Physical Exercise Training Improves Quality of Life in Healthy Older Adults: A Meta-Analysis

in Journal of Aging and Physical Activity

Click name to view affiliation

Bente M. Raafs
Search for other papers by Bente M. Raafs in
Current site
Google Scholar
PubMed
Close
,
Esther G.A. Karssemeijer
Search for other papers by Esther G.A. Karssemeijer in
Current site
Google Scholar
PubMed
Close
,
Lizzy Van der Horst
Search for other papers by Lizzy Van der Horst in
Current site
Google Scholar
PubMed
Close
,
Justine A. Aaronson
Search for other papers by Justine A. Aaronson in
Current site
Google Scholar
PubMed
Close
,
Marcel G.M. Olde Rikkert
Search for other papers by Marcel G.M. Olde Rikkert in
Current site
Google Scholar
PubMed
Close
, and
Roy P.C. Kessels
Search for other papers by Roy P.C. Kessels in
Current site
Google Scholar
PubMed
Close
Restricted access

The current meta-analysis first aimed to quantify the overall effect of physical exercise training on the quality of life (QoL) in healthy older adults. Second, the effects on the social, physical, and psychological QoL were assessed. In total, 16 randomized controlled trials were included. The primary analysis showed a medium effect of physical exercise training on QoL in healthy older adults (standard mean difference [SMD] = 0.38, confidence interval, CI, [0.18, 0.59], p < .05). The secondary analyses showed a positive medium effect of physical exercise training on the physical component of QoL (SMD = 0.39, CI [0.17, 0.60], p < .05), and a positive medium effect of physical exercise training on the psychological component of QoL (SMD = 0.348, CI [0.125, 0.570], p < .05), and no significant effect of physical exercise training on the social component of QoL was observed (SMD = 0.16, CI [−0.07, 0.38], p = .17). These findings warrant implementation efforts pertaining to exercise training for older adults to improve the QoL in our aging societies.

Raafs, Karssemeijer, Van der Horst, and Olde Rikkert are with the Department of Geriatric Medicine, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands. Karssemeijer, Olde Rikkert, and Kessels are with Radboudumc Alzheimer Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands. Aaronson and Kessels are with the Department of Medical Psychology, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands. Kessels is also with the Center for Cognition, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.

Kessels (Roy.Kessels@radboudumc.nl) is corresponding author.
  • Collapse
  • Expand
  • Battaglia, G., Bellafiore, M., Alesi, M., Paoli, A., & Palma, A. (2016). Effects of an adapted physical activity program on psychophysical health in elderly women. Clinical Interventions in Aging, 11, 10091015. PubMed ID: 27536081 doi:10.2147/CIA.S109591

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Borenstein, M., Hedges, L.V., Higgins, J.P., & Rotenstein, H.R. (2009). Introduction to meta analysis. Chichester, United Kingdom: John Wiley & Sons.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Canuto Wanderley, F.A., Oliveira, N.L., Marques, E., Moreira, P., Oliveira, J., & Carvalho, J. (2015). Aerobic versus resistance training effects on health-related quality of life, body composition, and function of older adults. Journal of Applied Gerontology, 34, NP143NP165. doi:10.1177/0733464812468502

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Carta, M.G., Aguglia, E., Caraci, F., Dell’Osso, L., Di Sciascio, G., Del Giudice, E., . . . Balestrieri, M. (2012). Quality of life and urban / rural living: Preliminary results of a community survey in Italy. Clinical Practice & Epidemiology in Health, 8, 169174. doi:10.2174/1745017901208010169

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155159. PubMed ID: 19565683 doi:10.1037/0033-2909.112.1.155

  • Dehi, M., Aghajari, P., Shahshahani, M., Takfallah, L., & Jahangiri, L. (2014). The effect of stationary walking on the quality of life of the elderly women: A randomized controlled trial. Journal of Caring Sciences, 3, 103111. PubMed ID: 25276753 doi:10.5681/jcs.2014.011

    • Search Google Scholar
    • Export Citation
  • de Vreede, P.L., Van Meeteren, N.L., Samson, M.M., Wittink, H.M., Duursma, S.A., & Verhaar, H.J. (2007). The effect of functional tasks exercise and resistance exercise on health-related quality of life and physical activity. A randomised controlled trial. Gerontology, 53, 1220. PubMed ID: 16940735 doi:10.1159/000095387

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Dunsky, A., Yahalom, T., Arnon, M., & Lidor, R. (2017). The use of step aerobics and the stability ball to improve balance and quality of life in community-dwelling older adults – a randomized exploratory study. Archives of Gerontology and Geriatrics, 71, 6674. PubMed ID: 28363133 doi:10.1016/j.archger.2017.03.003

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Figueira, H.A., Figueira, A.A., Cader, S.A., Guimaraães, R.J., Figueira, J.A., Figueira, O.A., & Dantas, E.H.M. (2012). Effects of a physical activity governmental health programme on the quality of life of elderly people. Scandinavian Journal of Public Health, 40, 418422. PubMed ID: 22798287 doi:10.1177/1403494812453885

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gillison, F.B., Skevington, S.M., Sato, A., Standage, M., & Evangelidou, S. (2009). The effects of exercise interventions on quality of life in clinical and healthy populations: A meta analysis. Social Science & Medicine, 68, 17001710. PubMed ID: 19297065 doi:10.1016/j.socscimed.2009.02.028

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gschwind, Y.J., Kressig, R.W., Lacroix, A., Muehlbauer, T., Pfenninger, B., & Granacher, U. (2013). A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatrics, 13, 113. doi:10.1186/1471-2318-13-105

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hariprasad, V.R., Sivakumar, P.T., Koparde, V., Varambally, S., Thirthalli, J., Varghese, M., . . . Gangadhar, B.N. (2013). Effects of yoga intervention on sleep and quality-of-life in elderly: A randomized controlled trial. Indian Journal of Psychiatry, 55, 364368. doi:10.4103/0019-5545.116310

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Higgins, J.P., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions. Chichester, United Kingdom: John Wiley & Sons.

    • Search Google Scholar
    • Export Citation
  • Janyacharoen, T., Sirijariyawat, K., Nithiatthawanon, T., Pamorn, P., & Sawanyawisuth, K. (2017). Modified stepping exercise improves physical performances and quality of life in health elderly subjects. The Journal of Sports Medicine and Physical Fitness, 57, 13441348. PubMed ID: 27232556 doi:10.23736/s0022-4707.16.06439-2

    • Search Google Scholar
    • Export Citation
  • Katznelson, L., Robinson, M.W., Coyle, C.L., Lee, H., & Farrell, C.E. (2006). Effects of modest testosterone supplementation and exercise for 12 weeks on body composition and quality of life in elderly men. European Journal of Endocrinology, 155, 867875. PubMed ID: 17132757 doi:10.1530/eje.1.02291

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kekalainen, T., Kokko, K., Sipila, S., & Walker, S. (2018). Effects of a 9-month resistance training intervention on quality of life, sense of coherence, and depressive symptoms in older adults: Randomized controlled trial. Quality of Life Research, 27(2), 455465. doi:10.1007/s11136-017-1733-z

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kimura, K., Obuchi, S., Arai, T., Nagasawa, H., Shiba, Y., Watanabe, S., & Kojima, M. (2010). The influence of short-term strength training on health-related quality of life and executive cognitive function. Journal of Physiological Anthropology, 29, 95101. PubMed ID: 20558967 doi:10.2114/jpa2.29.95

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Kovacs, E., Prokai, L., Meszaros, L., & Gondos, T. (2013). Adapted physical activity is beneficial on balance, functional mobility, quality of life and fall risk in community dwelling older women: A randomized single-blinded controlled trial. European Journal of Physical and Rehabilitation Medicine, 49, 301310. PubMed ID: 23486300

    • Search Google Scholar
    • Export Citation
  • Lok, N., Lok, S., & Canbaz, M. (2017). The effect of physical activity on depressive symptoms and quality of life among elderly nursing home residents: Randomized controlled trial. Archives of Gerontology and Geriatrics, 70, 9298. PubMed ID: 28110207 doi:10.1016/j.archger.2017.01.008

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Marin, P.J., Martin-Lopez, A., Vicente-Campos, D., Angulo-Carrere, M., Garcia-Pastor, T., Garatachea, N., & Chicharro, J.L. (2011). Effects of vibration training and detraining on balance and muscle strength in older adults. Journal of Sports Science & Medicine, 10, 559564. PubMed ID: 24150633

    • Search Google Scholar
    • Export Citation
  • Michal, M., Simon, P., Gori, T., König, J., Wild, P.S., Wiltink, J., . . . Beutel, M.E. (2013). Psychodynamic Motivation and Training program (PMT) for the secondary prevention in patients with stable coronary heart disease: Study protocol for a randomized controlled trial of feasibility and effects. BioMed Central, 14, 314. doi:10.1186/17456215-14-314

    • Search Google Scholar
    • Export Citation
  • Motl, R.W., & McAuley, E. (2010). Physical activity, disability, and quality of life in older adults. Physical Medicine and Rehabilitation Clinics of North America, 21, 299308. PubMed ID: 20494278 doi:10.1016/j.pmr.2009.12.006

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mura, G., Sancassiani, F., Migliaccio, G.M., Collu, G., & Carta, M.G. (2014). The association between different kinds of exercise and quality of life in the long term. Results of a randomized controlled trial on the elderly. Clinical Practice & Epidemiology in Mental Health, 10, 3641. PubMed ID: 24707314 doi:10.2174/1745017901410010036

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ng, T.P., Nyunt, M.S.Z., Feng, L., Niti, M., Tan, B.Y., Chan, G., . . . Yap, K.B. (2017). Multi-domains lifestyle interventions reduces depressive symptoms among frail and pre-frail older persons: Randomized controlled trial. Journal of Nutrition, Health & Aging, 21, 918926. PubMed ID: 28972245 doi:10.1007/s12603-016-0867-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Oken, B.S., Zajdel, D., Kishiyama, S., Flegal, K., Dehen, C., Haas, M., . . . Leyva, J. (2006). Randomized, controlled, six-month trial of yoga in healthy seniors: Effects on cognition and quality of life. Alternative Therapies in Health and Medicine, 12, 4047. PubMed ID: 16454146

    • Search Google Scholar
    • Export Citation
  • Pedersen, M.T., Vorup, J., Nistrup, A., Wikman, J.M., Alstrom, J.M., Melcher, P.S., . . . Bangsbo, J. (2017). Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults. Scandinavian Journal of Medicine & Science in Sports, 27, 852864. PubMed ID: 28144978 doi:10.1111/sms.12823

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Skevington, S.M., Lofty, M., O’Connell, K.A., & WHOQOL Group. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13, 299310. PubMed ID: 15085902 doi:10.1023/B:QURE.0000018486.91360.00

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Stiggelbout, M., Popkema, D.Y., Hopman-Rock, M., de Greef, M., & van Mechelen, W. (2004). Once a week is not enough: Effects of a widely implemented group based exercise programme for older adults; a randomized controlled trial. Journal of Epidemiology and Community Health, 58, 8388. PubMed ID: 14729881 doi:10.1136/jech.58.2.83

    • Crossref
    • Search Google Scholar
    • Export Citation
  • United Nations Fund for Population Activities. (2012). Ageing in the Twenty-First Century: A Celebration and A Challenge. In JM Guzmán, A Pawliczko, S. Beales, C. Till, & I. Voelcker (Eds.), International, U.N.P.F.U.a.H (pp. 1932). New York, NY: United Nations Population Fund (UNFPA) and HelpAge International.

    • Search Google Scholar
    • Export Citation
  • World Health Organization. (1998). Development of the World Health Organization WHOQOL BREF quality of life assessment. The WHOQOL Group. Psychological Medicine, 28, 551558. doi:10.1017/S0033291798006667

    • Search Google Scholar
    • Export Citation
  • World Health Organization. (2008). WHO global report on falls prevention in older age. Ageing, & Life Course Unit. Geneva, Switzerland: World Health Organization. https://www.who.int/ageing/publications/Falls_prevention7March.pdf

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 5363 1260 50
Full Text Views 197 35 5
PDF Downloads 148 37 7