Effect of physical activity on the risk of frailty: A systematic review and meta-analysis

Zhao, Wenjing1,2; Hu, Peng3,4; Sun, Weidi5,6; Wu, Weidong7; Zhang, Jinhua8; Deng, Hai9; Huang, Jun10; Ukawa, Shigekazu11; Lu, Jiahai3; Tamakoshi, Akiko2; Liu, Xudong4

2022-12-01

10.1371/journal.pone.0278226

PLoS One   Impact Factor & Quartile

1932-6203

["Objective The relationship between physical activity (PA) and the risk of frailty has not reached a conclusive result. This systematic review with meta-analysis aimed to evaluate the effect of PA on the onset of frailty in the community-dwelling middle and older age adults by pooling data from cohort studies.","Methods A systematic literature search was performed via PubMed, Embase, and Web of Science up to June 01, 2021. Pooled adjusted effect estimates (ES) with 95% confidence interval (CI) were calculated by using the random-effect model and by comparing the highest with lowest levels of PA. Heterogeneity was tested using the I-2 statistic and Q-test. The quality of evidence was evaluated by using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.","Results A total of ten cohort studies with 14 records were selected, and the GRADE approach classified the quality of evidence as low. In comparison with the lowest level of PA, the highest level of PA was associated with 41% decreased odds of frailty (ES: 0.59, 95% CI: 0.51-0.67; I-2 = 70.0%, P-heterogeneity< 0.001) after pooling results from included studies. In stratified analysis by frailty assessment approach, the highest level of PA was significantly associated with 37% (ES 0.63, 95% CI: 0.52-0.77, 49% (ES: 0.51, 95% CI: 0.41-0.63), and 30% (ES: 0.70, 95% CI: 0.65-0.75) reduced odds of frailty when pooling studies using criteria of physical frailty, multidimensional model, and accumulation of disability, respectively. Stratified analyses further by PA indicators and PA assessment tools yielded similar protective effects in any subgroups.","Conclusions This study with moderate-certainty evidence shows that a higher level of PA was associated with lower odds of frailty, and the benefits of PA for frailty prevention were independent of frailty assessment tools, PA indicators, and PA assessment methods. Findings from this study may help implement active exercise strategies to prevent frailty."]

SCI

English

First

Science and Technology Program of Guangzhou City[202102080404] ; Guangdong Basic and Applied Basic Research Foundation[2022A1515010686]

Science & Technology - Other Topics

Multidisciplinary Sciences

WOS:000925734000106

PUBLIC LIBRARY SCIENCE

Web of Science

1.Southern Univ Sci & Technol, Sch Publ Hlth & Emergency Management, Shenzhen, Peoples R China
2.Hokkaido Univ, Fac Med, Dept Publ Hlth, Sapporo, Hokkaido, Japan
3.Sun Yat Sen Univ, Sch Publ Hlth, Dept Epidemiol, Guangzhou, Peoples R China
4.Guangdong Pharmaceut Univ, Sch Publ Hlth, Guangzhou, Peoples R China
5.Zhejiang Univ, Sch Publ Hlth, Sch Med, Hangzhou, Peoples R China
6.Zhejiang Univ, Womens Hosp, Sch Med, Hangzhou, Peoples R China
7.Xinxiang Med Univ, Sch Publ Hlth, Xinxiang, Henan, Peoples R China
8.Xinxiang Med Univ, Sch Nursing, Xinxiang, Henan, Peoples R China
9.Guangdong Acad Med Sci, Dept Cardiol, Guangdong Cardiovasc Inst, Guangdong Prov Peoples Hosp, Guangzhou, Peoples R China
10.Guangdong Acad Med Sci, Guangdong Prov Peoples Hosp, Inst Geriatr, Dept Geriatr, Guangzhou, Peoples R China
11.Osaka City Univ, Grad Sch Human Life Sci, Res Unit Adv Interdisciplinary Care Sci, Osaka, Japan

Zhao, Wenjing,Hu, Peng,Sun, Weidi,et al. Effect of physical activity on the risk of frailty: A systematic review and meta-analysis[J]. PLoS One,2022,17(12).

Zhao, Wenjing.,Hu, Peng.,Sun, Weidi.,Wu, Weidong.,Zhang, Jinhua.,...&Liu, Xudong.(2022).Effect of physical activity on the risk of frailty: A systematic review and meta-analysis.PLoS One,17(12).

Zhao, Wenjing,et al."Effect of physical activity on the risk of frailty: A systematic review and meta-analysis".PLoS One 17.12(2022).