Evidence map›Paper›PMID 29029557›Full record

SynthesisPhysical therapy2017

Do Exercise Interventions Improve Participation in Life Roles in Older Adults? A Systematic Review and Meta-Analysis.

Marla K Beauchamp, Annemarie Lee, Rachel F Ward, Samantha L Harrison, Paul A Bain, Roger S Goldstein, Dina Brooks, Jonathan F Bean, Alan M Jette

Erratum issuedOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Physical therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Adaptive Interventions for Enhancing Participation Poststroke: A Systematic Review and Meta-Analysis.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 3 countries.

Marla K BeauchampSchool of Rehabilitation Science and Department of Medicine, McMaster University, IAHS Room 428, 1400 Main Street West, Hamilton, Ontario L8S 1C7, Canada.
Annemarie LeeWest Park Healthcare Centre, Toronto, Ontario, Canada.
Rachel F WardNew England Geriatric Research Education and Clinical Center, Veterans Administration Boston Health System, Boston, Massachusetts.
Samantha L HarrisonSchool of Health and Social Care, Teesside University, Middlesbrough, United Kingdom.
Paul A BainCountway Library of Medicine, Harvard Medical School.
Roger S GoldsteinWest Park Healthcare Centre, Toronto, Ontario, Canada.
Dina BrooksWest Park Healthcare Centre, Toronto, Ontario, Canada.
Jonathan F BeanNew England Geriatric Research Education and Clinical Center, Veterans Administration Boston Health System, Boston, Massachusetts.
Alan M JetteHealth and Disability Research Institute, Boston University School of Health, Boston, Massachusetts; American Physical Therapy Association.
West Park Healthcare Centre · CAAmerican School Health Association · USBoston Public Library · USTeesside University · GBVA Boston Healthcare System · USVA New England Healthcare System · US

Funding

Developing Rehabilitative Strategies for Disability Prevention in Primary CareR01AG032052 · NIA · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2009 to 2013
$3.2M
A Research Mentoring Program in the Rehabilitative Care of Older AdultsK24HD070966 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2012 to 2016
$793k
NIA NIH HHS R01 AG032052NICHD NIH HHS K24 HD070966
6 · The paper itself

Abstract

Background: The World Health Organization recognizes participation in meaningful life roles as a key component of health. However, the evidence base for interventions to improve participation remains inconclusive. In particular, whether exercise interventions improve participation in life roles is unclear. Purpose: The aim of this review was to evaluate the effect of physical exercise interventions on participation in life roles in older adults residing in the community. Data sources: The PubMed, Embase, CINAHL, Cochrane, and PEDro databases were searched from inception through March 2015. Study selection: Randomized controlled trials comparing the effects of an exercise intervention to usual care on participation in life roles in adults who were 60 years of age or older were included in this review. Data extraction: Teams of 2 investigators independently extracted data on participation. Methodological quality was appraised using the Cochrane tool for assessing the risk of bias. The protocol was registered with Prospero (CRD42014014880). Data synthesis: Eighteen randomized controlled trials with a total of 2,315 participants met the inclusion criteria. Standardized mean differences (SMDs) with 95% CIs were calculated using a random-effects model. A meta-analysis of 16 studies showed no overall effect of the exercise interventions on participation (SMD = 0.03; 95% CI = -0.10 to 0.16). Subgroup analysis showed that exercise interventions lasting 12 months or more had a small positive effect on participation (SMD = 0.15; 95% CI = 0.02 to 0.28). Limitations: Limitations included variability in definitions and measures of participation. Conclusions: In general, exercise interventions do not improve participation in life roles in older adults. The results do not support the implicit assumption that exercise-based interventions associated with improved function/activity also result in improved participation. Investigation of complex interventions that go beyond exercise to address participation in life roles for older adults is warranted.

Indexed as

Quality of LifeActivities of Daily LivingAgedExerciseFemaleHumansIndependent LivingMaleMiddle AgedRandomized Controlled Trials as TopicSocial ParticipationTime Factors

Identifiers

PMID29029557
PMCPMC5803784
OpenAlexW2612029323

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.