Abstract：
Exergames have attracted increasing attention from both the public and researchers. Although previous systematic reviews provided evidence that exergame training is beneficial for improving balance or mobility in older adults, multidimensional physical function measurements, including balance, upper body strength, lower body strength, aerobic endurance, and gait, might help us achieve more robust and reliable results. This meta-analysis aims to quantify the effects of exergame training on overall and specific physical function in healthy older adults. We systematically searched exergame training studies published between January 1985 and June 2021. Forty-eight studies were included in the present meta-analysis, with a total of 1099 participants included in the training group and 1098 participants in the control group. Random-effects meta-analyses found that older adults obtained a small benefit in overall physical function performance (g = 0.43, 95% confidence interval [CI] = 0.33 to 0.53), moderate benefits in balance (g = 0.59, 95% CI = 0.46 to 0.71), upper body strength (g = 0.65, 95% CI = 0.20 to 1.10), lower body strength (g = 0.51, 95% CI = 0.37 to 0.65), and aerobic endurance (g = 0.65, 95% CI = 0.44 to 0.86), a small benefit in gait (g = 0.33, 95% CI = 0.08 to 0.59), and negligible effects on upper body flexibility (g = 0.13, 95% CI = -0.06 to 0.32) and lower body flexibility (g = 0.10, 95% CI = -0.45 to 0.67) from exergame training. The mini-mental state examination score was positively associated with the overall training efficacy (β = 0.08, P = 0.01), while body mass index and the sample size in the training group were negatively associated with the overall training efficacy (β = -0.01, P < 0.01; β = -0.004, P < 0.01). The current meta-analytic findings revealed that exergame training produced general benefits for overall physical function and different effects on specific physical function domains in older adults.
摘要：
运动游戏吸引了公众和研究人员越来越多的关注。尽管以前的系统评价提供了证据，表明运动训练有利于改善老年人的平衡或活动能力，多维物理功能测量，包括平衡，上身强度,下体强度,有氧耐力,和步态，可以帮助我们获得更可靠和可靠的结果。这项荟萃分析旨在量化运动训练对健康老年人整体和特定身体功能的影响。我们系统地搜索了1985年1月至2021年6月之间发表的exergame训练研究。本荟萃分析包括48项研究，共有1099名参与者纳入训练组,1098名参与者纳入对照组.随机效应荟萃分析发现，老年人在整体身体机能表现方面获得的益处很小（g=0.43，95%置信区间[CI]=0.33至0.53），平衡中的中度益处(g=0.59，95%CI=0.46至0.71)，上身强度（g=0.65，95%CI=0.20至1.10），下体强度(g=0.51，95%CI=0.37至0.65)，和有氧耐力(g=0.65，95%CI=0.44至0.86)，步态的小益处(g=0.33，95%CI=0.08至0.59)，运动训练对上半身柔韧性（g=0.13，95％CI=-0.06至0.32）和下半身柔韧性（g=0.10，95％CI=-0.45至0.67）的影响可忽略不计。心理状态检查得分与训练效果呈正相关(β=0.08,P=0.01),而训练组的体重指数和样本量与训练效果呈负相关(β=-0.01,P<0.01;β=-0.004,P<0.01)。当前的荟萃分析结果表明，游戏训练对老年人的整体身体功能产生了普遍的益处，对特定的身体功能域产生了不同的影响。
