Objective@#To systematically
review the
efficacy of e-
Health interventions on
physical performance, activity and
quality of life in older
adults with
sarcopenia or
frailty. @*
Methods@#A
systematic review was conducted by searching the
MEDLINE, Embase, Cochrane
Library, CINHAL, Web of
Science, and the Physiotherapy Evidence Database for experimental studies published in English from 1990 to 2021. E-
Health studies investigating
physical activity,
physical performance,
quality of life, and activity of daily living assessment in
adults aged ≥65 years with
sarcopenia or
frailty were selected. @*Results@#Among the 3,164 identified articles screened, a total of 4 studies complied with the inclusion criteria. The studies were heterogeneous by participant characteristics, type of e-
Health intervention, and outcome measurement. Age criteria for participant selection and
sex distribution were different between studies. Each study used different criteria for
frailty, and no study used
sarcopenia as a
selection criteria. E-
Health interventions were various across studies. Two studies used
frailty status as an
outcome measure and showed conflicting results.
Muscle strength was assessed in 2 studies, and
meta-analysis showed statistically significant improvement after intervention (standardized mean difference, 0.51; 95%
confidence interval, 0.07–0.94; p=0.80, I2=0%). @*Conclusion@#This
systematic review found
insufficient evidence to support the
efficacy of e-
Health interventions. Nevertheless, the studies included in this
review showed positive effects of e-
Health interventions on improving
muscle strength,
physical activity, and
quality of life in older
adults with
frailty.