Table 6

GRADE analysis of group 2 measurement outcomes included in the quantitative synthesis

Quality assessmentSummary of findings
OutcomeDesign, included studiesROBInconsistencyIndirectnessImprecisionPublication biasGroups (intervention/ control)Effect size (direction) p Value 95% CIQuality
SPPB(RCT)32 33 No serious ROBNo serious inconsistencyNo serious indirectnessNo serious imprecisionUndetected^45/461.09 (intervention)0.02(0.15 to 2.03)⊕⊕⊕⊕
High
TUG(RCT)21 32 No serious ROBNo serious inconsistencyNo serious indirectnessNo serious imprecisionUndetected^124/126−1.57 (intervention)p=0.001(−2.50 to –0.64)⊕⊕⊕⊕
High
Muscle strength (lower limb)(RCT)21 32 No serious ROBSerious inconsistency (substantial heterogeneity)No serious indirectnessNo serious imprecisionUndetected^124/1262.69 (intervention)0.002(0.96 to 4.42)⊕⊕⊕○
Moderate
Hand grip strength(RCT)32 35 No serious ROBNo serious inconsistencyNo serious indirectnessSerious imprecision (CI crossline of no effect, OIS not reached)Undetected^31/330.85 (intervention)0.55(−1.93 to 3.63)⊕⊕⊕○
Moderate
Weight(RCT)32 34 35 Serious ROB 4 (was evaluated as high risk for incomplete outcome data)No serious inconsistencyNo serious indirectnessSerious imprecision (CI crossline of no effect, OIS not reached)Undetected^112/114−0.12 (intervention)0.37(−0.38 to 0.14)⊕⊕○○
Low
Lean mass(RCT)32 34 Serious ROB 4 (was evaluated as high risk for incomplete outcome data)No serious inconsistencyNo serious indirectnessSerious imprecision (CI crossline of no effect, OIS not reached)Undetected^103/1050.02 (intervention)0.98(−1.31 to 1.35)⊕⊕○○
Low
Fat mass(RCT)32 34 Serious ROB 4(was evaluated as high risk for incomplete outcome data)No serious inconsistencyNo serious indirectnessSerious imprecision (CI crossline of no effect, OIS not reached)Undetected^103/105−0.39 (intervention)0.76(−2.82 to 2.05)⊕⊕○○
Low
BMD (femoral neck)(RCT)21 32 34 35 Serious ROB 4(was evaluated as high risk for incomplete outcome data)No serious inconsistencyNo serious indirectnessNo serious imprecisionUndetected^124/1260.04 (intervention)0.002(0.01 to 0.06)⊕⊕⊕○
Moderate
BMD (spine)(RCT)21 32 34 35 Serious ROB4(was evaluated as high risk for incomplete outcome data)Serious inconsistency (substantial heterogeneity)No serious indirectnessSerious imprecision (CI crossline of no effect, OIS not reached)Undetected^124/1260.02 (intervention)0.24(−0.001 to 0.05)⊕○○○
Very low
  • ^Insufficient data to produce funnel plots.

  • BMD, bone mineral density; RCT, randomised controlled trial; SPPB, short physical performance battery; TUG, timed up and go.