David A Wilson, Paul E Muckelt, Martin B Warner, Hazel Brown, Sandra Agyapong-Badu, Danny Glover, Andrew D Murray, Roger A Hawkes, Maria Stokes, Dinesh Samuel
{"title":"Strength and Balance in Recreational Golfers Aged Over 80 Years.","authors":"David A Wilson, Paul E Muckelt, Martin B Warner, Hazel Brown, Sandra Agyapong-Badu, Danny Glover, Andrew D Murray, Roger A Hawkes, Maria Stokes, Dinesh Samuel","doi":"10.1123/japa.2024-0181","DOIUrl":"10.1123/japa.2024-0181","url":null,"abstract":"<p><p>Muscle strength and balance decrease with age, particularly in those over 80. Playing golf is associated with greater strength and balance in 65-79-year-olds, but it is not known if this occurs in the over 80s. Strength and balance of golfers aged over 80 years were assessed and compared with data obtained by the same research group on golfers and nongolfers aged 65-79 years. Over 80 golfers (n = 38) had similar normalized grip strength, single-leg balance, and leg power calculated from the 30-s sit-to-stand test, to the 65-79 nongolfers (n = 17). Composite Y balance test and anterior reach distances were significantly lower (right and left p < .001) for the over 80 golfers compared to the 65-79 nongolfers. The over 80 golfers had significantly lower reach distances for the Y balance test, single-leg stance times, lower limb power, and grip strength on the left side than the 65-79 golfers (n = 62). Playing golf may help slow the decline in grip strength, lower limb power, and static balance associated with aging but this needs to be determined in a prospective trial. Dynamic balance, however, does not appear to be maintained, as it was significantly lower in the golfers over 80 compared with the 65-79 golfers and nongolfers. Although golfers over 80 had similar strength and static balance scores compared to the 65-79 nongolfers, prospective intervention studies are needed to ascertain whether preservation of strength and balance were due to playing golf or other factors.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884260","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":"Effects of Tele and On-Site Elastic Band Resistance Exercise for Female Older Adults.","authors":"Hanna Choi, Meiling Jin, Byungsun Park","doi":"10.1123/japa.2024-0322","DOIUrl":"https://doi.org/10.1123/japa.2024-0322","url":null,"abstract":"<p><strong>Background: </strong>The global rise in older adults underscores the importance of maintaining health particularly among women who experience disproportionately higher rates of health problems.</p><p><strong>Objectives: </strong>This study compared the effects of tele-and on-site elastic band resistance exercise (EBRE) on the Short Physical Performance Battery, Short Form-8, and vitality in older women.</p><p><strong>Methods: </strong>This quasi-experimental study used a nonequivalent control group pretest-posttest design. Forty-eight participants were assigned to one of three groups: (1) tele-EBRE, (2) on-site EBRE, and (3) a control group. Exercises were performed twice weekly for 12 weeks. Data on Short Physical Performance Battery, Short Form-8, and vitality were collected and analyzed using nonparametric statistics (Kruskal-Wallis test and Wilcoxon signed-rank tests) with SPSS (version 28.0).</p><p><strong>Results: </strong>Both tele- and on-site EBRE significantly improved Short Physical Performance Battery, Short Form-8, and vitality in older women.</p><p><strong>Conclusion: </strong>Telemedicine can facilitate the development and implementation of community-based programs such as remote exercise interventions to enhance the physical and psychological well-being of older women.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856976","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}
Amandio Aristides Rihan Geraldes, Gabriela Alencar de Barros Vieira, Paulo Farinatti
{"title":"Functional Fitness Is Equally Maintained in Socially Active and Conventionally Trained Older Women: A Cross-Sectional Study.","authors":"Amandio Aristides Rihan Geraldes, Gabriela Alencar de Barros Vieira, Paulo Farinatti","doi":"10.1123/japa.2024-0202","DOIUrl":"https://doi.org/10.1123/japa.2024-0202","url":null,"abstract":"<p><strong>Background/objective: </strong>Social engagement may help preserve functional fitness (FF) throughout aging, but comparative studies are scarce. We compared FF in older women classified as socially active (SAC) versus exercise-trained (EXE) and insufficiently active (SED).</p><p><strong>Methods: </strong>Participants in SAC engaged in social activities requiring physical effort 3+ days/week (n = 52; 69 ± 1 years); EXE performed physical training 3+ days/week for at least 3 months (n = 70; 68 ± 1 years); and SED comprised institutionalized women, sedentary for 7-8 hr/day (n = 43; 78 ± 2 years). FF tests included handgrip, sit-to-stand, timed-up-and-go, habitual and maximum walking speed, static and dynamic balance.</p><p><strong>Results: </strong>SAC and EXE performed light-to-moderate physical activity +150 min/week, while SED spent 10-12 hr/day sitting or in bed. FF performance was 10%-50% lower in SED versus SAC and EXE (p < .05). Sit-to-stand failure rates were 14% in SED, 5% in SAC, and 3% in EXE. Timed-up-and-go test and maximum walking speed indicative of \"high disability risk\" were more predominant (p < .05) in SED (79% and 43%) versus SAC (42% and 4%), and EXE (21% and 0%). Only 5% of SED completed static balance versus 73% of SAC and 70% of EXE. Dynamic balance deficits were severe in 95% of SED versus 21% of SAC and 17% of EXE.</p><p><strong>Conclusion: </strong>Older women with high social involvement had FF comparable to those engaged in exercise training, and both outperformed insufficiently active counterparts.</p><p><strong>Implications: </strong>Social activities requiring a moderate level of physical effort seem to preserve the FF of older women, which should be considered within interventions to improve FF throughout aging.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849534","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}
Cesar Agostinis-Sobrinho, María Rúa-Alonso, Cláudia Vaz, Nuno Pires, Ermelinda Marques, Nuno Serra, Carolina Vila-Chã
{"title":"Muscle Strength and Fatness on Falls and Fear of Falling Among Older Adults.","authors":"Cesar Agostinis-Sobrinho, María Rúa-Alonso, Cláudia Vaz, Nuno Pires, Ermelinda Marques, Nuno Serra, Carolina Vila-Chã","doi":"10.1123/japa.2024-0146","DOIUrl":"https://doi.org/10.1123/japa.2024-0146","url":null,"abstract":"<p><strong>Background/objectives: </strong>Previous studies in older adults have demonstrated inconsistent associations between muscle strength, body fatness, and falls. This study aims to analyze the combined and independent associations of muscle strength and body fatness on the incidence of falls, and fear of falling among older adults.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving 253 older adults (150 females) aged 65 years and over. Sociodemographic characteristics, muscle strength (handgrip test), body composition, the number of falls per year, and fear of falling (Falls Efficacy Scale-International) were ascertained.</p><p><strong>Results: </strong>Linear regression models suggest muscle strength is inversely associated with falls (unstandardized β = -0.361; p < .001) and fear of falling (unstandardized β = -5.929; p < .001) after adjustments for age, sex, socioeconomic status, and body fatness. Additionally, analysis of covariance showed that participants categorized with high muscle strength, independently of body fatness status (low and high), had on average the lowest numbers of falls, F(3, 246) = 5.56; p = .001 and fear of falling, F(3, 246) = 6.75; p < .001, after adjustments.</p><p><strong>Conclusion: </strong>Low muscle strength is associated with higher Falls Efficacy Scale-International score and fall episodes. Individuals with low levels of muscle strength, regardless of their body fatness status, exhibited the least favorable Falls Efficacy Scale-International scores and the highest average of falls. Significance/Implications: Our findings emphasize the importance of preserving muscle strength to mitigate the incidence of falls in older adults. Additionally, handgrip strength can be a simple and effective measure to identify low muscle strength and assess the risk of falls during routine clinical practice.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823076","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}
Hailey A O'Neil, Olivia L Tupling, Lauren E Bechard, Laura E Middleton
{"title":"Understanding the Perception of People With Young Onset Dementia on the Experiences, Facilitators, and Barriers of Physical Activity: An Exploratory Qualitative Study.","authors":"Hailey A O'Neil, Olivia L Tupling, Lauren E Bechard, Laura E Middleton","doi":"10.1123/japa.2024-0262","DOIUrl":"https://doi.org/10.1123/japa.2024-0262","url":null,"abstract":"<p><strong>Background/objectives: </strong>Physical activity (PA) benefits the physical and mental well-being of people living with dementia; however, the experiences of people with young onset dementia (YOD) are poorly examined. The objective of this study was to understand the experiences of persons living with YOD related to PA and their barriers, facilitators, and preferences for PA.</p><p><strong>Methods: </strong>People living with YOD were recruited across Canada (n = 8). Participants completed a demographic questionnaire followed by a semistructured interview. Transcripts were analyzed using inductive thematic analysis and deductive content analysis.</p><p><strong>Results: </strong>Three themes were identified: (a) Just keep moving: the benefits of PA describes participants' perceptions of PA as meaningful, enjoyable, and beneficial to their mental and physical health; (b) An encouraging social environment: a motivator for PA describes participants' preferences for group activities that foster social connection and support; and (c) Transition from own worst enemy to guardian angel describes participants' journeys from initial diagnosis to realizing that they can still be active and enjoy life with a diagnosis of YOD. Participants' barriers and facilitators to PA were identified and mapped corresponding to categories including self, social environment, and external environment.</p><p><strong>Conclusion: </strong>Our findings suggest that PA supports well-being, empowerment, and autonomy of people living with YOD. Significance/Implications: Program leaders can use findings to address barriers experienced by people with YOD and educate others on the needs of people with YOD to support PA participation.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823077","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}
Christopher M Schattinger, Mia K Newlin-Bradner, Shiloah A Kviatkovsky, Ginny L Smith, Shelby E Olsson, Catie A Thompson, Thomas E Noel, Michael J Ormsbee, Lynn B Panton
{"title":"A Pilot Study in Transcatheter Aortic Valve Replacement Patients to Examine the Effects of Resistance Training and Protein Supplementation Through Telehealth.","authors":"Christopher M Schattinger, Mia K Newlin-Bradner, Shiloah A Kviatkovsky, Ginny L Smith, Shelby E Olsson, Catie A Thompson, Thomas E Noel, Michael J Ormsbee, Lynn B Panton","doi":"10.1123/japa.2024-0154","DOIUrl":"https://doi.org/10.1123/japa.2024-0154","url":null,"abstract":"<p><strong>Background/objectives: </strong>Approximately 70% of transcatheter aortic valve replacement (TAVR) patients prior to TAVR have low muscle mass, increased mortality risk, and reduced quality of life (QoL) with little improvement in muscle mass and QoL after TAVR. Resistance training (RT) with protein supplementation is effective for maintaining and increasing muscle mass but has not been studied in TAVR patients. This study evaluated the effects of a 12-week telehealth program of RT combined with protein supplementation (RT + PRO; n = 11) versus PRO alone (n = 11) on body composition, inflammation, strength, physical function, and QoL in TAVR patients (75.7 ± 6.5 years; body mass index: 31.3 ± 6.4 kg/m2).</p><p><strong>Methods: </strong>RT + PRO completed a RT program of 12 exercises, 2×/week, 8-15 repetitions, for 1-3 sets and consumed 75 g (37.5 g 2×/day) of whey protein. PRO consumed the same protein but did not exercise.</p><p><strong>Results: </strong>There were no reported injuries. Adherence to the exercise and protein supplementation was greater than 90%. RT + PRO had greater improvements in strength (30-s chair stands: RT + PRO pre: 11 ± 3 vs. post: 13 ± 3; PRO pre: 12 ± 2 vs. post: 12 ± 3 repetitions; p = .003; time to complete five sit-to-stands: RT + PRO pre: 12.3 ± 3.8 vs. post: 9.6 ± 2.7; PRO pre: 11.2 ± 2.4 vs. post: 10.9 ± 2.9 s; p = .011) and QoL (Sarcopenia QoL Questionnaire: RT + PRO pre: 63.7 ± 12.9 vs. post: 74.0 ± 14.6; PRO pre: 69.7 ± 13.6 vs. post: 69.2 ± 16.1 points; p = .002).</p><p><strong>Conclusions/implications: </strong>The telehealth exercise program was safe and well attended. The RT + PRO protocol significantly improved some measures of muscular strength and QoL in TAVR patients. A telehealth exercise program may serve as an alternative to traditional in person cardiac rehabilitation programs.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823075","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}
Shamatree Shakya, Lisa Sharp, Nathan Tintle, Anne M Fink, Rosalba Hernandez, Shannon Halloway
{"title":"Social Isolation and Daily Steps Are Associated With Fatigue in Older Women With Cardiovascular Disease: A Secondary Analysis of the MindMoves Trial.","authors":"Shamatree Shakya, Lisa Sharp, Nathan Tintle, Anne M Fink, Rosalba Hernandez, Shannon Halloway","doi":"10.1123/japa.2024-0245","DOIUrl":"https://doi.org/10.1123/japa.2024-0245","url":null,"abstract":"<p><strong>Background/objective: </strong>Fatigue is a common cardiovascular disease (CVD) symptom in older women; however, contributing factors are unclear. This study examined the association of background characteristics, social isolation, movement behaviors, and serum biomarkers with fatigue in older women with CVD.</p><p><strong>Methods: </strong>This cross-sectional study used baseline data from older women (≥65 years, N = 246) with CVD participating in the MindMoves trial. We examined background characteristics (age, race/ethnicity, education, marital status, body mass index, pain, and comorbidities), social isolation, movement behaviors (sedentary behavior, light physical activity, moderate-vigorous physical activity, daily step count, and cardiorespiratory fitness test), and serum biomarkers (brain-derived neurotrophic factor, vascular endothelial growth factor-A, and insulin-like growth factor-1). Fatigue was assessed using two items (\"could not get going\" or \"felt everything was an effort\") from the Center for Epidemiologic Studies-Depression scale. Two-sample t tests examined differences in background characteristics across subgroups with fatigue versus without, and logistic regression examined whether social isolation, movement behaviors, and serum biomarkers were associated with fatigue.</p><p><strong>Results: </strong>Fatigue was present in 17% of participants. A unit increase in social isolation score was associated with greater odds of fatigue (adjusted odds ratio = 2.38; 95% confidence interval [1.41, 3.99]), while an increase in walking steps by 1,000 per day was associated with lower odds of fatigue (adjusted odds ratio = 0.74; 95% confidence interval [0.59, 0.93]) in the fully adjusted models. Other factors were not associated with fatigue.</p><p><strong>Conclusion: </strong>Prospective studies are needed to investigate fatigue-related factors in diverse patients with CVD. Significance/Implication: Interventions involving walking and group exercise may mitigate fatigue in older women with CVD.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790660","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":"Erratum. White Box Modeling of Self-Determined Sequence Exercise Program Among Sarcopenic Older Adults: Uncovering a Novel Strategy Overcoming Decline of Skeletal Muscle Area.","authors":"","doi":"10.1123/japa.2025-0226","DOIUrl":"https://doi.org/10.1123/japa.2025-0226","url":null,"abstract":"","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1"},"PeriodicalIF":1.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692339","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}
Ashlyn M Jendro, Mary Ann Talley, Kaitlin M Gallagher, Abigail C Schmitt
{"title":"Gait Biomechanics of Older Adults in Outdoor and Simulated Environments: A Scoping Review.","authors":"Ashlyn M Jendro, Mary Ann Talley, Kaitlin M Gallagher, Abigail C Schmitt","doi":"10.1123/japa.2024-0192","DOIUrl":"https://doi.org/10.1123/japa.2024-0192","url":null,"abstract":"<p><strong>Background/objectives: </strong>Although walking studies conducted in replicated outdoor environments (e.g., virtual reality) or surfaces (e.g., grass surface in a laboratory) provide a safe way to analyze how older adults walk outdoors, how gait variables compare for the outdoor adjacent studies and true outdoor studies are unknown. The objective of this scoping review is to compare and contrast gait variables among older adults across outdoor and outdoor adjacent settings (i.e., outdoor adjacent environments and outdoor adjacent surfaces) and identify commonly measured variables.</p><p><strong>Methods: </strong>Primary source research papers were included that measured kinematic or spatiotemporal gait variables in an outdoor or adjacent environment/surface among adults 60+ years. Five bibliographic databases were searched for publications with terms related to older adults, walking/gait, outdoor/outdoor simulated environments, and kinematics/spatiotemporal variables. Articles were screened and summarized for sample information, collection methodology, and gait variables.</p><p><strong>Results: </strong>A sample of 1,020 articles were screened after duplicate removal, with only 16 studies meeting inclusion criteria. Studies conducted outdoors reported more variables than outdoor adjacent studies; however, few studies had overlapping spatiotemporal or kinematic variables. Across all studies, inconsistency of regularly measured spatiotemporal variables and reporting of variability exists. For instance, while gait velocity was reported in 63% of included studies, other measures such as step/stride width and step time were inconsistently reported.</p><p><strong>Conclusions: </strong>Little is known about how older adults ambulate in outdoor and simulated outdoor environments/surfaces. Authors acknowledge the significance of studies done indoors, but hope we are at a time of transition. Spatiotemporal variability in outdoor environments is understudied; more research of spatiotemporal and kinematic variables in real-world environments could help move toward understanding how people move in everyday life. Significance/Implications: A better understanding of how older adults move in daily life can help improve established therapy modalities and fall prevention strategies; however, the lack of comprehensive data comparing gait variables in outdoor environments to gait variables in outdoor adjacent environments makes drawing conclusions difficult. This review offers suggestions for future research to strengthen the body of literature and increase ecological validity for collection of outdoor gait measures. They include (a) standardized reporting of spatial and temporal variability measures using percent coefficient of variation and SDs, (b) integrating advanced technologies to enhance ecological validity, and (c) including diverse populations to improve generalizability.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-18"},"PeriodicalIF":1.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668928","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":"Daily Total Physical Activity and Hospitalization or Death in Older Adults in Assisted Living Residences: An Exploratory Cohort Study Using Two ActivPAL Accelerometers in Japan.","authors":"Tsunetaka Kijima, Kenju Akai, Shiho Amagasa, Shigeru Inoue, Shingo Yamagata, Yutaka Ishibashi, Hironori Tsukihashi, Tetsuya Makiishi","doi":"10.1123/japa.2024-0088","DOIUrl":"https://doi.org/10.1123/japa.2024-0088","url":null,"abstract":"<p><p>Older adults in assisted living residences spend most of their time engaged in sedentary activities. However, the relationship between physical activity, sitting time, or lying time and hospitalization and mortality in older adults remains unclear. Therefore, the present study aimed to evaluate the relationship between physical activity and hospitalization or death among older adults in assisted living residences. This exploratory prospective study included older adults in assisted living residences in Japan. Using two ActivPAL accelerometers attached to the chest and thigh, we assessed physical activity and posture, including lying down, sitting, standing, and stepping. The participants were followed up for 2-2.5 years. The primary outcome was a composite outcome, including all-cause hospitalization and mortality in a time-to-event analysis. Of 112 residents in two facilities, 35 patients were assessed using ActivPAL accelerometers. The primary outcome was observed in 22 of 19,154 person-days. The median values of the step count, upright time, sitting time, and lying down time were 1,004 steps, 149.5 min, 563.8 min, and 729.3 min, respectively. An upright time of <150 min/day significantly increased the risk of hospitalization and mortality compared with an upright time of >150 min daily. Upright time may be an important indicator of physical activity and posture in older adults in assisted living residences. Upright time of >150 min daily for older adults in assisted living residences might be an essential key affecting hospitalization and mortality; encouraging older adults to spend time outside their rooms may be beneficial.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668959","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}