Evidence map›Paper›PMID 40552370›Full record

SynthesisAge and ageing2025

Feasibility and effectiveness of physical exercise for older adults delivered remotely via videoconferencing-systematic review and meta analysis.

Adi Toledano-Shubi, Amy Lauren Shapira, Rotem Fuchsman, Ronit Marco, Hagit Hel-Or, Hilla Sarig Bahat

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adi Toledano-ShubiDepartment of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, 3103301, Israel.ORCID 0000-0002-2002-5825
Amy Lauren ShapiraYounes and Soraya Nazarian Library, University of Haifa, Haifa, 3103301, Israel.
Rotem FuchsmanDepartment of Physical Therapy, Galilee Medical Center, Nahariya, 22100, Israel.
Ronit MarcoYounes and Soraya Nazarian Library, University of Haifa, Haifa, 3103301, Israel.
Hagit Hel-OrDepartment of Computer Science, Faculty of Social Sciences, University of Haifa, Haifa, 3103301, Israel.
Hilla Sarig BahatDepartment of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, 3103301, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity promotes healthy ageing. Videoconferencing enables delivery of accessible exercise therapy, supporting older adults in engaging in structured physical activity.

objectivesTo investigate the feasibility and effectiveness of remotely supervised videoconferencing exercise therapy for adults over 65. DATA SOURCES: Nine databases were searched, with manual search completed in March 2025. STUDY SELECTION: Randomised controlled trials assessing remote exercise effectiveness or feasibility, delivered via videoconference with professional real-time interaction. DATA EXTRACTION AND SYNTHESIS: Two authors independently screened studies, extracted data, and assessed methodological quality. Meta-analysis used random effects models, with primary conclusions based on high methodological quality studies.

resultsTwenty-eight studies (n = 2086) were analysed. Results are given for the 18 high-quality studies, including 7 low and 11 moderate risks of bias studies. Average attendance and completion rates were 79.7% and 92.8%, respectively. In videoconference exercise, the number of adverse events was comparable to control groups. Videoconference exercise showed significant improvements over no intervention in: physical function [standardised mean difference (SMD) = 0.82; 95% CI 0.46-1.19; P < .00001], muscle strength (SMD = 0.86; 95% CI 0.46-1.26; P < .0001), emotional status (SMD = 0.72; 95% CI 0.35-1.09; P = .0001) and quality-of-life (SMD = 0.61; 95% CI 0.19-1.03; P = .004). High-quality studies showed comparable effectiveness to alternative delivery methods across all measures. LIMITATIONS: Only 25% of studies met the highest methodological standards. High heterogeneity in outcome measures and small sample sizes may affect generalizability.

conclusionVideoconference exercise therapy appears safe, feasible and effective for improving physical function, strength, emotional status and quality-of-life compared to no intervention. Its equivalence to alternative delivery is established for all measures.

Indexed as

ExerciseExercise TherapyTelemedicineVideoconferencingAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleQuality of LifeRandomized Controlled Trials as TopicTreatment Outcomecommunity-dwelling older adultsexercisemeta analysisolder peoplesystematic reviewvideoconference

Identifiers

PMID40552370
PMCPMC12206098

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.