ADHERENCE OF HOME-BASED VIDEO EXERCISE PROGRAMMES IN OLDER ADULTS: SYSTEMATIC REVIEW AND META-ANALYSIS

Author(s): JANDOVA, T., RIHOVA, M., STEFFL, M., MACHACOVÁ, K., Institution: CHARLES UNIVERSITY, FACULTY OF PHYSICAL EDUCATION AND SPORT, IC: 00216208, Country: CZECH REPUBLIC, Abstract-ID: 1364

INTRODUCTION:
Remotely delivered home-based exercise programmes became quite popular due to the imposed restrictions during the COVID-19 pandemic. A recently published meta-analysis (Rihova et al., 2023) showed that home-based video exercise programmes positively affect essential components of physical fitness, such as balance and strength, in older adults. This study investigated adherence rates to these programmes and identified key factors associated with adherence in older adults.
METHODS:
PubMed, Web of Science, and Scopus databases were searched for articles addressing adherence to home-based video exercise programmes. The study was conducted following PRISMA recommendations.
RESULTS:
26 articles, including 1,292 participants (aged > 65 years), were included in the final analyses The weighted mean of the attendance rate was 85.0, with low I2 = 3.5, not significant p = 0.409 heterogeneity. A positive significant effect of session duration (ranging from < 20 min to > 60 min) was found (p < 0.001) along with a positive significant effect of the presence of live contact with the coach during the video-based exercise interventions (p = 0.010).
CONCLUSION:
The results of this study indicate that home-based video exercise programmes lasting less than 60 minutes and under live supervision might be a potent and sustainable exercise mode to keep older adults fit and avoid sedentary behaviour, which is detrimental to health. Investigating adherence to exercise programmes is very important for evaluating the programmes efficacy and feasibility.

References:

1. Rihova, M., Jandova, T., Vetrovsky, T., Machacova, K., Kramperova, V., Jaklova Dytrtova, J., Steffl, M., & Holmerova, I. (2023). Effectiveness of home-based video exercise programmes on physical fitness in older adults - systematic review and meta-analysis. Acta Universitatis Carolinae – Kinanthropologica, 59(2), 93 - 112. https://doi.org/10.14712/23366052.2023.6