title: [Interventions for promoting physical activity in nursing homes : Systematic review of the effectiveness of universal prevention].
abstract: BACKGROUND
  Among residents of nursing homes, physical activity might be beneficial in maintaining health-related quality of life because impairment is caused in particular by functional decline. The aim is the evaluation of the effectiveness of universal preventive interventions directed at increasing physical activity on activities of daily living in nursing home residents.
  
  
  METHODS
  Relevant studies were identified through database searching in MEDLINE, the Cochrane library, EMBASE, CINAHL, PsycINFO and PEDro. Two review authors independently selected articles, assessed the risk of bias and extracted data. Results were combined in random effects meta-analyses.
  
  
  RESULTS
  By including 14 primary studies, nursing home residents participating in physical activities showed a statistically significant greater physical functioning compared to controls (standardized mean difference [SMD] = 0.48, 95% confidence interval [95% CI] 0.26-0.71, p < 0.0001). Subgroup analyses suggest that especially nursing home residents with severe physical and cognitive impairment might benefit from participation in physical activities. Results after non-training periods substantiate the necessity of a sustained implementation. Due to the high risk of bias in included studies, the results must be interpreted with caution.
  
  
  CONCLUSIONS
  Physical activity for nursing home residents can be effective. Considering the low-quality evidence, performance of high-quality studies is essential in order to verify the statistical results.
authors.affiliation: Fachbereich Pflege und Gesundheit, Hochschule Fulda, Leipziger Straße 123, Fulda, 36037, Deutschland. Caroline.Woehl@pg.hs-fulda.de.
authors.forename: C
authors.initials: C
authors.lastname: Wöhl
authors.affiliation: Fachbereich Pflege und Gesundheit, Hochschule Fulda, Leipziger Straße 123, Fulda, 36037, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Siebert
authors.affiliation: Fachbereich Pflege und Gesundheit, Hochschule Fulda, Leipziger Straße 123, Fulda, 36037, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Blättner
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D006233:Persons with Disabilities / Q000534:rehabilitation*; D015444:Exercise; D006707:Homes for the Aged; D006801:Humans; D009735:Nursing Homes; D012307:Risk Factors
keywords: Activities of daily living; Controlled clinical trials; Motor Activity; Nursing Homes; Quality of life