Journal of Aging and Physical Activity最新文献

{"title":"Responses in Posttherapy Recovery-Based Virtual Reality With Blood Flow Restriction in Older Women: A Randomized Crossover Clinical Trial.","authors":"Silas de Oliveira Damasceno, Eduardo Pizzo Junior, Allysiê Priscilla de Souza Cavina, Driely Stephany Pedroso Dos Santos, Maria Eduarda Lopes da Cruz, Gabriella Souza Oliveira Meireles Pimenta, Franciele Marques Vanderlei","doi":"10.1123/japa.2025-0027","DOIUrl":"https://doi.org/10.1123/japa.2025-0027","url":null,"abstract":"<p><p>Blood flow restriction (BFR) and virtual reality-based therapy (VRT) are widely used interventions. However, no studies have investigated the combined effects of these therapies on autonomic, hemodynamic, and perceptual outcomes in older women. Therefore, the purpose was to evaluate the autonomic and hemodynamic behavior following VRT-BRF in older women, and to identify the perceptual responses during and after exercise recovery. A randomized crossover clinical trial was conducted with 17 older women randomly divided into three groups with a washout period of 7 days between sessions: VRT-BFR (40%), only VRT, and control. VRT was performed using the Nintendo Wii video game. For all groups, hemodynamic parameters (heart rate, systolic blood pressure, and diastolic blood pressure, double product) and the RR intervals were collected. Subsequently, the randomized intervention was performed and, for the VRT-BFR and VRT groups, autonomic parameters, signs and symptoms, and perceived effort were monitored during the games. Immediately after the interventions, a recovery period was initiated during outcomes were collected again for 60 min. In the recovery period for the VRT-BFR group, RR intervals showed a significant decrease from baseline until the 30th minute of recovery, heart rate showed a significant increase between baseline and the first and third minutes, and the double product showed a significant increase between baseline and the first minute. However, there was no statistical difference between groups, as well as group-time interaction. In conclusion, the VRT-BFR did not cause autonomic, hemodynamic, and perceptual imbalance in postexercise recovery.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239970","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}

{"title":"Association Between Leg Skeletal Muscle Mass Asymmetry Index and the Timed Up-and-Go Test in Community-Dwelling Older Adults.","authors":"Taishiro Kamasaki, Mizuki Hachiya, Hiroyuki Okawa, Kazuhiko Fujiwara, Kodai Hosaka, Takuya Suenaga, Yo Kichize, Satoshi Fujimura, Shotaro Ide, Yasuhiro Mizokami, Minoru Kamata, Hiroshi Otao","doi":"10.1123/japa.2024-0415","DOIUrl":"https://doi.org/10.1123/japa.2024-0415","url":null,"abstract":"<p><strong>Objectives: </strong>Given that body composition assessment is becoming more common, demonstrating the significance of assessing muscle mass asymmetry, which has not been a focus in the past, would be important. This study examined the association between the leg skeletal muscle mass asymmetry index (LSMAI) and the timed up-and-go (TUG) test to assesses dynamic postural control capabilities, in community-dwelling older adults.</p><p><strong>Methods: </strong>This study is a cross-sectional study. The study had 122 (75 ± 6 years, 74% female) participants who fulfilled the required sample size. A generalized linear model was used to examine the association between the TUG and the LSMAI.</p><p><strong>Results: </strong>An association was found between the TUG and LSMAI (standard regression coefficient, 0.21, p = .022). As with the crude model, a significant association was found between TUG and LSMAI in the adjusted model (standardized coefficient = 0.31, p = .009).</p><p><strong>Conclusions: </strong>Assessing LSMAI in older adults is crucial. Moreover, this finding indicates the need to consider LSMAI in maintaining the dynamic posture control capabilities of older adults.</p><p><strong>Implications: </strong>The new finding that LSMAI in older adults is associated with TUG emphasizes the need for assessment and intervention of LSMAI. This suggests that the approach to LSMAI may contribute to maintaining and improving dynamic posture control ability.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202028","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}

{"title":"Patterns of Social Participation and Late-Life Depression: The Mediating Role of Social Support and Aging Attitudes.","authors":"Yan Liu","doi":"10.1123/japa.2024-0247","DOIUrl":"https://doi.org/10.1123/japa.2024-0247","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the engagement patterns of older Chinese adults and their association with depression, including potential mediating roles of social support and aging attitudes, and how they are influenced by urban and rural factors.</p><p><strong>Methods: </strong>We use latent class analysis to categorized social engagement patterns using national survey data from 5,582 Chinese adults aged over 60. The effect of moderation and mediation was tested by the PROCESS macro (Model 4 and Model 8) for SPSS 27.0 by Hayes, using 5,000 bootstrap samples.</p><p><strong>Results: </strong>Three social engagement patterns were identified: Low Engagement, Social Engagement, and Family-Social Engagement. Mediation analyses revealed that Social Engagement indirectly reduced depression by enhancing positive aging attitudes, though it was linked to lower social support, which did not impact depression. Family-Social Engagement showed no significant effect on depression. Low Engagement indirectly reduced depression through positive aging attitudes but directly increased depression. Moderated mediation analysis indicated aging attitudes consistently mediated these effects, with urban factors strengthening the positive impact of Social Engagement on aging attitudes, while rural areas showed a negative association. No significant urban-rural differences were found for Low Engagement.</p><p><strong>Conclusion: </strong>Aging attitudes mediate the impact of Social Engagement on depression; urban-rural factors moderate this effect. Future studies need to measure social support comprehensively and explore the mechanism of Family Social Engagement and depression.</p><p><strong>Implications: </strong>Tailor interventions for urban and rural areas. Promote positive aging attitudes and enhance community support structures.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202001","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}

{"title":"High Physical Fitness Is Associated With Better Cognitive Function in Older Adults With Dementia: A Cross-Sectional Study.","authors":"Lucimere Bohn, Cátia Silva, Edmar Mendes, Leonor Miranda","doi":"10.1123/japa.2024-0286","DOIUrl":"https://doi.org/10.1123/japa.2024-0286","url":null,"abstract":"<p><strong>Background/objectives: </strong>Aging decreases cognitive and physical fitness (PF). Though evidence links PF to cognitive function, few studies focus on this association in older adults with dementia. The aim of this study is to investigate the association between cognitive function and PF in institutionalized older adults with cognitive impairment.</p><p><strong>Methods: </strong>This is a cross-sectional study encompassing 75 older adults with suggestive major neurocognitive disorder (76% women, 78.00 ± 8.13 years) residing in nursing homes. Cognition was assessed with Montreal Cognitive Assessment (MoCA), and the eligible participants (MoCA < 17 points) were categorized as having high or low cognition function according to the 50th percentile of the MoCA score. PF was measured with the Senior Fitness Test, and a global physical fitness score (GPF), computed as the average obtained from the six tests of the Senior Fitness Test, was thereafter classified based on the 25th percentile. Linear regression and binary logistic regression were applied.</p><p><strong>Results: </strong>GPF was significantly associated with MoCA (B = 0.078; 95% confidence interval [0.016, 0.139]; R2 = .300). GPF > 25th percentile (odds ratio = 7.8; 95% confidence interval [2.1, 30.4]; p = .003) and years of education (odds ratio = 1.5; 95% confidence interval [1.0, 2.1]; p = .016) were associated with a higher likelihood of having high MoCA, independently of age, medication use, and clinical conditions.</p><p><strong>Conclusion: </strong>A higher GPF was associated with better cognitive function in institutionalized older adults with dementia. Significance/Implications: It is crucial to understand the relationships between cognitive decline and PF in older adults with dementia. Once both are correlated, we might suggest that improving fitness may help slow cognitive decline and vice versa, which must be ascertained through longitudinal and experimental studies.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202009","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}

{"title":"Enhancing Physical Activity in Older Adults More Than 6 Months Post Total Hip or Knee Replacement Through Telerehabilitation: A Pilot Randomized Controlled Trial.","authors":"Hiroto Takenaka, Kunio Ida, Shin Goto, Junya Suzuki","doi":"10.1123/japa.2024-0347","DOIUrl":"https://doi.org/10.1123/japa.2024-0347","url":null,"abstract":"<p><strong>Background: </strong>Physical activity levels often remain suboptimal in older adults undergoing total hip replacement or total knee replacement after surgery, which can affect functional independence and quality of life.</p><p><strong>Purpose: </strong>To explore the feasibility and potential effects of a telerehabilitation delivery mode that combines activity tracking with remote physical therapist counseling on physical activity levels in older adults post total hip replacement or total knee replacement.</p><p><strong>Methods: </strong>The participants were randomly allocated to receive either a 12-week telerehabilitation program involving brief weekly telephone counseling from a physical therapist (n = 19) or a control group (n = 18). Activity trackers (Fitbit Sense) were used in both groups to objectively measure daily step counts, sedentary time (in minutes per day), low-intensity physical activity (in minutes per day), and moderate to vigorous physical activity (in minutes per day). These measures, along with physical function tests, were assessed at baseline and Weeks 12 and 24. The primary outcome was the change in physical activity levels across these parameters.</p><p><strong>Results: </strong>No adverse events were reported among the 37 participants. The telerehabilitation group demonstrated a significant increase in low-intensity physical activity at Weeks 12 and 24 compared with the control group (mean between-group difference: +30.9 min/day at 12 week and +29.0 min/day at 24 week; p = .04, effect size r = .33 at 12 week, r = .34 at 24 weeks). No significant differences emerged in step count, sedentary time, or moderate to vigorous physical activity.</p><p><strong>Conclusions: </strong>This pilot study showed telerehabilitation's potential to promote active lifestyles in post total hip replacement or total knee replacement older adults, particularly for increasing low-intensity physical activity. Future research should develop more intensive programs to improve moderate to vigorous physical activity and physical functions.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180319","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}

{"title":"The Effectiveness of Lifestyle Interventions, Including Exercise, Diet, and Health Education on Symptoms Experienced During Perimenopause: A Systematic Review of Randomized Controlled Trials.","authors":"Kelly Lee McNulty, Miriam Murphy, Edel Flynn, Aoife Lane, Annalouise Muldoon, Rosarie Kealy, Michael Harrison, John Windle, Patricia Heavey","doi":"10.1123/japa.2024-0226","DOIUrl":"https://doi.org/10.1123/japa.2024-0226","url":null,"abstract":"<p><strong>Background: </strong>Perimenopause, the transitional period before menopause, is characterized by various physical and psychological symptoms that can impact women's health, well-being, and quality of life. Lifestyle modifications, including exercise, diet, and health education, might help manage these symptoms, but the current evidence is inconsistent. This systematic review aimed to synthesize and identify gaps in existing randomized controlled trials examining the effectiveness of lifestyle interventions on perimenopause symptoms.</p><p><strong>Methods: </strong>This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Four electronic databases (PubMed, CENTRAL, Web of Science, and Scopus) were searched. Two reviewers independently screened the records for eligibility, extracted data, and assessed study quality using a modified Downs and Black checklist and a strategy based on the Grading of Recommendations Assessment Development and Evaluation working group.</p><p><strong>Results: </strong>A total of 25 studies met the inclusion criteria. Nine studies evaluated exercise-only interventions, 12 studies investigated a combined intervention, and five studies focused on health education-only interventions. Notably, no studies exclusively examined diet-based interventions.</p><p><strong>Conclusion: </strong>The findings suggest that both exercise and health education might offer benefits in managing perimenopausal symptoms. However, due to large between study variances and methodological inconsistencies, evidence-based guidelines for lifestyle interventions during perimenopause remain elusive. Further high-quality research is needed to determine the optimal principles of lifestyle prescription for addressing perimenopause symptoms.</p><p><strong>Significance: </strong>The findings underscore the potential of exercise and health education in alleviating perimenopausal symptoms, while emphasizing the need for more rigorous studies to establish definitive, evidence-based guidelines.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-24"},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139435","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}

{"title":"Physical Activity Patterns and Their Impact on Fall Risk in Older Adults: A Latent Class Analysis.","authors":"Sang-Eun Oh, Ju-Pil Choe, Minsoo Kang","doi":"10.1123/japa.2024-0354","DOIUrl":"https://doi.org/10.1123/japa.2024-0354","url":null,"abstract":"<p><p>Falls are a significant risk for older adults, often leading to severe injuries. Physical activity (PA) can reduce fall risk, but most studies focus on individual PA types rather than combined patterns. This study uses Latent Class Analysis to explore PA patterns among older adults and their relationship with falls, considering sex differences. Data were drawn from the 2023 Korean Community Health Survey (N = 68,996, aged ≥65 years). Participants' engagement in vigorous PA, moderate PA, walking, and flexibility exercises was used to classify latent subgroups separately by sex. Logistic regression examined associations between PA subgroups and fall experience, reporting adjusted odds ratios (aOR) and 95% confidence intervals (CIs). Four PA subgroups were identified for each sex. Among males, no significant differences in fall risk were observed across PA subgroups after adjusting for confounders (all aORs, p > .05). Among females, those engaging only in walking or walking plus flexibility exercises showed a significantly higher fall risk compared to the most active group (moderate PA, walking, and flexibility exercises). Specifically, the Walk-only group had an aOR of 1.13 (95% CI [1.00, 1.27]), and the Walk/Flex group had an aOR of 1.09 (95% CI [1.01, 1.16]). Participation in multiple types and intensities of PA was associated with a lower risk of falls, particularly among women. Sex-specific differences in PA patterns should inform fall prevention strategies. Encouraging older adults to engage in combinations of moderate-intensity PA, walking, and flexibility exercises may reduce falls and support healthy aging.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139427","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}

{"title":"Physical Functioning Improvements in Older Adults Following a Proprioceptive Neuromuscular Facilitation-Based Resisted Exercise Program: A Randomized Clinical Trial.","authors":"Leandro Giacometti da Silva, Marcelo Bandeira-Guimarães, Eduarda Blanco-Rambo, Mikel L Sáez de Asteasu, Mikel Izquierdo, Simon da Silva Machado, Fernanda Dos Santos Silveira, Henrique Paz da Silva, Anna Paula Gre Marques, Jessica da Silva Lamp, Caroline Pietta-Dias, Eduardo Lusa Cadore","doi":"10.1123/japa.2024-0403","DOIUrl":"https://doi.org/10.1123/japa.2024-0403","url":null,"abstract":"<p><strong>Background: </strong>Proprioceptive neuromuscular facilitation (PNF) is an exercise concept designed to enhance physical functions such as gait and sit-to-stand (STS) ability and could be useful in older adults with functional impairment. This randomized clinical trial (NCT06690944) evaluated the effects of a PNF-based intervention, incorporating resisted STS and walking exercises, compared with a control group performing the same activities without manual resistance, on functional capacity in older individuals with limited physical functioning.</p><p><strong>Methods: </strong>Twenty-five older adults (Mage: 80.4 ± 6.0 years) were randomized into the PNF group or the control group. The interventions involved eight sessions over 4 weeks for both PNF and control. Functional capacity was measured using the Short Physical Performance Battery, habitual gait speed (GS), STS, timed up and go, and static balance tests. Strength was assessed by handgrip strength. Generalized estimating equations were applied to examine time, group, and Time × Group interaction effects, with statistical significance set at α = .05.</p><p><strong>Results: </strong>Intention-to-treat analysis revealed significant Time × Group interactions for the Short Physical Performance Battery, GS, STS, and static balance (p < .05). The PNF group showed significant improvements in the Short Physical Performance Battery (Mchange = 1.9, 95% confidence interval [0.6, 3.2], p = .004), GS (Mchange = 0.20 m/s, 95% confidence interval [0.05, 0.37], p = .012), and STS (Mchange = -7.8 s, 95% confidence interval [-14.9, -0.6], p = .033). In contrast, the control group demonstrated significant declines in GS and handgrip strength (p < .05).</p><p><strong>Conclusions and implications: </strong>The PNF concept is a promising exercise intervention to improve physical functioning in older adults at high risk of disability.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126556","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}

{"title":"The Mediation Effect of Activities of Daily Living and Mobility Upon Moderate Leisure-Time Physical Activity and Life Satisfaction of Older Adults in the United States.","authors":"Hye Jin Park, Jaehyun Kim, Yongseop Kim, Junhyoung Kim","doi":"10.1123/japa.2024-0367","DOIUrl":"https://doi.org/10.1123/japa.2024-0367","url":null,"abstract":"<p><strong>Background: </strong>Leisure-time physical activity (LTPA) provides many beneficial health outcomes for older adults. However, older adults often face challenges in engaging in LTPA due to declining physical functioning. Regular participation in LTPA has been significantly associated with improved life satisfaction and well-being, primarily through fostering a sense of independence and promoting enhanced physical and mental health. Despite this, there is a notable gap in research regarding the directional associations between LTPA participation, life satisfaction, and activities of daily living (ADL).</p><p><strong>Methods: </strong>We investigated the mechanisms through which moderate levels of LTPA participation impact life satisfaction in older adults, focusing on its relationship with mobility and ADL performance. Utilizing data from the 2022 National Health Interview Survey, comprising a sample of 8,779 older adults, we examined levels of LTPA participation, mobility, ADL performance, and life satisfaction in older adults. Path analysis explored the associations between LTPA participation and life satisfaction while considering the mediating effects of mobility and ADL performance.</p><p><strong>Results: </strong>Our findings revealed that participation in LTPA is significantly associated with both mobility and ADL performance, which in turn are strongly linked to life satisfaction.</p><p><strong>Conclusion: </strong>The findings of our study underscore the importance of promoting LTPA participation by older adults to enhance life satisfaction, with mobility and ADL performance serving as key mediators in this association.</p><p><strong>Implications: </strong>This study suggests exploring related causal pathways and developing targeted interventions that encourage older adults to integrate moderate LTPA participation into their daily lives.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082543","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}

{"title":"Refining and Implementing a Vigorous Intermittent Lifestyle Physical Activity Intervention: Views of Key Stakeholders.","authors":"Bingyan Pang, Joanna C Moullin, Joanne A McVeigh, Cecilie Thøgersen-Ntoumani, Emmanual Stamatakis, Craig Thompson","doi":"10.1123/japa.2024-0126","DOIUrl":"10.1123/japa.2024-0126","url":null,"abstract":"<p><strong>Background: </strong>Novel options are needed to promote physical activity in the aging population. This study aimed to adapt intervention contents, determine implementation strategies and the mode of delivery for support materials of a targeted vigorous intermittent lifestyle physical activity (VILPA) intervention by consulting with key stakeholders (health professionals and adults transitioning to retirement).</p><p><strong>Methods: </strong>A two-phase approach was undertaken. In Phase 1, semistructured interviews were conducted with 10 health professionals. The intervention was amended, and implementation strategies were drafted according to findings from the health professional interviews. In Phase 2, the amended VILPA intervention was presented and discussed in two focus groups with 15 adults transitioning to retirement. The participants were consulted regarding the feasibility, acceptability, and appropriateness of the amended intervention and the implementation strategies and mode of delivery for the support materials. Qualitative content analysis was performed across both phases.</p><p><strong>Findings: </strong>Key implementation strategies adults transitioning to retirement recommended were education, social support, self-monitoring, rewards, and regular prompts. Participants preferred paper-based delivery of the intervention materials, as they thought the visual of a hard-copy material would act as a reminder to follow the intervention. Stakeholders believed the VILPA intervention could be delivered with a printed booklet that contained weekly checklists allowing participants to self-monitor and track their progress. Significance/Implications: This is the first attempt to translate evidence-based research on VILPA to an intervention in real-world settings. The novel intervention could provide new opportunities for older adults to engage in physical activity anywhere and anytime.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082507","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}