The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis

Natalie Klempel; Nicole Blackburn; Ilona Mc Mullan; Jason Wilson; Lee Smith; Conor Cunningham; Roger O'Sullivan; Paolo Caserotti; Mark Tully

doi:10.3390/ijerph18041902

The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis

Natalie Klempel, Nicole Blackburn, Ilona Mc Mullan, Jason Wilson, Lee Smith, Conor Cunningham, Roger O'Sullivan, Paolo Caserotti, Mark Tully

Research output: Contribution to journal › Review article › peer-review

31 Citations (Scopus)

244 Downloads (Pure)

Abstract

Physical activity is an important determinant of health in later life. The public health restrictions in response to COVID-19 have interrupted habitual physical activity behaviours in older adults. In response, numerous exercise programmes have been developed for older adults, many involving chair-based exercise. The aim of this systematic review was to synthesise the effects of chair-based exercise on the health of older adults. Ovid Medline, EMBASE, CINAHL, AMED, PyscInfo and SPORTDiscus databases were searched from inception to 1 April 2020. Chair-based exercise programmes in adults ≥50 years, lasting for at least 2 weeks and measuring the impact on physical function were included. Risk of bias of included studies were assessed using Cochrane risk of bias tool v2. Intervention content was described using TiDieR Criteria. Where sufficient studies (≥3 studies) reported data on an outcome, a random effects meta-analysis was performed. In total, 25 studies were included, with 19 studies in the meta-analyses. Seventeen studies had a low risk of bias and five had a high risk of bias. In this systematic review including 1388 participants, results demonstrated that chair-based exercise programmes improve upper extremity (handgrip strength: MD = 2.10; 95%CI = 0.76, 3.43 and 30 s arm curl test: MD = 2.82; 95%CI = 1.34, 4.31) and lower extremity function (30 s chair stand: MD 2.25; 95%CI = 0.64, 3.86). The findings suggest that chair-based exercises are effective and should be promoted as simple and easily implemented activities to maintain and develop strength for older adults.

Original language	English
Article number	1902
Pages (from-to)	1-17
Number of pages	17
Journal	International Journal of Environmental Research and Public Health
Volume	18
Issue number	4
DOIs	https://doi.org/10.3390/ijerph18041902
Publication status	Published (in print/issue) - 16 Feb 2021

Bibliographical note

Funding Information:
M.A.T., N.K., N.E.B., J.J.W., I.L.M. and P.C. were supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270) as part of the SITLESS consortium. The funders had no role in study design, data analysis and interpretation, or preparation of the manuscript.

Acknowledgments: The work described in this publication was supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270). Consortium members of the participating organisations of the SITLESS project include: Antoni Salvà Casanovas, Àlex Domingo, Marta Roqué and Laura Coll‐Planas: Health and Ageing Foundation of the Autonomous University of Barcelona, Spain; Maria Giné‐Garriga, Miriam Guerra‐Balic, Carme Martin‐Borràs, Javier Jerez‐ Roig, Guillermo R Oviedo, Marta Santiago‐Carrés, Oriol Sansano and Guillermo Varela: Faculty of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, Barcelona, Spain; Emma McIntosh and Manuela Deidda: Health Economics and Health Technology Assessment, University of Glasgow, UK; Dietrich Rothenbacher, Michael Denkinger, Katharina Wirth, Dhayana Dallmeier and Jochen Klenk: Institute of Epidemiology and Medical Biometry, Ulm University, Ger‐ many; Frank Kee: Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, UK; Mark A Tully, Nicole E Blackburn, Jason J Wilson, Ilona McMullan and Natalie Klempel: School of Health Sciences, Ulster University, UK; Paolo Caserotti and Mathias Skjødt: Department of Sport Science and Clinical Biomechanics, University of South Denmark, Den‐ mark; Guillaume Lefebvre: SIEL, Sport initiative et Loisir Bleu association, Straßbourg, France; Den‐ ise González: SIEL, Sport initiative et Loisir Bleu association, Barcelona, Spain.

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.

Funding

Funding Information: M.A.T., N.K., N.E.B., J.J.W., I.L.M. and P.C. were supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270) as part of the SITLESS consortium. The funders had no role in study design, data analysis and interpretation, or preparation of the manuscript. Acknowledgments: The work described in this publication was supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270). Consortium members of the participating organisations of the SITLESS project include: Antoni Salvà Casanovas, Àlex Domingo, Marta Roqué and Laura Coll‐Planas: Health and Ageing Foundation of the Autonomous University of Barcelona, Spain; Maria Giné‐Garriga, Miriam Guerra‐Balic, Carme Martin‐Borràs, Javier Jerez‐ Roig, Guillermo R Oviedo, Marta Santiago‐Carrés, Oriol Sansano and Guillermo Varela: Faculty of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, Barcelona, Spain; Emma McIntosh and Manuela Deidda: Health Economics and Health Technology Assessment, University of Glasgow, UK; Dietrich Rothenbacher, Michael Denkinger, Katharina Wirth, Dhayana Dallmeier and Jochen Klenk: Institute of Epidemiology and Medical Biometry, Ulm University, Ger‐ many; Frank Kee: Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, UK; Mark A Tully, Nicole E Blackburn, Jason J Wilson, Ilona McMullan and Natalie Klempel: School of Health Sciences, Ulster University, UK; Paolo Caserotti and Mathias Skjødt: Department of Sport Science and Clinical Biomechanics, University of South Denmark, Den‐ mark; Guillaume Lefebvre: SIEL, Sport initiative et Loisir Bleu association, Straßbourg, France; Den‐ ise González: SIEL, Sport initiative et Loisir Bleu association, Barcelona, Spain. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

Keywords

Chair‐based exercise
Older adults
Physical function
Systematic review
Humans
Male
Sitting Position
Exercise Therapy
Activities of Daily Living
COVID-19
Accidental Falls/prevention & control
Fear
Aged, 80 and over
Quality of Life
Female
Aged
Hand Strength

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3390/ijerph18041902Licence: CC BY

Tully 2021 (chair-based exercise in older adults REVIEW)Final published version, 559 KBLicence: CC BY

Cite this

Klempel, N., Blackburn, N., Mc Mullan, I., Wilson, J., Smith, L., Cunningham, C., O'Sullivan, R., Caserotti, P., & Tully, M. (2021). The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 18(4), 1-17. Article 1902. https://doi.org/10.3390/ijerph18041902

@article{ed1800346fdf4e24a8b6a0733e76fe54,

title = "The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis",

abstract = "Physical activity is an important determinant of health in later life. The public health restrictions in response to COVID-19 have interrupted habitual physical activity behaviours in older adults. In response, numerous exercise programmes have been developed for older adults, many involving chair-based exercise. The aim of this systematic review was to synthesise the effects of chair-based exercise on the health of older adults. Ovid Medline, EMBASE, CINAHL, AMED, PyscInfo and SPORTDiscus databases were searched from inception to 1 April 2020. Chair-based exercise programmes in adults ≥50 years, lasting for at least 2 weeks and measuring the impact on physical function were included. Risk of bias of included studies were assessed using Cochrane risk of bias tool v2. Intervention content was described using TiDieR Criteria. Where sufficient studies (≥3 studies) reported data on an outcome, a random effects meta-analysis was performed. In total, 25 studies were included, with 19 studies in the meta-analyses. Seventeen studies had a low risk of bias and five had a high risk of bias. In this systematic review including 1388 participants, results demonstrated that chair-based exercise programmes improve upper extremity (handgrip strength: MD = 2.10; 95\%CI = 0.76, 3.43 and 30 s arm curl test: MD = 2.82; 95\%CI = 1.34, 4.31) and lower extremity function (30 s chair stand: MD 2.25; 95\%CI = 0.64, 3.86). The findings suggest that chair-based exercises are effective and should be promoted as simple and easily implemented activities to maintain and develop strength for older adults.",

keywords = "Chair‐based exercise, Older adults, Physical function, Systematic review, Humans, Male, Sitting Position, Exercise Therapy, Activities of Daily Living, COVID-19, Accidental Falls/prevention \& control, Fear, Aged, 80 and over, Quality of Life, Female, Aged, Hand Strength",

author = "Natalie Klempel and Nicole Blackburn and \{Mc Mullan\}, Ilona and Jason Wilson and Lee Smith and Conor Cunningham and Roger O'Sullivan and Paolo Caserotti and Mark Tully",

note = "Funding Information: M.A.T., N.K., N.E.B., J.J.W., I.L.M. and P.C. were supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270) as part of the SITLESS consortium. The funders had no role in study design, data analysis and interpretation, or preparation of the manuscript. Acknowledgments: The work described in this publication was supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270). Consortium members of the participating organisations of the SITLESS project include: Antoni Salv{\`a} Casanovas, {\`A}lex Domingo, Marta Roqu{\'e} and Laura Coll‐Planas: Health and Ageing Foundation of the Autonomous University of Barcelona, Spain; Maria Gin{\'e}‐Garriga, Miriam Guerra‐Balic, Carme Martin‐Borr{\`a}s, Javier Jerez‐ Roig, Guillermo R Oviedo, Marta Santiago‐Carr{\'e}s, Oriol Sansano and Guillermo Varela: Faculty of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, Barcelona, Spain; Emma McIntosh and Manuela Deidda: Health Economics and Health Technology Assessment, University of Glasgow, UK; Dietrich Rothenbacher, Michael Denkinger, Katharina Wirth, Dhayana Dallmeier and Jochen Klenk: Institute of Epidemiology and Medical Biometry, Ulm University, Ger‐ many; Frank Kee: Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen{\textquoteright}s University Belfast, UK; Mark A Tully, Nicole E Blackburn, Jason J Wilson, Ilona McMullan and Natalie Klempel: School of Health Sciences, Ulster University, UK; Paolo Caserotti and Mathias Skj{\o}dt: Department of Sport Science and Clinical Biomechanics, University of South Denmark, Den‐ mark; Guillaume Lefebvre: SIEL, Sport initiative et Loisir Bleu association, Stra{\ss}bourg, France; Den‐ ise Gonz{\'a}lez: SIEL, Sport initiative et Loisir Bleu association, Barcelona, Spain. Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

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Klempel, N , Blackburn, N, Mc Mullan, I, Wilson, J, Smith, L, Cunningham, C, O'Sullivan, R, Caserotti, P & Tully, M 2021, 'The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis', International Journal of Environmental Research and Public Health, vol. 18, no. 4, 1902, pp. 1-17. https://doi.org/10.3390/ijerph18041902

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AU - Smith, Lee

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N1 - Funding Information: M.A.T., N.K., N.E.B., J.J.W., I.L.M. and P.C. were supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270) as part of the SITLESS consortium. The funders had no role in study design, data analysis and interpretation, or preparation of the manuscript. Acknowledgments: The work described in this publication was supported and funded by the European Union program Horizon 2020 (H2020‐Grant 634270). Consortium members of the participating organisations of the SITLESS project include: Antoni Salvà Casanovas, Àlex Domingo, Marta Roqué and Laura Coll‐Planas: Health and Ageing Foundation of the Autonomous University of Barcelona, Spain; Maria Giné‐Garriga, Miriam Guerra‐Balic, Carme Martin‐Borràs, Javier Jerez‐ Roig, Guillermo R Oviedo, Marta Santiago‐Carrés, Oriol Sansano and Guillermo Varela: Faculty of Psychology, Education and Sport Sciences Blanquerna, Ramon Llull University, Barcelona, Spain; Emma McIntosh and Manuela Deidda: Health Economics and Health Technology Assessment, University of Glasgow, UK; Dietrich Rothenbacher, Michael Denkinger, Katharina Wirth, Dhayana Dallmeier and Jochen Klenk: Institute of Epidemiology and Medical Biometry, Ulm University, Ger‐ many; Frank Kee: Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, UK; Mark A Tully, Nicole E Blackburn, Jason J Wilson, Ilona McMullan and Natalie Klempel: School of Health Sciences, Ulster University, UK; Paolo Caserotti and Mathias Skjødt: Department of Sport Science and Clinical Biomechanics, University of South Denmark, Den‐ mark; Guillaume Lefebvre: SIEL, Sport initiative et Loisir Bleu association, Straßbourg, France; Den‐ ise González: SIEL, Sport initiative et Loisir Bleu association, Barcelona, Spain. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

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N2 - Physical activity is an important determinant of health in later life. The public health restrictions in response to COVID-19 have interrupted habitual physical activity behaviours in older adults. In response, numerous exercise programmes have been developed for older adults, many involving chair-based exercise. The aim of this systematic review was to synthesise the effects of chair-based exercise on the health of older adults. Ovid Medline, EMBASE, CINAHL, AMED, PyscInfo and SPORTDiscus databases were searched from inception to 1 April 2020. Chair-based exercise programmes in adults ≥50 years, lasting for at least 2 weeks and measuring the impact on physical function were included. Risk of bias of included studies were assessed using Cochrane risk of bias tool v2. Intervention content was described using TiDieR Criteria. Where sufficient studies (≥3 studies) reported data on an outcome, a random effects meta-analysis was performed. In total, 25 studies were included, with 19 studies in the meta-analyses. Seventeen studies had a low risk of bias and five had a high risk of bias. In this systematic review including 1388 participants, results demonstrated that chair-based exercise programmes improve upper extremity (handgrip strength: MD = 2.10; 95%CI = 0.76, 3.43 and 30 s arm curl test: MD = 2.82; 95%CI = 1.34, 4.31) and lower extremity function (30 s chair stand: MD 2.25; 95%CI = 0.64, 3.86). The findings suggest that chair-based exercises are effective and should be promoted as simple and easily implemented activities to maintain and develop strength for older adults.

AB - Physical activity is an important determinant of health in later life. The public health restrictions in response to COVID-19 have interrupted habitual physical activity behaviours in older adults. In response, numerous exercise programmes have been developed for older adults, many involving chair-based exercise. The aim of this systematic review was to synthesise the effects of chair-based exercise on the health of older adults. Ovid Medline, EMBASE, CINAHL, AMED, PyscInfo and SPORTDiscus databases were searched from inception to 1 April 2020. Chair-based exercise programmes in adults ≥50 years, lasting for at least 2 weeks and measuring the impact on physical function were included. Risk of bias of included studies were assessed using Cochrane risk of bias tool v2. Intervention content was described using TiDieR Criteria. Where sufficient studies (≥3 studies) reported data on an outcome, a random effects meta-analysis was performed. In total, 25 studies were included, with 19 studies in the meta-analyses. Seventeen studies had a low risk of bias and five had a high risk of bias. In this systematic review including 1388 participants, results demonstrated that chair-based exercise programmes improve upper extremity (handgrip strength: MD = 2.10; 95%CI = 0.76, 3.43 and 30 s arm curl test: MD = 2.82; 95%CI = 1.34, 4.31) and lower extremity function (30 s chair stand: MD 2.25; 95%CI = 0.64, 3.86). The findings suggest that chair-based exercises are effective and should be promoted as simple and easily implemented activities to maintain and develop strength for older adults.

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KW - Sitting Position

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KW - Activities of Daily Living

KW - COVID-19

KW - Accidental Falls/prevention & control

KW - Fear

KW - Aged, 80 and over

KW - Quality of Life

KW - Female

KW - Aged

KW - Hand Strength

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DO - 10.3390/ijerph18041902

M3 - Review article

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SN - 1660-4601

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JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

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M1 - 1902

ER -

The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

School-based interventions to increase physical activity and reduce cardiometabolic risk in children

Cite this

The Effect of Chair-Based Exercise on Physical Function in Older Adults: A Systematic Review and Meta-Analysis

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Student theses

School-based interventions to increase physical activity and reduce cardiometabolic risk in children

Cite this