12 sources: 8 meta-analyses, 2 randomised controlled trials, 2 systematic reviews
Physical · Practice
Multicomponent Balance & Strength Group Class
A supervised group class blending balance, strength and power, and functional movement: one way to carry out what the sources on the concept entry report, that multicomponent training improved physical performance significantly more than no training (Labata-Lezáun 2022) and had a significantly better effect on functional fitness than conventional training (Toosi 2026).
6 of 12 sources behind this entry were read from the abstract only; they are marked in the sources list.
2–3×/week
Any levelGroup class (community/clinic)
Before you start
Instructor should screen participants and individualize challenge.
When to seek a professional
- Two or more falls in the past 12 months, or any fall with injury
- Dizziness, lightheadedness, or fainting during standing or movement
- New or worsening unsteadiness, neurological symptoms, or numbness in the feet
- Fear of falling severe enough to restrict daily activity
How to do it
- This class format delivers balance challenges, leg strengthening/power, and functional movement in a supervised, social setting.
2–3×/week, 45–60 min, ≥12 weeks, ongoing
The research behind this entry establishes something about dose, but not these exact parameters; treat them as a practical way to apply the finding rather than as the finding itself.
Chairs, bands, light weights, matsOlder adultsFor most adultsAt risk of fallsNew to this
What the evidence says
What the sources say
This practice is one way to carry out what the sources on the concept entry (phys.neuromotor.concept-multicomponent) studied: multicomponent exercise in older adults, with physical performance, functional fitness and frailty as the outcomes. Labata-Lezáun 2022 (meta-analysis, 13 studies, 808 participants) reports that multicomponent training improved physical performance significantly more than no training (SMD 0.78), along with strength, walking speed and aerobic capacity. Toosi 2026 (meta-analysis, 20 studies, 1217 participants) reports that multicomponent training significantly improved functional fitness, including the 30-second chair stand, Timed Up and Go and 6-minute walk, and had a significantly better effect than conventional training. Lemos 2020 (meta-analysis) reports that multicomponent training improved Timed Up and Go by 1.48 seconds, the 30-second sit-to-stand by 1.79 repetitions and the Berg Balance Scale by 3.17 points against control, and that both multicomponent and strength training were effective to improve functionality. Sirikul 2024 (meta-analysis, 26 studies, 3715 participants) reports that multicomponent exercises reduced frailty risk by 55%, and Wang 2025 (umbrella review, 15 reviews) reports that multicomponent exercise clearly improves physical function and brain health and may outperform single-component and mind-body exercise. The full account, source by source, is on the concept entry this practice links to (phys.neuromotor.concept-multicomponent).
Common misconceptions
- 'Group classes are one-size-fits-all' (good instructors individualize challenge)
- 'Only strength matters in class' (balance challenge must stay central)
What we won't claim
- Does not guarantee prevention of any fall or injury
- Not a substitute for medical evaluation of dizziness, syncope, or unexplained falls
12 sources: 8 meta-analyses, 2 randomised controlled trials, 2 systematic reviews
- Agreement
- Direction recorded for 0 of 12 sources; not yet recorded for the rest.
- The claim's outcome
- Outcome not yet recorded
- Certainty
- No source states a certainty rating.
- How the sources were read
- Some sources are based on abstracts, not full texts.
What each source measured and concluded (12)
randomised controlled trial · 2025
Li et al. (2025) — The impacts of a mHealth platform-enabled lifestyle-integrated multicomponent exercise program on reversing pre-frailty in community-dwelling older adults: A randomized controlled trial.
- What it measured
- Proportion of participants exhibiting pre-frailty after 6-month intervention
- How it was read
- based on the abstract, not the full text
randomised controlled trial · 2022
Dun et al. (2022) — Effectiveness of a multicomponent exercise program to reverse pre-frailty in community-dwelling Chinese older adults: a randomised controlled trial.
- What it measured
- Proportion of participants with pre-frailty after 3-month intervention
- How it was read
- based on the abstract, not the full text
systematic review · 2025
Wang et al. (2025) — [Study on effectiveness of multicomponent exercise interventions for healthy aging].
- What it measured
- Effectiveness of multicomponent exercise on physical function/health, brain health, mood/mental health, quality of life
- How it was read
- based on the abstract, not the full text
- What the review says it includes
- Umbrella review
- Studies and participants, as stated
- 15 systematic reviews/meta-analyses (193 RCTs, 19,203 participants)
meta-analysis · 2026
López-González et al. (2026) — Effect of exercise interventions on hand grip and TUG in older adults: A network meta-analysis of randomized controlled trials.
- What it measured
- Hand grip strength (dynamometry) and Timed Up and Go (TUG) performance
- How it was read
- based on the abstract, not the full text
- What the review says it includes
- Systematic review and network meta-analysis of randomized controlled trials
- Studies and participants, as stated
- 47 studies
meta-analysis · 2022
Labata-Lezáun et al. (2022) — Effectiveness of multicomponent training on physical performance in older adults: A systematic review and meta-analysis.
- What it measured
- Physical performance
- How it was read
- based on the abstract, not the full text
- What the review says it includes
- Systematic review and meta-analysis of RCTs
- Studies and participants, as stated
- N=808 across 13 studies (19 qualitative)
- Heterogeneity, as stated
- MCT improved physical performance significantly more than no training (SMD 0.78, 95% CI 0.55-1.00, p<0.01, I2=54%); also increased upper/lower limb strength, walking speed, aerobic capacity
meta-analysis · 2026
Toosi et al. (2026) — The Effects of Multicomponent Training on Functional Fitness in Older Adults: A Systematic Review and Meta-Analysis.
- What it measured
- Functional fitness
- How it was read
- based on the abstract, not the full text
- What the review says it includes
- Systematic review and meta-analysis
- Studies and participants, as stated
- N=1217 across 20 studies
meta-analysis · 2020
Lemos et al. (2020) — Influence of strength training and multicomponent training on the functionality of older adults: systematic review and meta-analysis
- What it measured
- Functionality.
- How it measured it
- Timed Up and Go (TUG), sit-to-stand (STS), Berg Balance Scale (BBS) (validated).
- How it was read
- read in full text
meta-analysis · 2024
Sirikul et al. (2024) — Impact of multicomponent exercise and nutritional supplement interventions for improving physical frailty in community-dwelling older adults: a systematic review and meta-analysis
- What it measured
- Reduction in frailty risk.
- How it measured it
- CHS frailty index (objective).
- Its conclusion, in its own words
- “Multicomponent exercises can effectively improve physical frailty, regardless of the duration and types of the activities, whereas the efficacy of nutritional supplements remains unclear.”
- How it was read
- read in full text
- What the review says it includes
- Systematic review and meta-analysis of 26 studies (19 multicomponent exercise studies and 7 nutritional intervention studies)
- Studies and participants, as stated
- N=3715 participants across 26 studies (18 RCTs and 8 CCTs)
- Heterogeneity, as stated
- Heterogeneity in methodological approaches and interventions.
meta-analysis · 2024
Alowaydhah et al. (2024) — Physical Exercise for Healthy Older Adults and Those with Frailty: What Exercise Is Best and Is There a Difference? A Systematic Review and Meta-Analyses
- What it measured
- Physical function, cognitive function, mental health.
- How it measured it
- MMSE (validated), other specific instruments (validated).
- How it was read
- read in full text
- What the review says it includes
- Systematic review and meta-analysis of 57 studies (38 included in meta-analysis)
- Studies and participants, as stated
- N=6,152 participants across 57 studies
systematic review · 2025
Martínez-Montás et al. (2025) — Prevention and Mitigation of Frailty Syndrome in Institutionalised Older Adults Through Physical Activity: A Systematic Review
- What it measured
- Frailty syndrome (using validated frailty measures)
- How it was read
- screened only, not extracted
- What the review says it includes
- Systematic review (PRISMA) of randomized controlled trials
- Studies and participants, as stated
- 12 RCTs; 1223 participants
meta-analysis · 2026
Yang et al. (2026) — Effect of multicomponent exercise and nutrition intervention on frailty status in older adults: a network meta-analysis
- What it measured
- Frailty status (changes in frailty scores)
- How it was read
- screened only, not extracted
- What the review says it includes
- Network meta-analysis of randomized controlled trials
- Studies and participants, as stated
- 22 RCTs; 2055 participants
meta-analysis · 2024
Yang et al. (2024) — Effects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review.
- What it measured
- Frailty status and physical function
- How it was read
- screened only, not extracted
- What the review says it includes
- Systematic review and meta-analysis (RCTs and quasi-experimental designs)
- Studies and participants, as stated
- 28 randomized controlled trials; 4857 older adults
Key sources (12)
Every source below is shown with its study design and links to the original study. This is the audit trail.
randomised controlled trialThe impacts of a mHealth platform-enabled lifestyle-integrated multicomponent exercise program on reversing pre-frailty in community-dwelling older adults: A randomized controlled trial.
randomised controlled trialEffectiveness of a multicomponent exercise program to reverse pre-frailty in community-dwelling Chinese older adults: a randomised controlled trial.
systematic review[Study on effectiveness of multicomponent exercise interventions for healthy aging].
meta-analysisEffect of exercise interventions on hand grip and TUG in older adults: A network meta-analysis of randomized controlled trials.
meta-analysisEffectiveness of multicomponent training on physical performance in older adults: A systematic review and meta-analysis.
meta-analysisThe Effects of Multicomponent Training on Functional Fitness in Older Adults: A Systematic Review and Meta-Analysis.
meta-analysisInfluence of strength training and multicomponent training on the functionality of older adults: systematic review and meta-analysis
meta-analysisImpact of multicomponent exercise and nutritional supplement interventions for improving physical frailty in community-dwelling older adults: a systematic review and meta-analysis
meta-analysisPhysical Exercise for Healthy Older Adults and Those with Frailty: What Exercise Is Best and Is There a Difference? A Systematic Review and Meta-Analyses
systematic reviewPrevention and Mitigation of Frailty Syndrome in Institutionalised Older Adults Through Physical Activity: A Systematic Review
meta-analysisEffect of multicomponent exercise and nutrition intervention on frailty status in older adults: a network meta-analysis
meta-analysisEffects of multicomponent exercise on frailty status and physical function in frail older adults: A meta-analysis and systematic review.
“Abstract only” means the review read that paper’s abstract, not its full text; “screened only” means it was included at re-screening and not extracted. Both stay in the trail with their DOI, because how a source was read is part of the audit.
Explore all 718 studies in Neuromotor (Balance/Agility/Coordination) →
The full evidence base this focus area draws on, every study with its design and DOI.What it is for
Feel steadier on my feetMove more freelyReduce my risk of fallingStay capable as I get older