Effect of Yoga on Frailty in Older Adults : A Systematic Review.


Journal

Annals of internal medicine
ISSN: 1539-3704
Titre abrégé: Ann Intern Med
Pays: United States
ID NLM: 0372351

Informations de publication

Date de publication:
04 2023
Historique:
medline: 19 4 2023
pubmed: 14 3 2023
entrez: 13 3 2023
Statut: ppublish

Résumé

Yoga, a multicomponent mind-body practice, improves several domains of physical and psychological health and may affect frailty in older adults. To evaluate the available trial evidence on the effect of yoga-based interventions on frailty in older adults. MEDLINE, EMBASE, and Cochrane Central from their inception to 12 December 2022. Randomized controlled trials evaluating the effect of yoga-based interventions, including at least 1 session of physical postures, on a validated frailty scale or single-item markers of frailty in adults aged 65 years or older. Two authors independently screened articles and extracted data; 1 author assessed risk of bias with review from a second author. Disagreements were resolved through consensus and as-needed input from a third author. Thirty-three studies ( Heterogeneity in study design and yoga style, small sample sizes, and reporting deficiencies leading to concerns for selection bias. Yoga may affect frailty markers that are associated with clinically meaningful outcomes in older adult populations but may not offer benefit over active interventions (for example, exercise). None. (PROSPERO: CRD42020130303).

Sections du résumé

BACKGROUND
Yoga, a multicomponent mind-body practice, improves several domains of physical and psychological health and may affect frailty in older adults.
PURPOSE
To evaluate the available trial evidence on the effect of yoga-based interventions on frailty in older adults.
DATA SOURCES
MEDLINE, EMBASE, and Cochrane Central from their inception to 12 December 2022.
STUDY SELECTION
Randomized controlled trials evaluating the effect of yoga-based interventions, including at least 1 session of physical postures, on a validated frailty scale or single-item markers of frailty in adults aged 65 years or older.
DATA EXTRACTION
Two authors independently screened articles and extracted data; 1 author assessed risk of bias with review from a second author. Disagreements were resolved through consensus and as-needed input from a third author.
DATA SYNTHESIS
Thirty-three studies (
LIMITATION
Heterogeneity in study design and yoga style, small sample sizes, and reporting deficiencies leading to concerns for selection bias.
CONCLUSION
Yoga may affect frailty markers that are associated with clinically meaningful outcomes in older adult populations but may not offer benefit over active interventions (for example, exercise).
PRIMARY FUNDING SOURCE
None. (PROSPERO: CRD42020130303).

Identifiants

pubmed: 36913687
doi: 10.7326/M22-2553
doi:

Types de publication

Systematic Review Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

524-535

Auteurs

Julia Loewenthal (J)

Division of Aging, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts (J.L.).

Kim E Innes (KE)

Department of Epidemiology, West Virginia University School of Public Health, Morgantown, West Virginia (K.E.I.).

Margalit Mitzner (M)

Renaissance School of Medicine at Stony Brook University, Stony Brook, New York (M.M.).

Carol Mita (C)

Countway Library, Harvard Medical School, Boston, Massachusetts (C.M.).

Ariela R Orkaby (AR)

Division of Aging, Brigham and Women's Hospital, Harvard Medical School, and New England Geriatric Research, Education, and Clinical Center (GRECC), VA Boston Healthcare System, Boston, Massachusetts (A.R.O.).

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Classifications MeSH