Effects of Mind–Body Interventions Involving Meditative Movements on Quality of Life, Depressive Symptoms, Fear of Falling and Sleep Quality in Older Adults: A Systematic Review with Meta-Analysis

Weber, M.; Schnorr, Thiemo; Morat, Mareike; Morat, Tobias; Donath, Lars

doi:10.3390/ijerph17186556

Cited by 51 publications

(60 citation statements)

References 108 publications

(240 reference statements)

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“…Significantly small to large overall effects in favor of MBI for the majority of major physical fitness components, such as upper and lower body strength, static balance, functional mobility, endurance, and flexibility, have been observed. Performance improvements of upper and lower body strength in favor of MBI are plausible as exercise-based MBIs include various movement patterns that require adequate lower and upper body strength levels [50]. These findings are in line with previous studies on multimodal resistance training compared to IC conditions [51,52].…”

Section: Mbi Versus Icsupporting

confidence: 88%

Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review

et al. 2021

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Introduction: Declines in physical fitness can notably affect healthy aging of older adults. Multimodal exercise training regimen such as mind-body interventions (MBIs) has been reported to mitigate these aging-related declines of physical function. This meta-analytical review aimed at pooling the effects of MBIs on physical fitness indices compared to active control (AC) and inactive control (IC) conditions in healthy older adults. Methods: The literature search was conducted in 3 databases using search terms with Boolean conjunctions. Randomized controlled trials applying MBIs focusing on improving physical fitness parameters in healthy seniors over 65 years of age were screened for eligibility. Eligibility and study quality were assessed by 2 researchers using the PEDro scale. Standardized mean differences (SMD) adjusted for small sample sizes (Hedges’ g) served as main outcomes for the comparisons of MBIs versus IC and MBIs versus AC. Results: Thirty trials with 2,792 healthy community dwellers (mean age: 71.2 ± 4.7 years) were included. Large overall effects were found for strength (p < 0.001, SMD: 0.87 [90% CI: 0.43, 1.30], I2 = 94%), medium effects were observed for functional mobility (p = 0.009, SMD: 0.55 [90% CI: 0.20, 0.89], I2 = 83%), and small overall effects were found for static balance (p = 0.02, SMD: 0.35 [90% CI: 0.10, 0.60], I2 = 77%), endurance (p = 0.0001, SMD: 0.44 [90% CI: 0.25, 0.62], I2 = 0%), and flexibility (p = 0.003, SMD: 0.46 [90% CI: 0.21, 0.72], I2 = 54%) in favor of MBIs compared to IC. Small effects of strength slightly favoring AC (p = 0.08, SMD: −0.22 [90% CI: −0.43, −0.01], I2 = 52%) were found, whereas static balance moderately improved in favor of MBIs (p < 0.001, SMD: 0.46 [90% CI: 0.16, 0.76], I2 = 73%). Discussion/Conclusion: MBIs induce small to moderate effects in relevant domains of physical fitness in healthy older adults. Strength should be better targeted with traditional resistance training routines, whereas balance seems to sufficiently benefit from MBIs. However, large variability between the studies was observed due to differences in methodology, intervention content, and outcomes that affect conclusive evidence.

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Section: Mbi Versus Icsupporting

confidence: 88%

Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review

et al. 2021

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“…In the current literature, reviews mainly focused on the measurement of physiological health parameters. However, reviews and research on Pilates and its influence on psychological factors are scarce, especially in the context of older adults ( 32 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

2021

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This meta-analytical review aimed at comparing the impact of Pilates interventions (PIs) on physiological and psychological health parameters in healthy older adults and older adults with a clinical condition aged 55 years and older. The literature search was conducted in three databases (PubMed, Web of Science, SPORTDiscus). Randomized controlled trials that aimed at improving physiological and psychological health parameters in adults aged 55 years and older using Pilates as an intervention were screened for eligibility. The included data was extracted and assigned based on participants' health condition (clinical vs. non-clinical), as well as the respective control condition used in the study [inactive (IC) vs. active control group (AC)]. Statistical analyses were computed using a random-effects inverse-variance model. Fifty-one studies with a total of 2,485 participants (mean age: 66.5 ± 4.9 years) were included. Moderate effects (SMD: 0.55; 0.68) were found for physiological health parameters (muscle strength, balance, endurance, flexibility, gait, and physical functioning) in both experimental (clinical and non-clinical) conditions when compared to ICs (p < 0.003; p = 0.0001), and small to moderate effects (SMD: 0.27; 0.50) when compared to ACs (p = 0.04; p = 0.01). Moderate to large effects (SMD: 0.62; 0.83) were documented for psychological health parameters (quality of life, depression, sleep quality, fear of falling, pain, and health perception) in both conditions when compared to ICs (p < 0.001, p < 0.001). PIs induce small to large effects in physiological and psychological health parameters in older adults, regardless of their health condition. The substantial heterogeneity within the included studies complicated standardized comparison of the training modalities between the two target groups. Nonetheless, Pilates seems to be a safe, adaptable, and promising exercise approach for a heterogenous population of older adults.

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“…Continuous or severe incontinence is seen in approximately 5% of the elderly. This rate reaches 40%‐70% in hospitalised patients and 40%‐50% in those living in nursing homes 19,20 …”

Section: Introductionmentioning

confidence: 99%

“…This rate reaches 40%-70% in hospitalised patients and 40%-50% in those living in nursing homes. 19,20 Although incontinence is not a life-threatening condition, it can cause physical, emotional, and social problems as well as discomfort because of wetness and irritation on the skin, and can affect the quality of life of the elderly. 21 In addition, sleep disorders caused by incontinence also affect the quality of life in elderly individuals and further decrease their ability to perform daily life activities and their life satisfaction.…”

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confidence: 99%

The effect of incontinence on sleep quality in the elderly

Ilkhan

Çelikhisar

2021

Int. J. Clin. Pract.

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With the decline in birth rate and improving living standards all over the world, life expectancy, and thus the elderly population, is gradually increasing. 1,2 As of 2019, the population aged 60 and over in the world is 962 million, and this figure is expected to increase rapidly and reach 1.4 billion in 2030 and 2.1 billion in 2050. 3 Because of the global ageing of the world population and the increase in the elderly population, age-related physiological changes, and related problems arise. With ageing, chronic diseases (Hypertension, Chronic Obstructive Pulmonary Disease, Dementia) problems such as fatigue, imbalance, osteoporosis, urinary retention, and disorientation become more common in elderly individuals.In addition, one of the most common problems seen independent of diseases is sleep disorders. 4,5 Wang et al investigated morbidity and symptom prevalence in the elderly and found that elderly individuals mostly experience sleep problems (37.7%). 6 Many studies have reported that individuals aged 65 and over frequently experience sleep problems. [6][7][8][9][10][11] It has been determined that elderly individuals generally experience problems such as falling asleep, waking up frequently at night, sleeping too much during the day, insomnia, and waking up early. 12,13 It has been reported that 20%-50% of adult individuals and 57% of home-dwelling elderly people in Western countries suffer from sleep problems and this rate is higher in elderly people living in nursing homes. [10][11][12][13][14][15] The prevalence of urinary incontinence increases with ageing and it is another important geriatric condition that causes problems during sleep by increasing the frequency of urination at night. The fact that urinary incontinence is a social problem that is generally not mentioned by the elderly leads to under-diagnosis and urinary

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Effects of Mind–Body Interventions Involving Meditative Movements on Quality of Life, Depressive Symptoms, Fear of Falling and Sleep Quality in Older Adults: A Systematic Review with Meta-Analysis

Cited by 51 publications

References 108 publications

Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review

Effects of Movement-Based Mind-Body Interventions on Physical Fitness in Healthy Older Adults: A Meta-Analytical Review

Effects of Pilates Training on Physiological and Psychological Health Parameters in Healthy Older Adults and in Older Adults With Clinical Conditions Over 55 Years: A Meta-Analytical Review

The effect of incontinence on sleep quality in the elderly

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