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Characteristics of community-based exercise programs for community-dwelling older adults in rural/regional areas: a scoping review
Journal article   Open access   Peer reviewed

Characteristics of community-based exercise programs for community-dwelling older adults in rural/regional areas: a scoping review

Samantha Fien, Corey Linton, Jules Mitchell, Daniel Wadsworth, Helen Szabo, Christopher Askew and Mia Schaumberg
Aging Clinical and Experimental Research, Vol.34(7), pp.1511-1528
2022
PMCID: PMC8852913
PMID: 35152393
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Characteristics of community-based exercise programs for community-dwelling older adults in rural regional areas- a scoping review1.08 MBDownloadView
Published Version Open Access CC BY V4.0
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https://doi.org/10.1007/s40520-022-02079-yView
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Abstract

older adult physical function psychosocial health regional/rural
Community-based exercise programs for older adults play a potentially important role in mitigating the decline in functional outcomes, body composition, psychosocial outcomes, and cardiovascular health outcomes that commonly occurs with advancing age. There is a limited understanding of the characteristics and effectiveness of community-based exercise programs, particularly when those programs are offered outside metropolitan areas. Rural/regional settings face unique challenges, such as limited access to equipment/resources, transportation, and services, as well as significant costs to run programs. The objective of this scoping review was to characterise studies in the field that have aimed to implement community-based programs in settings identified as rural / regional. A secondary aim was to establish guidance for future exercise programs in this setting and highlight future research directions. A total of 12 studies were conducted in settings identified as rural/regional areas in various countries across the world were included. Of the included studies, five were randomised controlled trials. The majority of included studies reported on functional outcomes (83%) and psychosocial outcomes (75%), yet only 42% reported body composition, 17% reported cardiovascular health and 17% reported dietary outcomes. Low male representation was observed, with women outnumbering men in 7 of 12 studies. There was also minimal investigation of qualitative outcomes in existing community-based exercise programs in rural/regional settings, presenting a key gap for future research to address.

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Geriatrics & Gerontology

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