Review Article

Additive Effects of Exercise and Vitamin D Supplementation (with and without Calcium) on Bone Mineral Density in Older Adults: A Systematic Review and Meta-Analysis

Table 5

Methodologic quality of the included trials (n = 5) applying the PEDro [29] and TESTEX [15] score.

Author, yearPEDro criteriaAdditional TESTEX criteria1
Eligibility criteriaRandom allocation2Allocation concealmentIntergroup homogeneityBlinding subjectsBlinding personnelBlinding assessorsParticipation ≥ 85% allocationIntention to treat analysis3Between-groupcomparisonMeasure of variabilityTotal score PEDroAdverse effects reportedAttendance reportedActivity monitoring in control groupsRelative exercise intensity constantExercise volume & energy expendedTotal score TESTEX

García-Gomariz et al. 2022Yes++++4+++7+4++10
Kukuljan et al. 2011Yes+++++++7++++13
Mason et al. 2016Yes++++++++8++++12
Nelson et al. 1991Yes+++++++7+++10
Uusi-Rasi et al. 2015Yes++++++++8+++13

1TESTEX awards one point for listing the eligibility criteria and, also in contrast to PEDro, a further point for the between-group comparison of at least one secondary outcome. Further, TESTEX did not address the blinding of study participants and personal/caregivers. Finally, “random allocation” as defined by TESTEX refers only to the patient/participant, 2computer-generated randomization methods were considered as “random allocation.” 3…. or all subjects received treatment or control as allocated...(TESTEX however focuses on the application of an ITT-analysis), 4…. data were provided by the authors upon request. The bold values indicate the total score points for the PEDro and TESTEX score.