Lily Yuen Wah Ho, Jodie Hau Yi Tse, Wayne Lap Sun Chan, Daphne Sze Ki Cheung
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The risk of bias and the certainty of the evidence were assessed.</p>\n </section>\n \n <section>\n \n <h3> Data Sources</h3>\n \n <p>CINAHL, Cochrane Library, Embase, PubMed, Web of Science, and China Academic Journal Network Publishing Database were searched from their inception through February 2024.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Five studies (<i>n</i> = 391) were included. Exergaming, which was delivered in 20–36 sessions over 8–12 weeks, resulted in improvements in frailty scores and indices, frailty status, and frailty phenotypes, including exhaustion, low physical activity levels, gait speed, and muscle weakness over time. There was no effect on unintentional weight loss. Meta-analyses showed that the effects of exergaming were not significantly different from those observed in the control groups. The rate of adherence to the intervention of the exergaming group was slightly higher than that of the comparison group (87.3%–87.7% vs. 81.1%–85.4%). The overall risk of bias was high in all studies. The certainty of the evidence was very low.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Exergaming exerts effects on frailty comparable to those of conventional physical exercises. Participants appeared to have better adherence to exergaming. Future studies with robust designs are warranted.</p>\n </section>\n \n <section>\n \n <h3> Implications for the Profession and/or Patient Care</h3>\n \n <p>With effects comparable to those of conventional physical exercises, exergaming could be considered in clinical settings to address frailty.</p>\n </section>\n \n <section>\n \n <h3> Impact</h3>\n \n <p>This review addressed the effects of exergaming on frailty instead of physical outcomes. Exergaming was comparable to conventional physical exercises in improving frailty scores and indices, frailty status, and four frailty phenotypes. The findings provide insights to healthcare providers on the design of exergames.</p>\n </section>\n \n <section>\n \n <h3> Reporting Method</h3>\n \n <p>PRISMA guidelines.</p>\n </section>\n \n <section>\n \n <h3> Protocol Registration</h3>\n \n <p>PROSPERO number: CRD42023460495.</p>\n </section>\n \n <section>\n \n <h3> Patient or Public Contribution</h3>\n \n <p>No Patient or Public Contribution.</p>\n </section>\n </div>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"34 5","pages":"1913-1930"},"PeriodicalIF":3.5000,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.17672","citationCount":"0","resultStr":"{\"title\":\"Effects of Exergaming on Frailty: A Systematic Review and Meta-Analysis\",\"authors\":\"Lily Yuen Wah Ho, Jodie Hau Yi Tse, Wayne Lap Sun Chan, Daphne Sze Ki Cheung\",\"doi\":\"10.1111/jocn.17672\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>To evaluate the effects of exergaming on physical frailty in older adults.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>Systematic review with meta-analysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Six electronic databases were searched for randomised controlled trials evaluating the effects of exergaming on frailty in older adults. 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引用次数: 0
摘要
目的：评价体育锻炼对老年人身体虚弱的影响。设计：采用荟萃分析的系统评价。方法：检索6个电子数据库，检索评估运动对老年人虚弱影响的随机对照试验。采用叙事综合和元分析对数据进行综合。对偏倚风险和证据的确定性进行了评估。数据来源：CINAHL、Cochrane图书馆、Embase、PubMed、Web of Science和中国学术期刊网络出版数据库，检索时间从建站到2024年2月。结果：纳入5项研究（n = 391）。运动，在8-12周内进行20-36次，导致虚弱评分和指数，虚弱状态和虚弱表型的改善，包括疲劳，低体力活动水平，步态速度和肌肉无力。对无意减肥没有影响。荟萃分析显示，运动的效果与对照组没有显著差异。运动组干预依从率略高于对照组（87.3% ~ 87.7% vs. 81.1% ~ 85.4%）。在所有研究中，偏倚的总体风险都很高。证据的确定性很低。结论：体育锻炼对机体虚弱的影响与常规体育锻炼相当。参与者似乎对运动有更好的坚持。未来的研究与稳健的设计是必要的。对专业和/或患者护理的影响：与传统体育锻炼的效果相当，在临床环境中可以考虑锻炼来解决虚弱问题。影响：本综述讨论了运动对身体虚弱的影响，而不是对身体结果的影响。在改善虚弱评分和指数、虚弱状态和四种虚弱表型方面，运动与传统的体育锻炼相当。这些发现为医疗保健提供者提供了关于运动游戏设计的见解。报告方法：PRISMA指南。协议注册：PROSPERO编号：CRD42023460495。患者或公众捐赠：无患者或公众捐赠。
Effects of Exergaming on Frailty: A Systematic Review and Meta-Analysis
Aim
To evaluate the effects of exergaming on physical frailty in older adults.
Design
Systematic review with meta-analysis.
Methods
Six electronic databases were searched for randomised controlled trials evaluating the effects of exergaming on frailty in older adults. Data were synthesised using narrative synthesis and meta-analysis. The risk of bias and the certainty of the evidence were assessed.
Data Sources
CINAHL, Cochrane Library, Embase, PubMed, Web of Science, and China Academic Journal Network Publishing Database were searched from their inception through February 2024.
Results
Five studies (n = 391) were included. Exergaming, which was delivered in 20–36 sessions over 8–12 weeks, resulted in improvements in frailty scores and indices, frailty status, and frailty phenotypes, including exhaustion, low physical activity levels, gait speed, and muscle weakness over time. There was no effect on unintentional weight loss. Meta-analyses showed that the effects of exergaming were not significantly different from those observed in the control groups. The rate of adherence to the intervention of the exergaming group was slightly higher than that of the comparison group (87.3%–87.7% vs. 81.1%–85.4%). The overall risk of bias was high in all studies. The certainty of the evidence was very low.
Conclusion
Exergaming exerts effects on frailty comparable to those of conventional physical exercises. Participants appeared to have better adherence to exergaming. Future studies with robust designs are warranted.
Implications for the Profession and/or Patient Care
With effects comparable to those of conventional physical exercises, exergaming could be considered in clinical settings to address frailty.
Impact
This review addressed the effects of exergaming on frailty instead of physical outcomes. Exergaming was comparable to conventional physical exercises in improving frailty scores and indices, frailty status, and four frailty phenotypes. The findings provide insights to healthcare providers on the design of exergames.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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