Applied Physiology, Nutrition, and Metabolism, Volume 45, Issue 10 (Suppl. 2), Page S180-S196, October 2020.
This overview of systematic reviews examined the effect of balance and functional strength training on health outcomes in adults aged 18 years or older, to inform the Canadian 24-hour Movement Guidelines. Four electronic databases were searched for systematic reviews published between January 2009 and May 2019. Eligibility criteria were determined a priori for population (community-dwelling adults), intervention (balance and functional training), comparator (no intervention or different types/doses), and outcomes (critical: falls and fall-related injuries; adverse events; important: physical functioning and disability; health-related quality of life; physical activity; and sedentary behaviour). Two reviewers independently screened studies for eligibility and performed AMSTAR 2 assessment. One review was selected per outcome. Of 3288 records and 355 full-text articles, 5 systematic reviews were included, encompassing data from 15 890 participants in 23 countries. In adults 65 years and older, balance and functional training and Tai Chi reduced the rate of falls and the number of people who fell, and improved aspects of physical functioning and physical activity. The effect on health-related quality of life and falls requiring hospitalization was uncertain. While inconsistently monitored, only 1 serious adverse event was reported. No evidence was available in adults under age 65 years. Included systematic reviews and primary evidence reported by review authors ranged in quality. Overall, participation in balance and functional training reduced falls and improved health outcomes in adults 65 years of age and older. PROSPERO registration no.: CRD42019134865. Novelty This overview informs updated guidelines for balance training in adults. Balance and functional training reduced falls and improved health outcomes.

中文翻译：

---

成年人的平衡和功能训练与健康：系统评价概述

应用生理学、营养和代谢，第 45 卷，第 10 期（增刊 2），第 S180-S196 页，2020 年 10 月。
本系统综述概述了平衡和功能性力量训练对 18 岁或以上成年人健康结果的影响，以告知加拿大 24 小时运动指南。在 2009 年 1 月至 2019 年 5 月期间检索了四个电子数据库中发布的系统评价。 资格标准是先验确定的人群（社区居民成人）、干预（平衡和功能训练）、比较（无干预或不同类型/剂量）、和结果（严重：跌倒和跌倒相关伤害；不良事件；重要：身体机能和残疾；与健康相关的生活质量；身体活动；久坐行为）。两名审查员独立筛选研究的资格并进行 AMSTAR 2 评估。每个结果选择一项审查。在 3288 条记录和 355 篇全文文章中，包括 5 篇系统评价，包括来自 23 个国家的 15890 名参与者的数据。在 65 岁及以上的成年人中，平衡和功能训练以及太极拳降低了跌倒率和跌倒人数，并改善了身体机能和身体活动的各个方面。对健康相关生活质量和需要住院治疗的跌倒的影响尚不确定。虽然监测不一致，但仅报告了 1 起严重不良事件。在 65 岁以下的成年人中没有可用的证据。包括系统评价和评价作者报告的主要证据的质量各不相同。总体而言，参与平衡和功能训练可以减少 65 岁及以上成年人跌倒并改善健康结果。PROSPERO 注册号：CRD42019134865。新颖性 该概述为成人平衡训练的更新指南提供信息。平衡和功能训练减少跌倒并改善健康结果。