteria. E-Health interventions were various across studies. Two studies used frailty status as an outcome measure and showed conflicting results. Muscle strength was assessed in 2 studies, and meta-analysis showed statistically significant improvement after intervention (standardized mean difference, 0.51; 95% confidence interval, 0.07–0.94; p=0.80, I2=0%). Conclusion This systematic review found insufficient evidence to support the efficacy of e-Health interventions. Nevertheless, the studies included in this review showed positive effects of e-Health interventions on improving muscle strength, physical activity, and quality of life in older adults with frailty.
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spelling doaj.art-f90ec418b7e84728a4e0c523d102d3922023-11-14T05:27:24ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532023-10-0147534835710.5535/arm.230904330E-Health Interventions for Older Adults With Frailty: A Systematic ReviewHyeong-Wook Han0Si-Woon Park1Doo Young Kim2Bum-Suk Lee3Daham Kim4Namo Jeon5Yun-Jung Yang6 Department of Rehabilitation Medicine, International St Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea Department of Rehabilitation Medicine, International St Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea Department of Rehabilitation Medicine, International St Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea Department of Rehabilitation Medicine, International St Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea Department of Rehabilitation Medicine, International St Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea Department of Rehabilitation Medicine, International St Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea Department of Convergence Science, International St Mary’s Hospital, Catholic Kwandong University College of Medicine, Incheon, KoreaObjective To systematically review the efficacy of e-Health interventions on physical performance, activity and quality of life in older adults with sarcopenia or frailty. Methods A systematic review was conducted by searching the MEDLINE, Embase, Cochrane Library, CINHAL, Web of Science, and the Physiotherapy Evidence Database for experimental studies published in English from 1990 to 2021. E-Health studies investigating physical activity, physical performance, quality of life, and activity of daily living assessment in adults aged ≥65 years with sarcopenia or frailty were selected. Results Among the 3,164 identified articles screened, a total of 4 studies complied with the inclusion criteria. The studies were heterogeneous by participant characteristics, type of e-Health intervention, and outcome measurement. Age criteria for participant selection and sex distribution were different between studies. Each study used different criteria for frailty, and no study used sarcopenia as a selection criteria. E-Health interventions were various across studies. Two studies used frailty status as an outcome measure and showed conflicting results. Muscle strength was assessed in 2 studies, and meta-analysis showed statistically significant improvement after intervention (standardized mean difference, 0.51; 95% confidence interval, 0.07–0.94; p=0.80, I2=0%). Conclusion This systematic review found insufficient evidence to support the efficacy of e-Health interventions. Nevertheless, the studies included in this review showed positive effects of e-Health interventions on improving muscle strength, physical activity, and quality of life in older adults with frailty.http://e-arm.org/upload/pdf/arm-23090.pdftelemedicinefrailtyexerciseagedmuscle strength
spellingShingle Hyeong-Wook Han
Si-Woon Park
Doo Young Kim
Bum-Suk Lee
Daham Kim
Namo Jeon
Yun-Jung Yang
E-Health Interventions for Older Adults With Frailty: A Systematic Review
Annals of Rehabilitation Medicine
telemedicine
frailty
exercise
aged
muscle strength
title E-Health Interventions for Older Adults With Frailty: A Systematic Review
title_full E-Health Interventions for Older Adults With Frailty: A Systematic Review
title_fullStr E-Health Interventions for Older Adults With Frailty: A Systematic Review
title_full_unstemmed E-Health Interventions for Older Adults With Frailty: A Systematic Review
title_short E-Health Interventions for Older Adults With Frailty: A Systematic Review
title_sort e health interventions for older adults with frailty a systematic review
topic telemedicine
frailty
exercise
aged
muscle strength
url http://e-arm.org/upload/pdf/arm-23090.pdf
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