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Background <p>Aging involves a gradual physiological decline that affects physical activity, performance, fall risk, and quality of life in older adults. Exercise is a recommended intervention to counteract these effects; however, the comparative effectiveness of sensorimotor and strengthening exercise programs in community settings remains limited. Therefore, we aimed to evaluate the effectiveness of two community-based multimodal exercise programs (CMEPs) in improving physical activity, performance, fall prevention, and quality of life in older adults.</p> Methods <p>A multicenter, randomized clinical trial was conducted with 140 older adults randomly assigned to CMEP-I (sensorimotor exercise) or CMEP-II (strengthening exercise). Both interventions involved 24 supervised sessions over 8 weeks. Outcomes were measured at baseline and post-intervention using the Physical Activity Scale for Elderly (PASE), Short Functional Performance Battery (SPPB), Modified Falls Efficacy Scale (MFES), and 36-Item Short-Form Survey (SF-36).</p> Results <p>Both interventions led to improvements in outcome measures over time. CMEP-I showed significantly superior improvements to CMEP-II in physical activity (PASE, MD = 12.40; 95% CI: 5.92 to 18.88; <i>ηp</i><sup>2</sup> = 0.626), functional performance (SPPB, MD = 0.26; 95% CI: −0.17 to 0.68; <i>ηp</i><sup>2</sup> = 0.137), fall prevention (MFES, MD = 0.37; 95% CI: 0.28 to 0.46; <i>ηp</i><sup>2</sup> = 0.325), and quality of life (SF-36, MD = 3.07; 95% CI: 2.23 to 3.91; <i>ηp</i><sup>2</sup> = 0.642). No serious adverse events were reported.</p> Conclusions <p>Sensorimotor exercise (CMEP-I) showed greater benefits across all outcomes compared with the strengthening exercise (CMEP-II). These findings support the inclusion of sensorimotor CMEPs in community health initiatives as accessible, low-cost strategies for promoting independence and healthy aging in resource-limited settings.</p> Trial registration <p>This trial is registered prospectively in the Clinical Trials Registry-India CTRI/2025/03/083260 (Registered on 24/03/2025).</p>

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Effects of two community-based multimodal exercise programs on physical activity, performance, fall prevention, and quality of life in older adults: a randomized clinical trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月3日

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  • Kazi Md Azman Hossain,
  • Md. Zahid Hossain,
  • Sharmila Jahan,
  • K. M. Amran Hossain,
  • Ehsanur Rahman,
  • Md. Kabir Hossain,
  • Ahmadullah Hil Galeb,
  • Mst Sumya Akter,
  • Jannatul Ferdous Rikti,
  • Md. Feroz Kabir

摘要

Background

Aging involves a gradual physiological decline that affects physical activity, performance, fall risk, and quality of life in older adults. Exercise is a recommended intervention to counteract these effects; however, the comparative effectiveness of sensorimotor and strengthening exercise programs in community settings remains limited. Therefore, we aimed to evaluate the effectiveness of two community-based multimodal exercise programs (CMEPs) in improving physical activity, performance, fall prevention, and quality of life in older adults.

Methods

A multicenter, randomized clinical trial was conducted with 140 older adults randomly assigned to CMEP-I (sensorimotor exercise) or CMEP-II (strengthening exercise). Both interventions involved 24 supervised sessions over 8 weeks. Outcomes were measured at baseline and post-intervention using the Physical Activity Scale for Elderly (PASE), Short Functional Performance Battery (SPPB), Modified Falls Efficacy Scale (MFES), and 36-Item Short-Form Survey (SF-36).

Results

Both interventions led to improvements in outcome measures over time. CMEP-I showed significantly superior improvements to CMEP-II in physical activity (PASE, MD = 12.40; 95% CI: 5.92 to 18.88; ηp2 = 0.626), functional performance (SPPB, MD = 0.26; 95% CI: −0.17 to 0.68; ηp2 = 0.137), fall prevention (MFES, MD = 0.37; 95% CI: 0.28 to 0.46; ηp2 = 0.325), and quality of life (SF-36, MD = 3.07; 95% CI: 2.23 to 3.91; ηp2 = 0.642). No serious adverse events were reported.

Conclusions

Sensorimotor exercise (CMEP-I) showed greater benefits across all outcomes compared with the strengthening exercise (CMEP-II). These findings support the inclusion of sensorimotor CMEPs in community health initiatives as accessible, low-cost strategies for promoting independence and healthy aging in resource-limited settings.

Trial registration

This trial is registered prospectively in the Clinical Trials Registry-India CTRI/2025/03/083260 (Registered on 24/03/2025).