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Table 2 GRADE quality of evidence table for estimates using muscle power, activity-based tests, and physical activity level in daily life in older adults

From: Effectiveness of power training compared to strength training in older adults: a systematic review and meta-analysis

Certainty assessment

Number of patients

Effect

Certainty

Importance

Number of studies

Study design

Risk of bias

Inconsist-ency

Indirectness

Imprecision

Other considerations

Power training

Strength training

Relative (95% CI)

Absolute (95% CI)

Muscle power (upper extremity)

6

randomized trials

serious a

not serious b,c,d

not serious e,f,g

not serious h

all plausible residual confounding would suggest spurious effect, while no effect was observed

90

90

SMD 0.99 SD higher(0.34 higher to 1.65 higher)

HIGH

IMPORTANT

Muscle power (lower extremity)

10

randomized trials

serious a

very serious b,i,j

not serious e,f,g

not serious h

publication bias strongly suspected very strong association all plausible residual confounding would suggest spurious effect, while no effect was observed

203

204

SMD 1.00 SD higher(0.40 higher to 1.60 higher)

MODERATE

IMPORTANT

Generic tests

11

randomized trials

serious a

not serious b,c,j

not serious e,f,g

not serious h

strong association all plausible residual confounding would suggest spurious effect, while no effect was observed

424

429

SMD 0.43 SD higher(0.23 higher to 0.62 higher)

HIGH

CRITICAL

Tests with emphasis on movement speed

9

randomized trials

serious a

not serious b,d,i

not serious e,f,g

not serious h

strong association all plausible residual confounding would suggest spurious effect, while no effect was observed

202

215

SMD 0.36 SD higher(0.04 higher to 0.6 higher)

HIGH

IMPORTANT

  1. Legend: a Studies that carried large weight for the overall effect estimated as high risk of bias due to lack of construct validity for the intervention and the test and a lack of allocation concealment b (Unexplained) Inconsistency, with point estimates different. c Substantially overlap in confidence interval d I2 is less than 60% e No differences in population, f Substantial differences in outcome measures g Substantial differences in interventions h The 95% CI showed a moderate to good effect of powertraining in all articles i Confidence intervals do not overlap. j I2 is more than 60%