Non-exercise-based interventions to support healthy ageing in older adults: A systematic review and meta-analysis of randomised controlled trials.

Autor:	Koh WQ; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia., Wora N; School of Psychology, The University of Queensland, Brisbane, QLD, Australia.; Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand., Liong NWL; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia., Ludlow K; Centre for Health Services Research, The University of Queensland, Brisbane, QLD, Australia., Pachana NA; School of Psychology, The University of Queensland, Brisbane, QLD, Australia., Liddle J; School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.; Department of Occupational Therapy, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Jazyk:	angličtina
Zdroj:	The Gerontologist [Gerontologist] 2024 Oct 30. Date of Electronic Publication: 2024 Oct 30.
DOI:	10.1093/geront/gnae156
Abstrakt:	Background and Objectives: Healthy ageing is a multidimensional construct, where various factors play a role in influencing wellbeing in older age. Many studies heavily emphasise the importance of physical activity, negating other aspects such as psychosocial or cognitive influences. This review aimed to evaluate the effectiveness of non-exercise-based interventions on the quality of life (QoL) and life satisfaction of community-dwelling, healthy older adults. Research Design and Methods: A systematic review and meta-analysis of randomised controlled trials was conducted. Four electronic databases were searched from inception. Three independent reviewers screened the articles and appraised the risk of bias. Data relating to study characteristics, intervention and outcomes were extracted. The mean difference and standardised mean difference with 95% confidence intervals were synthesised to pool effect sizes. Outcomes that could not be included in the meta-analysis were synthesised narratively. Results: Thirty-six articles from 35 randomised controlled trials, involving 6,127 older adults, were included. Most were multi-component interventions and involved supporting lifelong learning. Most participants were females (70.2%). Pooled analyses revealed small but statistically significant effects on overall QoL (SMD=0.26, CI: 0.00 to 0.53), and QoL subscales relating to mental health and psychological wellbeing (SMD=0.26, CI: 0.12-0.41) and environment (SMD=0.31, CI: 0.03-0.58). Effects on social health and functioning, and role functioning related to physical health were marginal. There were no improvements in other subscales. Results revealed non statistically significant improvements in life satisfaction. Discussion and Implications: Multicomponent non-exercise-based interventions that support lifelong learning in older adults can support healthy ageing, particularly in improving overall QoL, and mental health, social health and environment QoL subscales. (© The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America.)
Databáze:	MEDLINE
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