Journal of Aging and Physical Activity最新文献

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Obstacle-Crossing Speed and its Association With Fall Risk in Community-Dwelling Older Adults. 社区老年人过障速度及其与跌倒风险的关系
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-31 DOI: 10.1123/japa.2025-0346
Heontae Kim, Hyunjoo Kang
{"title":"Obstacle-Crossing Speed and its Association With Fall Risk in Community-Dwelling Older Adults.","authors":"Heontae Kim, Hyunjoo Kang","doi":"10.1123/japa.2025-0346","DOIUrl":"https://doi.org/10.1123/japa.2025-0346","url":null,"abstract":"<p><strong>Background/objectives: </strong>The ability to cross obstacles declines with age, and obstacle-related falls are increasingly common among older adults. This study examined the association between obstacle-crossing performance and fall risk, and their distinct roles in older Korean adults.</p><p><strong>Methods: </strong>In this observational study, 200 older adults (72.8 ± 5.6 years) participated. Obstacle performance was assessed with a gait analysis system, measuring obstacle-crossing speed and foot elevation while stepping over 5 cm, 10% of height, and 30-cm obstacles. Fall risk was evaluated using the Fall Risk Assessment system, which integrates sensory, neurological, balance, and musculoskeletal domains. Participants were classified as low or high risk based on Fall Risk Assessment scores. Independent t-tests compared obstacle performance between groups, and one-way analyses of variance examined age differences (65-69, 70-74, 75-79, ≥80 years).</p><p><strong>Results: </strong>At 5 cm and 10% height obstacles, foot elevation did not differ by group, whereas obstacle-crossing speed was higher in the low-risk group (p < .05). At 30 cm, both foot elevation (p = .003) and obstacle-crossing speed (p < .001) were greater in the low-risk group. Obstacle-crossing speed declined with age across all obstacles (p < .001), while foot elevation decreased with age only at 30 cm (p < .05).</p><p><strong>Conclusion: </strong>Obstacle-crossing speed and foot elevation are associated with fall risk, and maintaining speed under higher demands may indicate gait adaptability. Significance/Implications: Measuring obstacle-crossing speed may improve fall risk screening and guide interventions to maintain mobility and independence in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of Sedentary Behavior With Total and Central Adiposity and Health-Related Quality of Life in Older Adults. 久坐行为与老年人总体肥胖、中枢性肥胖和健康相关生活质量的关系
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-27 DOI: 10.1123/japa.2025-0410
Maximilian T Antush, Chantal A Vella
{"title":"Associations of Sedentary Behavior With Total and Central Adiposity and Health-Related Quality of Life in Older Adults.","authors":"Maximilian T Antush, Chantal A Vella","doi":"10.1123/japa.2025-0410","DOIUrl":"https://doi.org/10.1123/japa.2025-0410","url":null,"abstract":"<p><strong>Background/objective: </strong>Sedentary behavior (SB) is associated with total adiposity, a key cardiometabolic risk factor; however, evidence using indices reflecting body fat distribution remains limited in older adults. Additionally, associations between SB and health-related quality of life (HRQOL) are also inconsistent. This study evaluated associations of objectively measured SB with total and central adiposity, and context-specific SB with HRQOL in older adults.</p><p><strong>Methods: </strong>SB and physical activity were measured via accelerometry and survey from 40 adults ≥60 years old. Adiposity was assessed using body fat percentage (BOD POD), waist circumference (WC), waist-to-height ratio (WHtR), and body roundness index (BRI). HRQOL was assessed using validated surveys. Associations were examined using multivariable linear regression.</p><p><strong>Results: </strong>SB was positively associated with body fat percentage (β = 0.42, p < .05), WC (β = 0.38, p < .01), WHtR (β = 0.43, p < .01), and BRI (β = 0.44, p < .01), controlling for sex. After adjusting for moderate- to vigorous-intensity physical activity, associations remained significant for WC (β = 0.29, p < .05), WHtR (β = 0.32, p < .05), and BRI (β = 0.34, p < .05). These associations were attenuated to nonsignificance after further adjustment for light-intensity physical activity (p > .05). SB was not associated with physical or mental HRQOL (p < .05).</p><p><strong>Conclusion: </strong>SB is associated with various indices of total and central adiposity in older adults. Significance/Implications: Reducing SB and increasing light-intensity physical activity, alongside moderate- to vigorous-intensity physical activity, may be important targets for minimizing obesity risk in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of a Physical Literacy Assessment Model for Older Adults Aged 60 Years and Above: A Modified Delphi Study. 60岁及以上老年人身体素养评估模型的建立:修正德尔菲研究。
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-26 DOI: 10.1123/japa.2025-0368
Kai-Ling Ou, Wendy Yajun Huang, Chi-Wen Chien
{"title":"Development of a Physical Literacy Assessment Model for Older Adults Aged 60 Years and Above: A Modified Delphi Study.","authors":"Kai-Ling Ou, Wendy Yajun Huang, Chi-Wen Chien","doi":"10.1123/japa.2025-0368","DOIUrl":"https://doi.org/10.1123/japa.2025-0368","url":null,"abstract":"<p><strong>Background: </strong>Despite the emerging interest in assessing physical literacy (PL) in different cultures and populations, there has been no consensus concerning the assessment for older adults in China. Therefore, this study aimed to establish consensus using the PL assessment model for Chinese older adults.</p><p><strong>Methods: </strong>Three-round modified Delphi study. An initial theoretical PL assessment model for Chinese older adults was developed based on literature review. Three rounds of Delphi surveys with experts were conducted to determine domains, subdomains, and elements in the assessment model. The analytic hierarchy process was used to determine the specific weights of the components within the model.</p><p><strong>Results: </strong>Thirty-three experts participated in Round 1, and 30 (response rate 91%) and 25 of them (response rate 76%) finished Round 2 and Round 3, respectively. Consensus was gained for six domains, 10 subdomains, and 47 elements. These experts concurred on using both self-reports and wearable devices for measuring daily steps, tacking and recording moderate to vigorous physical activity, and sedentary behavior. Specific weights for the six domains of physical, affective, cognitive, behavioral, social, and dynamic environmental were 0.211, 0.186, 0.150, 0.202, 0.142, and 0.109, respectively.</p><p><strong>Conclusions and implications: </strong>This study established a model that can be used to assess PL in Chinese older adults. Further research is needed to evaluate the psychometric properties of this model before its application.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-Term Tai Chi Exercise Slows the Degeneration of Functional Specialization Within Prefrontal Cortex in Older Adults During Precision Fitting Tasks. 长期太极拳运动减缓老年人在精确拟合任务中前额皮质功能专门化的退化。
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-26 DOI: 10.1123/japa.2025-0318
Jiahao Pan, Alexandar Guo, Shuqi Zhang
{"title":"Long-Term Tai Chi Exercise Slows the Degeneration of Functional Specialization Within Prefrontal Cortex in Older Adults During Precision Fitting Tasks.","authors":"Jiahao Pan, Alexandar Guo, Shuqi Zhang","doi":"10.1123/japa.2025-0318","DOIUrl":"https://doi.org/10.1123/japa.2025-0318","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated whether older adults with Tai Chi (TC) exercise exhibited similar dynamic postural stability and prefrontal cortex (PFC) activation as young adults during precision fitting tasks.</p><p><strong>Methods: </strong>Gender-matched groups of TC practitioners, sedentary healthy older adults, and young adults were recruited. There were 15 participants for each group. Each participant performed four different fitting tasks: close-large, close-small, far-large, and far-small conditions.</p><p><strong>Results: </strong>The TC group showed better dynamic postural stability in the close-large condition, along with lower right dorsolateral PFC and left dorsomedial PFC activation than the sedentary healthy older adults group in the far condition (p < .05). However, the TC group presented worse dynamic postural stability in the far-small condition and greater right dorsolateral PFC and left dorsomedial PFC activation in the close condition than the young adults group (p < .05). The sedentary healthy older adults group had worse dynamic postural stability in all of the conditions and greater right dorsolateral PFC and left dorsomedial PFC activation than the young adults group in both close and far conditions (p < .05).</p><p><strong>Conclusion: </strong>These observations suggest that TC exercise could mitigate the degeneration of functional neural specialization within the PFC, which helps improve dynamic postural stability during precision fitting tasks.</p><p><strong>Significance: </strong>Integrating TC into community-based health and wellness programs can offer older adults an accessible, engaging, and effective way to slow the degeneration of postural automaticity.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reallocation of Time Between Sedentary Behavior and Physical Activity In Relation to Biological Aging. 久坐行为和体力活动之间的时间再分配与生物衰老有关。
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-26 DOI: 10.1123/japa.2025-0374
Jingwen Fan, Yongli Yang, Xiaocan Jia, Yuping Wang, Chenyu Zhao, Nana Wang, Yacong Bo, Xuezhong Shi
{"title":"Reallocation of Time Between Sedentary Behavior and Physical Activity In Relation to Biological Aging.","authors":"Jingwen Fan, Yongli Yang, Xiaocan Jia, Yuping Wang, Chenyu Zhao, Nana Wang, Yacong Bo, Xuezhong Shi","doi":"10.1123/japa.2025-0374","DOIUrl":"https://doi.org/10.1123/japa.2025-0374","url":null,"abstract":"<p><strong>Background/objectives: </strong>To evaluate the associations between sedentary behavior and physical activity (PA) with biological aging and the effect on biological aging of replacing sedentary behavior with an equal amount of time spent on different PA.</p><p><strong>Methods: </strong>A total of 301,603 U.K. adults (aged 38-73 years) were included. Sedentary behavior was quantified by summing up the time spent on watching TV, using computer, and driving every day. PA was quantified by the duration and frequency of light, moderate, and vigorous PA. Biological aging was estimated by PhenoAge algorithms based on clinical traits. Linear regression and isotemporal substitution model were used to test the relationships of sedentary behavior and PA with biological aging.</p><p><strong>Results: </strong>Compared with individuals with sedentary behavior ≤3 hr/day, those with sedentary behavior of 3-5, 5-8, and >8 hr/day were associated with higher biological age acceleration, respectively. Consistently, PA was associated with lower biological age acceleration (p < .001). The isotemporal substitution model suggested that replacing sedentary behavior with PA (in hours per day) can delay biological age acceleration (light PA: β = -0.12, 95% CI [-0.14 to -0.09]; moderate PA: β = -0.22, 95% CI [-0.25 to -0.18]; vigorous PA: β = -0.21, 95% CI [-0.28 to -0.14). Multiplicative interactions were observed between sedentary behavior and all type of PA on biological age acceleration (p for interaction <.001).</p><p><strong>Conclusion: </strong>Based on UK Biobank cohort, sedentary behavior and lack of PA were associated with accelerated biological aging, while replacing sedentary behavior with PA was linked to slower biological aging. Significance/Implications: To delay biological aging, the population should replace sedentary behaviors with PA.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategies to Promote Physical Activity Among Retired Adults: A Scoping Review. 促进退休成年人身体活动的策略:范围综述。
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-21 DOI: 10.1123/japa.2025-0205
Arianne Côté, Paule Miquelon
{"title":"Strategies to Promote Physical Activity Among Retired Adults: A Scoping Review.","authors":"Arianne Côté, Paule Miquelon","doi":"10.1123/japa.2025-0205","DOIUrl":"https://doi.org/10.1123/japa.2025-0205","url":null,"abstract":"<p><strong>Background: </strong>Retirement is a significant life event marked by changes in work status, income, social networks, and lifestyles. Although retired people seem to have more free time to incorporate physical activity (PA) into their lives, PA generally decreases following retirement. Therefore, retirement provides a potential window of opportunity to implement PA promotion interventions.</p><p><strong>Objective: </strong>This scoping review investigated which strategies or interventions can promote PA among retired adults.</p><p><strong>Methods: </strong>An exhaustive search was performed in March 2024 across five databases, namely APA PsycInfo, MEDLINE, SPORTDiscuss, SCOPUS, and CINAHL, adhering to PRISMA guidelines for scoping reviews. Seventeen articles met the inclusion criteria, of which 14 used a randomized controlled trial design.</p><p><strong>Results: </strong>The results suggest that computer- or app-based interventions, as well as interventions where participants can set their own goals, choose which type of PA they want to practice, how often they want to exercise, as well as when and where they want to do so, can foster improvements in PA levels among retired individuals.</p><p><strong>Conclusion: </strong>The results underscore the need for more research on differential responses to PA interventions in population subgroups, such as men and women.</p><p><strong>Implications: </strong>Future studies should focus on a more personalized approach rather than a one-size-fits-all intervention, as people's preferences or attitudes toward certain types of interventions can vary significantly based on sex, socioeconomic status, or current level of PA.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Resistance Training, Interval Training, and Detraining on Functional Performance in Older Women: A Longitudinal Study. 阻力训练、间歇训练和去训练对老年女性功能表现的影响:一项纵向研究。
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-17 DOI: 10.1123/japa.2025-0135
Matheus Amarante do Nascimento, Ágatha Graça, Alex Silva Ribeiro, Higor Santos Fonseca, Arthur Garcia de Sales, Wendell Arthur Lopes
{"title":"Effects of Resistance Training, Interval Training, and Detraining on Functional Performance in Older Women: A Longitudinal Study.","authors":"Matheus Amarante do Nascimento, Ágatha Graça, Alex Silva Ribeiro, Higor Santos Fonseca, Arthur Garcia de Sales, Wendell Arthur Lopes","doi":"10.1123/japa.2025-0135","DOIUrl":"https://doi.org/10.1123/japa.2025-0135","url":null,"abstract":"<p><p>Age-related declines in neuromuscular function and mobility increase the risk of frailty and functional dependence in older adults. Although resistance training (RT) is an effective exercise modality for improving functional capacity in older adults, the effects of combining RT with interval training (IT) particularly across repeated detraining periods, remain insufficiently explored. To examine the effects of sequential training interventions (RT alone and RT combined with IT) on functional performance in older women and to compare functional adaptations and losses across two 100-day detraining periods. Sixteen older women (≥60 years) completed a longitudinal protocol with five assessments: baseline, post-RT, post-first detraining, post-RT + IT, and post-second detraining. Outcomes included agility and dynamic balance, upper and lower body muscle endurance, gait speed, handgrip strength, and flexibility. RT induced significant improvements in agility and dynamic balance (+12.2%; p < .001), upper body (+35.4%; p < .001) and lower body (+24.6%; p < .001) muscle endurance, and gait speed (+8.2%; p = .004), whereas handgrip strength (p = .860) and flexibility (p = .683) remained unchanged. The first detraining period resulted in marked functional losses, particularly in agility and dynamic balance (-19.5%; d = 1.44) and lower body muscle endurance (-21.6%; d = -1.13). The RT + IT phase promoted partial functional recovery, notably in agility and dynamic balance (d = -0.59). The second detraining period showed attenuated losses, with minimal changes overall. RT and RT combined with IT improved functional capacity in older women; however, RT + IT was associated with greater retention of functional gains during detraining.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Independent, Stratified, and Joint Associations of Sedentary Time and Physical Activity With Major Adverse Cardiovascular Events in Older Adults: Findings From a Population-Based Cohort. 老年人久坐时间和体力活动与主要心血管不良事件的独立、分层和联合关联:一项基于人群的队列研究结果
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-17 DOI: 10.1123/japa.2025-0322
Charles Lucena, Eduardo Caldas Costa, Renata M Bielemann, Maria Cristina Gonzalez, Elaine Tomasi, Ulf Ekelund, Inácio Crochemore-Silva
{"title":"Independent, Stratified, and Joint Associations of Sedentary Time and Physical Activity With Major Adverse Cardiovascular Events in Older Adults: Findings From a Population-Based Cohort.","authors":"Charles Lucena, Eduardo Caldas Costa, Renata M Bielemann, Maria Cristina Gonzalez, Elaine Tomasi, Ulf Ekelund, Inácio Crochemore-Silva","doi":"10.1123/japa.2025-0322","DOIUrl":"https://doi.org/10.1123/japa.2025-0322","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases remain the leading cause of death globally. While physical activity reduces cardiovascular risk, sedentary time (ST) may increase it. However, their independent and combined associations in older adults from middle-income countries remain unclear.</p><p><strong>Aim: </strong>To investigate the independent, stratified, and joint associations of ST and physical activity with major adverse cardiovascular events (MACEs) in community-dwelling older adults.</p><p><strong>Methods: </strong>A prospective population-based cohort of older adults (≥60 years) from Pelotas, Brazil, was enrolled in 2014. ST and moderate to vigorous physical activity (MVPA) were estimated via raw accelerometer data. Participants were categorized by ST (median: low/high) and MVPA (tertiles: low, medium, high). MACEs were defined as all-cause mortality, heart failure, and ischemia. Cox proportional hazard models were used for independent, stratified, and joint associations.</p><p><strong>Results: </strong>Among 965 participants (median follow-up 2.6 years; 205 MACEs), independent analysis showed ST was not associated with MACEs when adjusted for MVPA (hazard ratio 0.98, 0.68-1.40). In contrast, the highest MVPA tertile was associated with lower MACE risk, even after adjusting for ST and prior nonfatal MACEs (hazard ratio 0.58, 0.34-0.96). Stratified and joint analyses of ST/MVPA were not statistically significant (P > .05).</p><p><strong>Conclusions: </strong>Higher MVPA is associated with reduced risk of MACEs in older adults, whereas ST appears unrelated. Significance/Implications: These findings highlight the importance of promoting MVPA in older adults, even among those with high ST. Public health strategies in middle-income countries should prioritize increasing MVPA to reduce cardiovascular risk and improve population health outcomes.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Aquatic Training in Improving Risk of Falls in Older Adults: A Systematic Review With Meta-Analysis and Meta-Regression. 水上训练在提高老年人跌倒风险中的作用:荟萃分析和荟萃回归的系统综述。
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-14 DOI: 10.1123/japa.2025-0083
Thais Reichert, Larissa de Lisboa Silva, Ana Késia Ferreira Freitas, Eduardo Lusa Cadore, Rochelle Rocha Costa
{"title":"The Role of Aquatic Training in Improving Risk of Falls in Older Adults: A Systematic Review With Meta-Analysis and Meta-Regression.","authors":"Thais Reichert, Larissa de Lisboa Silva, Ana Késia Ferreira Freitas, Eduardo Lusa Cadore, Rochelle Rocha Costa","doi":"10.1123/japa.2025-0083","DOIUrl":"https://doi.org/10.1123/japa.2025-0083","url":null,"abstract":"<p><strong>Background/objective: </strong>This systematic review aimed to evaluate the effects of aquatic training (AT) on risk of falls in older people, compared with control groups or land-based training (LT) groups, and to know the possible moderators of the effect of AT on these outcomes.</p><p><strong>Methods: </strong>Clinical trials comparing the effect of AT with a control group or LT group in older people, assessing gait ability, balance, or muscle strength, were included. Embase, Cochrane, PubMed, and Scopus were searched until August 2025. The TESTEX (Tool for the assEssment of Study qualiTy and reporting in EXercise) scale was used to assess the risk of bias in the included studies. Random effect model was used, and effect sizes (ESs) were calculated with a 95% confidence interval.</p><p><strong>Results: </strong>Thirty-one studies were included (1,702 participants). After AT, balance (ES = 1.16, 95% CI [0.72, 1.59], p < .001, I2 = 93%) and muscle strength (ES = 1.14, 95% CI [0.76, 1.53], p < .001, I2 = 92%) were improved compared with control group. Aerobic and combined training produced large ES in balance. Weekly training frequency and training progression moderated the effects of AT on balance, and participants' mean age moderated the effects of AT on strength. Overall, AT did not differ significantly from LT. The present study has limitations, including high heterogeneity in some comparisons and poor methodological quality of certain studies.</p><p><strong>Conclusion: </strong>AT is effective in improving fall risk factors such as balance and muscle strength, with large ES. The observed effects appear to be similar for both aquatic and LT. Significance/Implications: AT programs aiming to reduce fall risk incorporate either aerobic or combined aerobic and resistance training prescribed at least twice per week. Increasing the number of weekly sessions may further optimize balance improvements, and progression to higher training intensities appears beneficial for both balance and muscle strength.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Appetite and Physical Activity in Community-Dwelling Older Adults: Focusing on Activity Intensity and Duration. 社区居住老年人食欲与身体活动的关系:关注活动强度和持续时间。
IF 1.7 4区 医学
Journal of Aging and Physical Activity Pub Date : 2026-08-14 DOI: 10.1123/japa.2025-0152
Kento Noritake, Keisuke Fujii, Daiki Nakashima, Yuta Kubo, Kyosuke Yorozuya, Soma Tsujishita, Naoki Tomiyama, Hidehiro Watanabe, Akihiro Yoshida
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