Table 1. Characteristics of Included Trialsa.
Source | Populationb | Activity (No. of participants) | Female, %/age, mean (SD), y | Intervention group | Allocation/blinding of assessors | End point assessment | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Intervention group | Control group | Total | Intervention group | Control group | Frequency, times per wk/class time, min | Duration of intervention | Adherence, mean, % | ||||
Alves et al,48 2013 | Community dwelling; members of a dance project sponsored by the government; no further statement about socioeconomic status or race/ethnicity | Ballroom dance (25) | Control (25) | 50 | 84/69 (7) | 96/68 (8) | 2/120 | 16 wk | 90 | Participants randomized/NR or unclear | Balance: BBS; mobility: TUG test |
Bennett et al,49 2018 | Community dwelling; recruited from the northwest Florida community via local senior centers; 91% White, 8.7% Black; most participants with grades 11-12 education | Line dancing (12) | Usual care/no exercise (11) | 23 | 83/73 (8) (total, both groups combined) | 91 | 2/60 | 8 wk | 80 | Participants randomized/no blinding of assessors | Balance: BBS |
Cepeda et al,57 2015 | Community dwelling; no further statement about socioeconomic status or race/ethnicity | Ballroom dance (19) | Control (15) | 24 | 100/69 (7) | 100/72 (7) | 3/60 | 8 wk | 91 | Participants randomized/NR or unclear | Mobility: TUG test |
Choi et al,37 2004 | Institutionalized; no further statement about socioeconomic status or race/ethnicity | Tai chi with music (29) | Control (30) | 59 | 79/77 (8) | 70/79 (7) | 3/35 | 12 wk | 70 | Facilities randomized (cluster randomization)/no blinding of assessors | Falls: risk of falling (RR); weekly monitoring of fall episodes during 12 wk of intervention; balance: OLS eyes open/eyes closed combined |
Chyu et al,45 2010 | Community dwelling; postmenopausal women; no further statement about socioeconomic status or race/ethnicity | Tai chi (26) | Control (28) | 54 | 100/72 (6) | 100/71 (6) | 3/60 | 24 wk | 94 | Participants randomized/assessors blinded | Falls: rate of falls (IRR); self-reported at baseline, 12 and 24 wk; mobility: TUG test; lower body strength: 5 times STS test |
Cruz-Ferreira et al,58 2015 | Community dwelling; women recruited from a local health center; no further statement about socioeconomic status or race/ethnicity | Creative dance (32) | Control (25) | 57 | 100/71 (4) | 100/73 (5) | 3/50 | 24 wk | 85 | Participants randomized/assessors blinded | Mobility: TUG test; lower body strength: 30-s STS test |
Eyigor et al,38 2009 | Community dwelling; recruited in outpatient clinics; in the intervention group 64.7% had primary school education, in the control group 38.5%; most participants were housewives | Turkish folk dance (19) | Control (18) | 37 | 100/74 (8) | 100/71 (6) | 3/60 | 8 wk | NR | Participants randomized/assessors blinded | Falls: risk of falling (RR); unpublished data, reported by author on request; balance: BBS; lower body strength: 5 times STS test |
Frye et al,59 2007 | Community dwelling; 94.4% White/non-Hispanic, 2.8% Black/non-Hispanic, 2.8% Asian/Pacific Islander; well-educated sample: 18.1% with postcollege degree, 20.8% with 4-y college degree, 26.4% with some college degree, 18.1% with high school diploma, 2.8% some high school | Tai chi (23) | Control (21) | 44 | 64/69 (9) (total, both groups combined) | 3/60 | 12 wk | 91.4% Of participants attended at least 80% of classes | Participants randomized/PI, project coordinator, and instructors not blinded, unclear if assessors were blinded | Mobility: TUG test; lower body strength: 30-s STS test; upper body strength: HGS | |
Hopkins et al,53 1990 | Community dwelling; no further statement about socioeconomic status or race/ethnicity | Low-impact aerobic dance (30) | Control (23) | 53 | 100/65 (4) | 100/66 (4) | 3/50 | 12 wk | NR | Participants randomized/NR or unclear | Balance: OLS; mobility: TUG test; lower body strength: 30-s STS test |
Huang et al,39 2010 | Community dwelling; 35.5% in tai chi group and 68.1% in the control group had ≤6 y of education | Tai chi (31) | Control (47) | 78 | 29/71 (0) | 40/72 (1) | 3/40 | 5 mo (21 wk) | NR | Villages randomized (cluster randomization)/NR or unclear | Falls: risk of falling (RR); assessed during follow-up, means of assessment NR; balance: FR; mobility: TUG test |
Hui et al,60 2009 | Community dwelling; no further statement about socioeconomic status or race/ethnicity | Low-impact aerobic dance (52) | Control (45) | 97 | 96/68 (5) | 98/69 (4) | Approximately 2 (total 23 sessions)/50-60 | 12 wk | 91.3 | Social centers randomized (cluster randomization)/assessors blinded | Mobility: TUG test; lower body strength: 10-s STS test (treated same way in meta-analysis as trials reporting 30-s STS test) |
Janyacharoen et al,63 2013 | Community dwelling; no further statement about socioeconomic status or race/ethnicity | Traditional Thai dance (20) | General aerobic exercises in daily life (18) | 38 | 100/67 (6) | 100/65 (4) | 3/40 | 6 wk | NR | Participants randomized/assessors blinded | Lower body strength: 5 times STS test |
Li et al,40 2005 | Community dwelling; recruited from the pool of patients enrolled in the Legacy Health System in Portland, Oregon; 90% in tai chi group and 91% in control group were White; 94% in tai chi group and 90% in control group had high school degree or higher; annual household income was <$35 000 for 64% in the tai chi group and for 70% in the control group | Tai chi (125) | Seated stretching exercises (131) | 256 | 70/77 (5) | 70/78 (5) | 3/60 | 26 wk | Median adherence rate for both groups: 61 of approximately 72 sessions scheduled | Participants randomized/assessors blinded | Falls: risk of falling (RR), fall rate (IRR); means of falls assessment NR; balance: BBS, OLS, FR, combined; mobility: TUG test |
Li et al,51 2008 | Community dwelling; participating in social and recreational activities outside their home on a minimum of 2 occasions per week; no further statement about socioeconomic status or race/ethnicity | Tai chi (22) | Discussion meetings (18) | 40 | 50/65 (3) | 50/66 (4) | 4/60 | 16 wk | 92 | Participants randomized/NR or unclear | Balance: OLS |
Logghe et al,52 2009 | Community dwelling; identified through the patient registration files of participating GPs; GPs invited participants to participate; 71% in tai chi group and 65.5% in control group had high school education or more; 96.2% in the tai chi group and 91.3% in the control group were born in the Netherlands | Tai chi (138) | Control (131) | 269 | 70/78 (5) | 73/77 (5) | 2/60 | 13 wk | 47% Of participants attended at least 80% of classes | Participants randomized/assessors blinded | Balance: BBS |
McKinley et al,64 2008 | Community dwelling; no further statement about socioeconomic status or race/ethnicity | Tango dance program (14) | Walking (11) | 25 | 78/78 (8) | 72/75 (8) | 2/120 | 10 wk | >90 (Both groups) | Participants randomized/assessors blinded | Lower body strength: 5 times STS test |
Merom et al,46 2016 | Residents of self-care retirement villages; 17% non-English speaking, 73% born in Australia; 36% with ≤10 y of education | Folk or ballroom dance (275) | Delayed intervention (247) | 522 | 83/43% >80 y; all participants at least 60 y | 86/35% >80 y; all participants at least 60 y | 2/60 | 12 mo (52 wk/total of 80 lessons) | 51 | Retirement villages randomized (cluster randomization)/assessors were not blinded at follow-up assessments | Falls: rate of falls (IRR); daily self-report in diaries that were sent to study center on monthly basis; if a fall happened or the diary was not sent in, participants were called to assess details; strength: 5 times STS test |
Merom et al,65 2016 | Community dwelling; 45.0% in the dance group and 52.7% in the control group had primary/high school as highest education level, 21.7% in the dance group and 20.0% in the control group had TAFE apprenticeship and 33.3% in the dance group, and 27.3% in the control group had university degrees | Ballroom dance (40) | Walking program (39) | 79 | 85/60-69 y: 50%; 70-74 y: 25%; ≥75 y: 25% | 85/60-69 y: 62%; 70-74 y: 18%; ≥75 y: 21% | 2/60 | 8 mo (34 wk; approximately 69 sessions) | 66 | Participants randomized/assessors only at baseline blinded, but not on follow-up assessments | Lower body strength: 5 times STS test |
Noradechanunt et al,61 2017 | Community dwelling; 76.9% in tai chi group and 92.3% in control group had high school or higher education | Tai chi (9) | Telephone counseling (10) | 19 | 69/67 (8) | 77/65 (7) | 2/90 | 12 wk | 85 | Participants randomized/assessors blinded | Mobility: TUG test; lower body strength: 30-s STS test |
Pereira et al,53 2008 | Community dwelling; women registered in the university’s physical activity program for elderly people; no further statement about socioeconomic status or race/ethnicity | Tai chi (38) | Control (39) | 77 | 100/68 (5) | 100/69 (7) | 3/50 | 12 wk | NR | Participants randomized/NR or unclear | Balance: OLS |
Serano-Guzmann et al,54 2016 | Community dwelling; White postmenopausal women attending a primary care clinic and referred to the clinical laboratory of the physiotherapy department at the University of Granada, Spain | Flamenco and sevillanas (27) | Self-care treatment advice (25) | 52 | 100/69 (4) | 100/69 (3) | 3/50 | 8 wk | 100 | Participant randomized/assessors blinded | Balance: OLS; mobility: TUG test |
Sun et al,55 2015 | Community dwelling; recruited via public announcement, 55.5% in the tai chi group and 72.8% in the control group had ≥12 y of education | Tai chi (72) | Social activities (66) | 138 | 81/68 (6) | 70/70 (6) | 2/60 | 6 mo (26 wk) | NR | Participant randomized/NR or unclear | Balance: OLS; upper body strength: HGS (results were combined for right and left hand before entering the meta-analysis) |
Taylor et al,62 2012 | Community dwelling; recruited in Auckland, Dunedin, and Christchurch, New Zealand; 12 participants identified as Māori or Pacific Islander | Group 1: Tai chi (233); group 2: tai chi (220) | Group 1: low-level exercise (231); group 2: low-level exercise (231) | Group 1: 264; group 2: 251 | Group 1: 69/75 (7); group 2: 76/74 (6) | Group 1: 76; 74 (6); group 2: 76/74 (6) | Group 1: 1/60; group 2: 2/60 | Group 1: 20 wk; group 2: 20 wk | Group 1: 79; group 2: 72 | Participants randomized/assessors blinded | Mobility: TUG test (results were combined for groups 1 and 2 before entering the meta-analysis); lower body strength: 30-s STS test (results were combined for groups 1 and 2 before entering the meta-analysis) |
Taylor-Piliae et al,56 2010 | Community dwelling; recruited in Santa Clara County or San Mateo County in California; college educated, 85% White | Tai chi (37) | Attendance control/no exercise (56) | 93 | 65/71 (6) | 73/68 (6) | 2/45 | 6 mo (26 wk) | 77 | Participants randomized/assessors blinded | Balance: OLS, FR; lower body strength: 30-s STS test |
Trombetti et al,41 2011 | Community dwelling; 11% in early intervention and 19% in delayed intervention had primary school education, 66% in early intervention and 68% in delayed intervention had middle school education, and 21% in early intervention and 15% in delayed intervention had high school education | Dalcroze eurhythmics (66) | Delayed intervention (68) | 134 | 97/75 (8) | 96/76 (6) | 1/60 | 25 wk | 83 | Participants randomized/assessors blinded | Falls: risk of falling (RR), rate of falls (IRR); prospectively monitored daily with falls diaries that were mailed monthly to study coordinator; balance: OLS; mobility: TUG test |
Voukelatos et al,42 2007 | Community dwelling in Central and Southeastern Sydney, Australia; 14% in the tai chi group and 17% in the control group had university education, 43% in the tai chi group and 41% in the control group had intermediate-level education, 16% in the tai chi group and 12% in the control group had below intermediate-level education; remaining participants had secondary education or technical college education | Tai chi (347) | Wait-list control (337) | 684 | 85/69 (7) (total, both groups combined) | 83 | 1/60 | 16 wk | 71 | Participants randomized/assessors blinded | Falls: risk of falling (RR), rate of falls (IRR); prospectively monitored daily during 24 wk with a falls calendar that was mailed back to study center monthly; if participants did not send back falls calendars, they were called within 2 wk to assess fall status |
Wolf et al,47 1996 | Community dwelling; 20.8% in tai chi group and 20.3% in the wellness education group had elementary or high school education, 56.9% in the tai chi group and 51.6% in the wellness education group had college education, and 22.2% in the tai chi group and 28.1% in the wellness education group had graduate school education | Tai chi (72) | Wellness education (64) | 137 | 81/77 (5) | 84/75 (4) | 2/Minimum of 45 (individual); instructor time, unclear how much time in group setting; participants were asked to perform the exercises 2 times daily for 15 min | 15 wk | NR | Participants randomized/assessors blinded | Falls: rate of falls (IRR); monthly calendars or monthly telephone calls by project staff; nurse coordinator verified all fall reports requiring medical attention; upper body strength: HGS |
Wolf et al,43 2003 | Institutionalized; 80.0% in the tai chi group and 81.6% in the wellness group were White; 80.0% in the tai chi group and 78.0% in the wellness group had high school and beyond education | Tai chi (145) | Wellness education (141) | 286 | 95/81 (7) | 94/81 (6) | 2/60-90 | 48 wk | 76 | Facilities randomized (cluster randomization)/assessors blinded | Falls: risk of falling (RR), rate of falls (IRR); participants reported if they experienced a fall (1) to identify the day and (2) to give details about circumstances and if medical attention was needed; forms were sent to instructor weekly and reviewed by study staff monthly; participants who fell were called to confirm the fall within 1 wk after reviewing of the forms; participants who did not hand in their forms were called for confirmation within 1-2 wk |
Woo et al,44 2007 | Community dwelling, recruited from community centers in Shatin, Hong Kong; no further statement about socioeconomic status or race/ethnicity | Tai chi (60) | Control (60) | 120 | 50/Men: 68 (2); women: 70 (3) | 50/Men: 68 (3); women: 70 (3) | 3/NR | 12 mo (52 wk) | 81 | Participants randomized/assessors blinded | Falls: risk of falling (RR); means of assessment NR; balance: OLS (reported average of both legs); upper body strength: HGS (dominant hand, results were combined for men and women before entering the meta-analysis) |
Abbreviations: BBS, Berg Balance Scale; FR, functional reach; GP, general practitioner; HGS, handgrip strength; IRR, incidence rate ratio; NR, not reported; OLS, 1-leg stance; RR, risk ratio; SMD, standardized mean difference (Hedges g); STS, sit to stand; TAFE, Technical and Further Education; TUG, Timed Up and Go.
Numbers are rounded to whole numbers.
Type of dwelling, statements about socioeconomic status (income and education level), and race/ethnicity as reported by the authors.