Journal of Aging and Physical Activity最新文献

{"title":"Navigating Dementia Together: The Perceived Effects of the Minds in Motion Program on Persons Living With Dementia and Their Caregivers.","authors":"Hillary J Crouse, Paula C Fletcher, Pam J Bryden, Hailey A O'Neil","doi":"10.1123/japa.2025-0158","DOIUrl":"https://doi.org/10.1123/japa.2025-0158","url":null,"abstract":"<p><strong>Background/objectives: </strong>The Minds in Motion (MiM) program has physical and social benefits for both persons living with dementia and their caregivers (CGs); however, further exploration is warranted to understand the experiences of persons living with dementia and CGs within rural communities. The objective of this study was to examine the lived experiences of persons living with dementia and their CGs in the MiM program in rural communities.</p><p><strong>Methods: </strong>Persons living with dementia (n = 10) and their CGs (n = 10) were recruited from rural areas in southern Ontario. Participants completed a demographic questionnaire followed by a one-on-one semistructured interview. Transcripts were then analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Two themes were identified: (a) Forging connections and fostering wellness and (b) \"Because [their] world gets smaller, so does yours.\" The first theme reflected the effects of the MiM program on persons living with dementia and their CGs. The second theme involved the effects on the CGs while caring for persons living with dementia.</p><p><strong>Conclusion: </strong>The study highlights how the MiM program fosters connections, promotes wellness, and supports social engagement, enhancing the quality of life for persons living with dementia and CGs. Significance/Implications: This research contributes to the growing body of literature on dementia care and offers insights into the potential benefits of programs that combine physical and cognitive activities for this population in communities that have not been explored by previous research.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450248","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":"Motor-Cognitive Training Outperforms State-Funded Mobility Programs in Improving Dynamic Gait Stability in Older Adults.","authors":"Thorben Hülsdünker, Nell Wölke, Katharina Eckert","doi":"10.1123/japa.2025-0217","DOIUrl":"https://doi.org/10.1123/japa.2025-0217","url":null,"abstract":"<p><strong>Background/objectives: </strong>Falls are a major cause of injury and mortality in older adults. Numerous programs have been implemented to improve mobility and reduce fall risk but these focus on strength, balance, and coordination, while cognitive abilities remain unconsidered. This study compares an official state-funded rehabilitation sport program with a novel motor-cognitive training.</p><p><strong>Methods: </strong>Thirty-two participants (Mage: 71 years) were assigned either to the accredited rehabilitation sport or the motor-cognitive training. Following the official regulations, participants trained once a week for 45 min over 6 the course of weeks. Motor-cognitive training was performed using the SKILLCOURT technology where cognitive tasks were integrated into locomotor or stepping exercises. Before and after the training, gait stability using the Dynamic Gait Index and timed-up-and-go test was measured. Moreover, endurance capacity (6-min walking test), executive function, dual-task performance, and reactive agility were assessed on the SKILLCOURT. Training motivation and intention to continue with the training were surveyed after the 6-week training intervention.</p><p><strong>Results: </strong>Results indicate stronger performance gains for the motor-cognitive training group in the Dynamic Gait Index (p = .020, ηp2=.198) and timed-up-and-go (p = .014, ηp2=.227). No differences were observed for the 6-min walking, dual task, and executive function tests (p ≥ .174). Participants in the motor-cognitive group were more motivated to come to the training (p = .002), and a higher proportion expressed their interest in training continuation (p < .001).</p><p><strong>Conclusion: </strong>The results indicate that motor-cognitive training outperforms purely motor training programs in improving gait stability in older adults. Significance/Implications: Mobility training programs should be revised by integrating motor-cognitive components.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450262","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":"Sex-Specific Associations of Limb Muscle Strength, Mass, and Quality With Physical Performance in Older Adults: Handgrip and Chair Stand Tests.","authors":"Charles Lucena, Yuri A Freire, Lara Vlietstra, Marcyo Câmara, Ana Paula Trussardi Fayh, Debra L Waters, Eduardo Caldas Costa","doi":"10.1123/japa.2025-0051","DOIUrl":"https://doi.org/10.1123/japa.2025-0051","url":null,"abstract":"<p><strong>Aim/background: </strong>To investigate sex-specific associations of upper and lower limb muscle strength, mass, and quality derived from handgrip strength (HGS) and 30-s chair stand test (CST), with physical performance in older adults.</p><p><strong>Methods: </strong>Cross-sectional study (n = 454, 65.9 ± 4.9 years, 74.2% females). The proxies of upper and lower limb strength were HGS and 30-s CST, respectively. Muscle mass was measured by dual-energy X-ray absorptiometry. Muscle quality was determined as: (a) HGS/arm muscle mass and (b) 30-s CST/leg muscle mass. Physical performance: 6-min walk test (6MWT), timed up and go (TUG), maximum gait speed, and Berg Balance Scale. Multiple linear regression and receiver operating characteristic curves were used for data analyses.</p><p><strong>Results: </strong>For females, upper limb strength showed positive associations with all physical performance tests, as exemplified by the 6MWT (β = 3.85, 95% CI [2.32, 5.39]), TUG (β = -0.03, 95% CI [-0.06, -0.01]), maximum gait speed (β = 0.01, 95% CI [0.01, 0.02]), and Berg Balance Scale (β = 0.13, 95% CI [0.03, 0.22]). Lower limb strength, 6MWT (β = 7.68, 95% CI [5.60, 9.75]), was also positively associated with these tests, Further, lower limb muscle mass was positively associated with 6MWT (β = 17.38, 95% CI [5.80, 28.95]) and maximum gait speed (β = 0.08, 95% CI [0.02, 0.13]), while lower limb muscle quality showed associations with 6MWT (β = 3.64, 95% CI [0.48, 6.81]). In males, lower limb strength was associated with TUG (β = -0.09, 95% CI [-0.14, -0.05]) and Berg Balance Scale (β = 0.17, 95% CI [0.03, 0.30]), while upper limb strength and mass were associated with 6MWT (β = 2.39, 95% CI [0.28, 4.49]; β = 8.63, 95% CI [4.19, 13.07], respectively). Lower limb muscle quality was associated with 6MWT (β = 46.61, 95% CI [24.05, 69.17]) and TUG (β = -0.80, 95% CI [-1.21, -0.40]). CST-based muscle strength and quality better determined older adults with low physical performance.</p><p><strong>Conclusion: </strong>In older adults, CST-based strength and quality demonstrated stronger and more consistent associations with physical performance than HGS-based metrics, regardless of sex. Muscle mass was found to be limited for this purpose. Therefore, CST-based muscle strength and quality seem to be more clinically useful compared with HGS-based metrics in identifying older adults at an increased risk of impaired physical performance. Significance/Implications: CST-based muscle strength and quality appear to be more clinically useful than HGS-based metrics for identifying older adults at risk of impaired physical performance.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279706","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":"Flow Experiences in Recreational Doubles Pickleball Among Adults 60 Years and Older.","authors":"Glynis R Worthington, Gary Gute, Susan A Jackson, Justine Radunzel, Oksana Grybovych Hafermann","doi":"10.1123/japa.2025-0155","DOIUrl":"https://doi.org/10.1123/japa.2025-0155","url":null,"abstract":"<p><strong>Background/objective: </strong>This study investigates flow experience, a state of total immersion and optimal experience conceptualized by Csikszentmihalyi in 1990, in adults aged 60 years and older while playing recreational doubles pickleball. It compares their flow experiences to those in other activities (yoga, sports, exercise, and physical activity) and begins to identify demographic and player characteristics linked to flow.</p><p><strong>Methods: </strong>A convenience online sample of 213 participants (105 men, 107 women, one nonresponse), with demographic characteristics broadly similar to the target population, completed the Long Dispositional Flow Scale-Physical to measure player flow across nine subdimensions and answered five demographic and five player characteristic questions. Comparative analyses utilized aggregate data from The Flow Manual. Statistical analyses were employed to evaluate the results, conduct comparisons, and identify significant variables influencing the flow experience.</p><p><strong>Results: </strong>Participants reported high Total Flow and engagement in all nine flow subdimensions: Challenge/Skill Balance, Merging of Action and Awareness, Clear Goals, Unambiguous Feedback, Total Concentration, Sense of Control, Loss of Self-Consciousness, Time Transformation, and Autotelic Experience. Pickleball players exhibited significantly higher Total Flow and specific subdimension scores than other activities. Days Played per Week positively correlated with Total Flow. Years of Play and Tournament Participation showed small positive correlations with Challenge/Skill Balance, Sense of Control, and Merging of Action and Awareness. Gender, Age, Education, and Location were unrelated to flow.</p><p><strong>Conclusion: </strong>Older adults playing pickleball experience robust flow states, surpassing other activities.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260296","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 of Brief Bouts of Vigorous Physical Activity and Frailty in Older Adults With Regular and Irregular Exercise Habits.","authors":"Ting-Fu Lai, Yung Liao, Pei-Lin Tzeng, Chiung-Jung Wen, Ding-Cheng Chan","doi":"10.1123/japa.2024-0332","DOIUrl":"https://doi.org/10.1123/japa.2024-0332","url":null,"abstract":"<p><p>Brief bouts of vigorous physical activity such as vigorous intermittent lifestyle physical activity (VILPA) have emerged as a flexible alternative to traditional structured exercise, requiring less time commitment, preparation, and access to facilities. This study explored the association between VILPA and the odds of prefrailty or frailty in 195 older adults aged 65 and above at National Taiwan University Hospital. Frailty status was evaluated using Fried et al.'s criteria, which include slowness, weakness, weight loss, exhaustion, and low physical activity. VILPA was measured using a waist-worn accelerometer. Multivariate binary logistic regression models revealed that meeting the VILPA duration or bouts thresholds was linked to lower odds of prefrailty or frailty. These associations were significant in those with irregular exercise habits, with adherence to VILPA duration or bouts thresholds correlating with reduced prefrailty or frailty likelihood (odds ratio = 0.21, 95% confidence interval [0.05, 0.89]). However, no significant associations were observed in individuals with regular exercise habits. Adhering to VILPA thresholds may be associated with lower frailty odds, particularly in older adults with irregular exercise habits. These findings suggest that promoting brief bouts of vigorous physical activity in daily life may have potential implications for frailty reduction in older adults, especially those who do not engage in regular exercise. This approach offers a potentially accessible and flexible alternative to structured exercise programs for maintaining health in aging populations.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213283","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":"It Changed My Body and My Mind: A Qualitative Study on Yoga Experiences in Women Over 65.","authors":"Nesrin Arslan","doi":"10.1123/japa.2025-0245","DOIUrl":"https://doi.org/10.1123/japa.2025-0245","url":null,"abstract":"<p><strong>Background: </strong>Women aged 65 and over often face physical and psychosocial challenges such as mobility issues, chronic pain, sleep disturbances, and emotional vulnerability. Yoga, as a traditional mind-body practice, has shown promising results in supporting physical, psychological, and social well-being in older adults.</p><p><strong>Methods: </strong>This study was conducted as a qualitative research using a phenomenological design to explore the experiences of women aged 65 and over regarding yoga practice. The study included 10 women participating in a yoga program at an Active Aging Center affiliated with a municipality. Data were collected through a semistructured interview form and analyzed using thematic analysis.</p><p><strong>Results: </strong>The findings were grouped under eight main themes: perception of yoga, prejudices before yoga, physical effects, psychological effects, motivations for participation, factors influencing participation, expectations from the instructor, and perceptions related to age and gender. Participants reported that yoga positively affected flexibility, posture problems, pain, and sleep issues. Psychologically, they felt more balanced, peaceful, and calm.</p><p><strong>Conclusion: </strong>This study reveals the multidimensional effects of yoga in older adults and suggests that it can be considered a supportive intervention for healthy aging.</p><p><strong>Implications: </strong>The findings highlight the value of integrating yoga into health promotion strategies targeting older women. Yoga may serve not only as a physical activity but also as a tool for emotional regulation and social engagement. Health professionals and community centers can incorporate age-appropriate yoga practices to improve the quality of life and well-being among older populations.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177139","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":"Locomotive Syndrome, Balance, Frailty, Physical Fitness Level in Older Adults With Metabolic Syndrome in Turkey: A Comparative Study.","authors":"Ayşe Abit Kocaman, Alper Kemal Gürbüz, Saniye Aydoğan Arslan, Meral Sertel","doi":"10.1123/japa.2025-0224","DOIUrl":"https://doi.org/10.1123/japa.2025-0224","url":null,"abstract":"<p><p>In older adults, metabolic syndrome (MetS) may also affect physical function by causing muscle weakness and reduced mobility. This can lead to problems like frailty, poor balance, and locomotive syndrome (LS), which makes it harder to move and stay independent. Understanding how MetS affects balance, physical fitness, and movement in Turkish older adults is important for preventing falls and promoting healthy aging. This cross-sectional study aimed to compare frailty, locomotive syndrome, balance, and physical fitness levels in Turkish older adults with metabolic syndrome and healthy controls. Sixty-three older adults (41 MetS and 22 controls) underwent assessments including frailty criteria (weight loss, grip strength, exhaustion, gait speed, and physical activity), LS (Geriatric Locomotive Function Scale, two-step test, and stand-up test), static balance and proprioception (SensBalance Miniboard), and physical fitness (Senior Fitness Test). The mean age of MetS and controls participants was 72.07 ± 6.03 and 71.18 ± 4.88, respectively. Results revealed no significant frailty difference between groups (p > .05), but the MetS group exhibited higher LS risk (worse Geriatric Locomotive Function Scale scores, reduced quadriceps strength; p < .05), impaired static balance and proprioception (p < .05), and poorer physical fitness (lower aerobic endurance, agility, lower body strength, and flexibility; p < .05), though upper body strength/flexibility was similar (p > .05). This study highlights the impact of MetS on the physical function of older adults in Turkey, showing that individuals with MetS are more likely to experience locomotive difficulties, balance impairments, and reduced physical fitness. These findings underline the importance of early identification and targeted exercise programs to prevent further decline, improve mobility and balance, and reduce the risk of falls in older adults with MetS in Turkey.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177084","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 and the Volume of Different Brain Regions and Structures in Older Adults: A Systematic Review and Meta-Analysis.","authors":"Sara Oliveira Dias de Lucena, Fabricio Eduardo Rossi, Fernanda Pereira Lemos Barbosa, Marianne Penachini da Costa de Rezende Barbosa, André Luis Lacerda Bachi, Jose Claudio Jambassi Filho, Lucas Melo Neves","doi":"10.1123/japa.2025-0053","DOIUrl":"https://doi.org/10.1123/japa.2025-0053","url":null,"abstract":"<p><strong>Background: </strong>The aging process is accompanied by a decline in brain volume, which represents a significant risk factor for the onset of dementia in older adults. Evidence demonstrates that physical activity (PA) can help prevent and attenuate this reduction in brain volume. However, there is no consensus in the scientific literature regarding which specific brain regions and structures are most affected by PA. This systematic review aimed to summarize observational cross-sectional studies examining the association between PA and brain volume in healthy older adults, and to highlight the regions and structures most consistently impacted.</p><p><strong>Methods: </strong>This review (PROSPERO: CRD420251002199) encompassed the PubMed, Web of Science, and Embase databases and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Eligible studies met the following criteria: observational design, PA assessment (via questionnaires or device-based measures), brain volume quantification, and participants aged 60 years or older.</p><p><strong>Results: </strong>Nineteen studies, totaling 2,684 older adults (mean age = 70 ± 6 years), were included. Across the included studies, 76 brain regions or structures were analyzed, with white matter hyperintensities, total brain volume, white matter, intracranial volume, and total hippocampal volume being the most frequently evaluated. The studies demonstrated moderate methodological quality, with an average score of 4.6 ± 0.9 out of 9 points on the Newcastle-Ottawa Scale. Accelerometers were the predominant method for assessing PA, and all studies used magnetic resonance imaging to evaluate brain structures.</p><p><strong>Conclusion: </strong>The evidence synthesized in this review indicates a substantial body of observational research demonstrating an association between higher levels of PA and greater brain volume in specific regions among healthy older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177116","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 of Physical Activity With Changes in Skeletal Muscle Mass in Patients With Acute Stroke.","authors":"Kenji Yamaki, Koutatsu Nagai, Masashi Kanai, Keishi Yoshida, Kaoru Sakuma, Yumi Aga, Shuta Uchida, Atsushi Keyaki","doi":"10.1123/japa.2025-0139","DOIUrl":"https://doi.org/10.1123/japa.2025-0139","url":null,"abstract":"<p><p>Reduced skeletal muscle mass in patients with stroke is associated with poor clinical outcomes. Although physical activity helps mitigate this loss, the relationship between physical activity and changes in skeletal muscle mass remains unclear. This study examined the association between changes in skeletal muscle mass and physical activity in patients with acute stroke, including those with moderate-to-severe stroke. This retrospective cohort study evaluated 167 patients who were consecutively admitted within 48 hr of stroke onset between December 2022 and March 2024 based on data extracted from hospital medical records. The dependent variable was the change in skeletal muscle mass (in kilograms), and the independent variables were light- (LPA) and moderate- to vigorous-intensity physical activity (in minutes per day) and the National Institutes of Health Stroke Scale score. Associations were examined using multiple regression analysis. There was a significant loss of skeletal muscle mass during hospitalization (mean change: -1.5 kg [SD: 1.6], p < .001). Of the 167 patients, 120 were in the mild stroke group and 47 in the moderate-to-severe group. LPA was significantly associated with reduced skeletal muscle mass loss in the mild stroke group (B = 0.004, 95% confidence interval [0.001, 0.007], p = .009, adjusted R2 = .24). No significant association was detected in the moderate-to-severe group. Patients with acute stroke experienced significant skeletal muscle mass loss during hospitalization. LPA was independently associated with less skeletal muscle mass loss in the mild stroke group. The findings suggest that increasing LPA may help prevent skeletal muscle mass loss in patients with mild acute stroke.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139650","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":"Feasibility, Acceptability, and Preliminary Effects of the Online Exercise Program PERMANENTO in Older Adults: A Randomized Controlled Trial.","authors":"Katerina Machacova, Michal Steffl, Alzbeta Bartova, Blanka Novotna, Iva Holmerova","doi":"10.1123/japa.2025-0180","DOIUrl":"https://doi.org/10.1123/japa.2025-0180","url":null,"abstract":"<p><p>Physical activity is vital for maintaining health in late life, yet many older adults remain sedentary. This study evaluated the feasibility and acceptability of a home-based online exercise and education program inspired by developmental kinesiology and explored its preliminary effects on objective and perceived functional fitness. A total of 82 community-dwelling adults aged 70+ (mean age 73.7 ± 3.4 years; 77% female) were randomized into intervention (n = 45) and control (n = 37) groups. The intervention group completed a 12-week program (15 min daily, at least 6 days a week). Adherence was tracked via diaries, and acceptability was assessed using a custom-designed questionnaire. Functional fitness was measured through performance tests (Timed Up and Go Test, Single-Leg Stance Test, Handgrip) and a single-item self-assessment. Data were analyzed using descriptive and inferential statistics, including generalized linear models controlling for key covariates in SPSS 24. The intervention group achieved 100% retention and adherence. Participants rated the program as clear, meaningful, and manageable, all would recommend it to family and friends, and 91% expressed willingness to continue. Significant improvements were observed in perceived functional fitness (B = -1.098, p < .05) with a moderate within-group effect size (d = 0.59) in the intervention group. Older adults are able to successfully engage in home-based online programs and thus improve perceived functional fitness. These findings suggest promising potential for long-term adherence and sustainability. Future studies should explore lifestyle changes associated with improved perception of functional capacity. Trial Registration: ClinicalTrials.gov #NCT06133894.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139678","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}