In a pooled analysis of six randomised controlled trials in 330 older adults, exercise on its own significantly improved serum albumin levels, while combining exercise with nutritional supplementation showed no additional significant effect. Most included trials were judged to carry a significant risk of bias and overall certainty was rated low.
What it shows: Meta-analysis of only six randomised trials, 330 older adults (mean age 72.1 years, 61% female); most trials at significant risk of bias and the pooled certainty of evidence was graded low, so the effect size is unreliable.Meta-analysis · Biomolecules