Objective:To evaluate the effect of different exercise methods on elderly patients with frailty by using mesh Meta-analysis.Methods:A computer search was conducted on PubMed,Cochrane Library,Web of Science,Embase,SinoMed,CNKI,Wanfang Data,and VIP database to collect randomized controlled trials on the effects of different exercise methods on elderly patients with frailty.The search period was from the establishment of the database to July 2023.Two researchers independently screened the literature,extracted data,and evaluated the risk of bias in the included studies.Stata 15.1 software was used to conduct a mesh Meta-analysis.Results:A total of 28 randomized controlled trials were included,including 1 705 patients,involving 11 interventions.The results of mesh Meta-analysis showed that:in terms of Fried frailty scale,the ranking results of surface under the cumulative ranking(SUCRA)values were as follows:Baduanjin,Taijiquan,dance training,Kinect sports game training,multi-component exercise,group functional strength training,and routine activity.In the simple mental state examination scale,the ranking results of SUCRA values were square step movement,multi-component movement,dance training,routine activity.In terms of simple physical status scale,the ranking results of SUCRA values were multi-component exercise,group functional strength training,routine activity.In terms of standing up and walking timing experiment,the ranking results of SUCRA values were as follows:multi-component exercise,Kinect exercise game training,Badanjin,resistance training,square step exercise,group functional strength training,robot-assisted balance training,and routine activity.In terms of grip strength,the ranking results of SUCRA values were Taijiquan + resistance training,vibration training,Kinect sports game training,multi-component exercise,Badanjin,resistance training,dance training,group functional strength training,and routine activity.In terms of walking speed,SUCRA values were sorted as follows:Kinect sports game training,multi-component exercise,resistance training,routine activity.In terms of the 30-second chair standing test,the ranking results of SUCRA values were square step movement,Taijiquan,resistance training,multi-component movement,routine activity.Conclusions:The current evidence shows that the eight sections of brocade,square step exercise,multi-component exercise,Taijiquan +resistance training,Kinect sports game training may be more effective intervention exercise methods in improving senile frailty,and it is recommended to carry out more research in the future to demonstrate.