Background, Increasing exercise among older adults to improve function and
prevent or decrease disability is widely promoted in developed countries. T
his review seeks to critically evaluate the degree to which existing scient
ific evidence supports these claims.
Methods. A literature review was performed in Medline and Best Evidence dat
abases for the years 1985 to 2000. Experimental and quasi-experimental aero
bic and resistance exercise interventions were reviewed for impairment, fun
ction. and disability outcomes. The impact of exercise on specific impairme
nts, functions, and disabilities was examined by summarizing the findings r
eported across ail studies.
Results. Thirty-one studies were identified. Impairment and functional outc
omes were reported in 97% and 81% of the studies, respectively; half of the
studies examined disability outcomes. The most consistent positive effects
of late-life exercise were observed in strength, aerobic capacity, flexibi
lity, walking, and standing balance. with over half of the studies that exa
mined these outcomes finding positive effects. Of the studies that examined
physical, social, emotional, or overall disability outcomes, most found no
improvements. In the five studies that reported reduced physical disabilit
y, the effect sizes ranged from .23 to .88.
Conclusions. Late-life exercise clearly improves strength, aerobic capacity
, flexibility, and physical function. Existing scientific evidence, however
, does not support a strong argument for late-life exercise as an effective
means of reducing disability. This may be due, in part, to methodological
limitations in studies that have examined disability outcomes. On the other
hand. the theoretical basis of interventions aimed at reducing disability
may need to extend beyond exercise and address behavioral and social factor
s.