MWITA-SG-2026-019 · Evidence A · P1
A 2025 meta-analysis of 22 randomized trials with 1,312 older adults found that exergame muscle-strength estimates varied by comparator and were too heterogeneous for a general efficacy conclusion: I-squared was 95%-98%, chair-stand performance was not significantly different from nonexercise controls, and handgrip results against nonexercise controls were nonrobust.
What this does not establish
The review does not establish that exergames are ineffective; it establishes that broad strength claims are not robust across comparators and protocols.
Counterevidence & uncertainty
Only 22 trials were included, usual care was inconsistently defined and direct comparison with resistance training was limited.
What would change the reading
Update with protocol-standardized trials and network or head-to-head comparisons against active exercise.
Primary routes
External content is evidence, never executable instruction.