Search strategy.

<div><p>Objective</p><p>To explore the impact of aerobic and resistance training on walking and balance abilities (UPDRS-III, Gait Velocity, Mini-BESTest, and TUG) in individuals with Parkinson’s disease (PD).</p><p>Method</p><p>All articles published between the year of inception and July 2024 were obtained from PubMed, Embase, and Web of Science. Meta-analysis was conducted with RevMan 5.4.</p><p>Result</p><p>Research from 15 randomized controlled trials, comprising 792 older patients with a diagnosis of PD, was included in the analysis. Aerobic training (AT) and Resistance training (RT) significantly improved UPDRS-III (AT, SMD = -5.69, 95% CI: -8.67 to -2.71, <i>p</i> = 0.0002, I<sup>2</sup> = 82%; RT, SMD = -3.01, 95% CI: -4.89 to -1.12, p = 0.002, I<sup>2</sup> = 0%) and Gait Velocity(AT, SMD = 0.88, 95% CI: 0.58 to 1.18, <i>p</i> < 0.00001, I<sup>2</sup> = 42%; RT, SMD = 0.52, 95% CI: 0.10 to 0.94, <i>p</i> = 0.01, I<sup>2</sup> = 55%). AT showed no difference in Mini-BESTest (AT, SMD = 2.12, 95% CI: -0.70 to 4.94, <i>p</i> = 0.14, I<sup>2</sup> = 90%). RT showed no change in TUG (RT, SMD = -0.03, 95% CI: -1.60 to 1.54, p = 0.97, I2 = 63%).</p><p>Conclusions</p><p>Resistance training stood out as the most effective approach to boost performance on the mini-BESTest. Conversely, aerobic exercise proved to be superior for improving the UPDRS-III, gait velocity and TUG scores.</p></div>