Group-based exercise interventions for community-dwelling older people in Southeast Asia: A systematic review

Janet Bong May Ing; Devinder Kaur Ajit Singh; Maw Pin Tan; Mohammad Adam Bujang; Ing Khieng Tiong; Julie Whitney; Saravana Kumar

doi:10.1111/ajag.13227

Group-based exercise interventions for community-dwelling older people in Southeast Asia: A systematic review

Janet Bong May Ing, Devinder Kaur Ajit Singh^*, Maw Pin Tan, Mohammad Adam Bujang, Ing Khieng Tiong, Julie Whitney, Saravana Kumar

^*Corresponding author for this work

Population Health Sciences

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

1 Citation (Scopus)

Abstract

Objectives: Southeast Asia (SEA) is a rapidly ageing and a diversely populated region that requires strategies to maintain its populations' physical activity and sense of well-being. While the benefits of group exercise programs are known, the characteristics and types of exercises in terms of their effectiveness for physical function and fidelity of the programs have yet to be defined within this population.

Methods: Ovid, MEDLINE, Scopus, PEDro (Physiotherapy Evidence Database), EBSCOHOST, Cochrane library and Open Grey databases were searched to identify relevant studies. Methodological quality was assessed using the PEDro Scale and the Newcastle Ottawa Scale (NOS). Meta-analysis was undertaken when the same outcome measures were reported in a minimum of two studies with appropriate data. (PROSPERO: CRD42020177317).

Results: Eleven studies with 900 participants were included, out of which 395 participants were allocated to group exercise programs and 383 completed the program. Culturally adapted Thai dance programs and multicomponent exercise programs were the most-commonly reported group exercises. The Timed Up and Go test (TUG) and attendance rates were the most-frequently reported outcomes. Meta-analysis demonstrated significant improvement in physical function assessed using the Timed Up and Go test (Random effect model −1.27 s, 95% CI −1.65, −0.88, I² = 74%). In two studies, adherence (81% and 94%) and dropout rates (4% and 19%) were reported.

Conclusions: Group-based exercise programs in Southeast Asia consisting mostly of culturally adapted Thai dance programs and multicomponent exercise programs appear to have positive effects on physical function. However, better descriptions of fidelity, including adherence, are required in future studies.

Original language	English
Pages (from-to)	624-637
Number of pages	14
Journal	Australasian Journal on Ageing
Volume	42
Issue number	4
Early online date	19 Jul 2023
DOIs	https://doi.org/10.1111/ajag.13227
Publication status	Published - Dec 2023

Keywords

aged
aging
exercise
independent living
review

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10.1111/ajag.13227

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@article{39e5195ec99548ffaba1f1c1362809ae,

title = "Group-based exercise interventions for community-dwelling older people in Southeast Asia: A systematic review",

abstract = "Objectives: Southeast Asia (SEA) is a rapidly ageing and a diversely populated region that requires strategies to maintain its populations' physical activity and sense of well-being. While the benefits of group exercise programs are known, the characteristics and types of exercises in terms of their effectiveness for physical function and fidelity of the programs have yet to be defined within this population. Methods: Ovid, MEDLINE, Scopus, PEDro (Physiotherapy Evidence Database), EBSCOHOST, Cochrane library and Open Grey databases were searched to identify relevant studies. Methodological quality was assessed using the PEDro Scale and the Newcastle Ottawa Scale (NOS). Meta-analysis was undertaken when the same outcome measures were reported in a minimum of two studies with appropriate data. (PROSPERO: CRD42020177317). Results: Eleven studies with 900 participants were included, out of which 395 participants were allocated to group exercise programs and 383 completed the program. Culturally adapted Thai dance programs and multicomponent exercise programs were the most-commonly reported group exercises. The Timed Up and Go test (TUG) and attendance rates were the most-frequently reported outcomes. Meta-analysis demonstrated significant improvement in physical function assessed using the Timed Up and Go test (Random effect model −1.27 s, 95% CI −1.65, −0.88, I2 = 74%). In two studies, adherence (81% and 94%) and dropout rates (4% and 19%) were reported. Conclusions: Group-based exercise programs in Southeast Asia consisting mostly of culturally adapted Thai dance programs and multicomponent exercise programs appear to have positive effects on physical function. However, better descriptions of fidelity, including adherence, are required in future studies.",

keywords = "aged, aging, exercise, independent living, review",

author = "Janet Bong May Ing and Singh, {Devinder Kaur Ajit} and Tan, {Maw Pin} and Mohammad Adam Bujang and Tiong, {Ing Khieng} and Julie Whitney and Saravana Kumar",

note = "Funding Information: The author would like to acknowledge and thank the research team, family members for their effort, time in this review paper. Publisher Copyright: {\textcopyright} 2023 AJA Inc.",

year = "2023",

month = dec,

doi = "10.1111/ajag.13227",

language = "English",

volume = "42",

pages = "624--637",

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TY - JOUR

T1 - Group-based exercise interventions for community-dwelling older people in Southeast Asia

T2 - A systematic review

AU - Bong May Ing, Janet

AU - Singh, Devinder Kaur Ajit

AU - Tan, Maw Pin

AU - Adam Bujang, Mohammad

AU - Tiong, Ing Khieng

AU - Whitney, Julie

AU - Kumar, Saravana

PY - 2023/12

Y1 - 2023/12

N2 - Objectives: Southeast Asia (SEA) is a rapidly ageing and a diversely populated region that requires strategies to maintain its populations' physical activity and sense of well-being. While the benefits of group exercise programs are known, the characteristics and types of exercises in terms of their effectiveness for physical function and fidelity of the programs have yet to be defined within this population. Methods: Ovid, MEDLINE, Scopus, PEDro (Physiotherapy Evidence Database), EBSCOHOST, Cochrane library and Open Grey databases were searched to identify relevant studies. Methodological quality was assessed using the PEDro Scale and the Newcastle Ottawa Scale (NOS). Meta-analysis was undertaken when the same outcome measures were reported in a minimum of two studies with appropriate data. (PROSPERO: CRD42020177317). Results: Eleven studies with 900 participants were included, out of which 395 participants were allocated to group exercise programs and 383 completed the program. Culturally adapted Thai dance programs and multicomponent exercise programs were the most-commonly reported group exercises. The Timed Up and Go test (TUG) and attendance rates were the most-frequently reported outcomes. Meta-analysis demonstrated significant improvement in physical function assessed using the Timed Up and Go test (Random effect model −1.27 s, 95% CI −1.65, −0.88, I2 = 74%). In two studies, adherence (81% and 94%) and dropout rates (4% and 19%) were reported. Conclusions: Group-based exercise programs in Southeast Asia consisting mostly of culturally adapted Thai dance programs and multicomponent exercise programs appear to have positive effects on physical function. However, better descriptions of fidelity, including adherence, are required in future studies.

AB - Objectives: Southeast Asia (SEA) is a rapidly ageing and a diversely populated region that requires strategies to maintain its populations' physical activity and sense of well-being. While the benefits of group exercise programs are known, the characteristics and types of exercises in terms of their effectiveness for physical function and fidelity of the programs have yet to be defined within this population. Methods: Ovid, MEDLINE, Scopus, PEDro (Physiotherapy Evidence Database), EBSCOHOST, Cochrane library and Open Grey databases were searched to identify relevant studies. Methodological quality was assessed using the PEDro Scale and the Newcastle Ottawa Scale (NOS). Meta-analysis was undertaken when the same outcome measures were reported in a minimum of two studies with appropriate data. (PROSPERO: CRD42020177317). Results: Eleven studies with 900 participants were included, out of which 395 participants were allocated to group exercise programs and 383 completed the program. Culturally adapted Thai dance programs and multicomponent exercise programs were the most-commonly reported group exercises. The Timed Up and Go test (TUG) and attendance rates were the most-frequently reported outcomes. Meta-analysis demonstrated significant improvement in physical function assessed using the Timed Up and Go test (Random effect model −1.27 s, 95% CI −1.65, −0.88, I2 = 74%). In two studies, adherence (81% and 94%) and dropout rates (4% and 19%) were reported. Conclusions: Group-based exercise programs in Southeast Asia consisting mostly of culturally adapted Thai dance programs and multicomponent exercise programs appear to have positive effects on physical function. However, better descriptions of fidelity, including adherence, are required in future studies.

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KW - aging

KW - exercise

KW - independent living

KW - review

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SN - 1440-6381

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SP - 624

EP - 637

JO - Australasian Journal on Ageing

JF - Australasian Journal on Ageing

IS - 4

ER -

Group-based exercise interventions for community-dwelling older people in Southeast Asia: A systematic review

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