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. 2020 Sep 25;3(9):e2017688. doi: 10.1001/jamanetworkopen.2020.17688

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.

a

Numbers are rounded to whole numbers.

b

Type of dwelling, statements about socioeconomic status (income and education level), and race/ethnicity as reported by the authors.