{"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}
Katerina Machacova, Michal Steffl, Alzbeta Bartova, Blanka Novotna, Iva Holmerova
{"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}
{"title":"The Physical and Cognitive Benefits of Pickleball Participation in Older Adults.","authors":"Anna Janzen, Gillian L Hatfield","doi":"10.1123/japa.2024-0176","DOIUrl":"https://doi.org/10.1123/japa.2024-0176","url":null,"abstract":"<p><strong>Background/objectives: </strong>Pickleball is the fastest growing sport in North America and is popular among older adults, yet the physical and cognitive benefits of this sport in older adults remain relatively unexplored. The purpose of this study was to address this gap in literature by measuring physical and cognitive data in older pickleball players.</p><p><strong>Methods: </strong>A cross-sectional study compared pickleball players to a control group of non-pickleball players, all over the age of 55 years. The following dependent variables were measured: (a) balance, (b) grip strength, (c) leg strength (d) aerobic fitness, (e) cardiometabolic risk factors, (f) cognitive function, (g) self-reported physical activity, and (h) quality of life. Significant between-group differences were detected with independent samples t tests, where the alpha level was .05.</p><p><strong>Results: </strong>Fourteen pickleball players (Mage = 68.07 ± 6.86 years, 57% female) and 14 non-pickleball players (Mage = 69.36 ± 5.49 years, 50% female) participated in this study. Despite similar levels of self-reported physical activity (p = .47) between groups, pickleball players had significantly better balance (p = .02) and significantly higher leg strength (p = .01). No other significant differences in outcome measures were found.</p><p><strong>Conclusion: </strong>This study suggests that pickleball is a beneficial sport for balance and leg strength in older adults, regardless of physical activity levels. Significance/Implications: Poor balance is a risk factor for falls in older adults. Implementing pickleball programs could help to reduce fall risk among older adults, even in those already active.</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":"148058258","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":"Exercise Interventions for Improving Balance, Strength, and Functional Capacity in Older Adults: A Randomized Controlled Trial.","authors":"Arzu Razak Özdinçler, Şafak Yiğit, Gülsena Utku Umut, Büşra Ülker Ekşi, İrem Güney","doi":"10.1123/japa.2025-0400","DOIUrl":"10.1123/japa.2025-0400","url":null,"abstract":"<p><p>Age-related declines in strength and balance increase fall risk in nursing home residents. This study compared the effects of the modified Otago Exercise Program and the Large-Amplitude Functional Exercise Program (LAFEP) on fall risk, balance, functional capacity, and lower-extremity strength. In this randomized controlled trial, 70 participants (aged ≥ 65) residing in nursing homes were randomly assigned to the modified Otago Exercise Program (n = 35) or the LAFEP (n = 35). Both groups received supervised group exercise three times weekly for 12 weeks. Primary outcomes were the functional reach test and the timed up-and-go test. Secondary outcomes included the Performanz Balance System, the 6-min walk test, and the five times sit-to-stand test. Both interventions led to significant within-group improvements (p < .05). However, the LAFEP group demonstrated significantly greater improvements in dynamic balance, specifically in the functional reach test (p = .03). Improvements in functional mobility outcomes, including the timed up-and-go (p = .67) and the five times sit-to-stand tests (p = .17), were also more pronounced in the LAFEP group; however, these between-group differences did not reach statistical significance. Both the modified Otago Exercise Program and the LAFEP were effective in enhancing balance and functional outcomes for older adults in residential care. The LAFEP, however, yielded superior gains specifically in dynamic balance. The findings suggest that the LAFEP, adapted from neurorehabilitation principles, may be a viable and potentially more effective alternative to conventional fall prevention exercise programs for this population.</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":"148139623","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}
Audrey Alcantara Garcia Meliani, Alicia Garcia Lima, Juliana da Silveira, Priscila Rodrigues Gil, Anelise Sonza, Adriana Coutinho de Azevedo Guimarães
{"title":"Is Hatha Yoga Effective for Motor Symptoms and Cardiorespiratory Fitness in People With Parkinson's? Results of a Randomized Clinical Trial.","authors":"Audrey Alcantara Garcia Meliani, Alicia Garcia Lima, Juliana da Silveira, Priscila Rodrigues Gil, Anelise Sonza, Adriana Coutinho de Azevedo Guimarães","doi":"10.1123/japa.2025-0380","DOIUrl":"https://doi.org/10.1123/japa.2025-0380","url":null,"abstract":"<p><strong>Background/objective: </strong>This two-arm randomized controlled trial investigated the effects of a 12-week hatha yoga intervention on shoulder and hip range of motion, cardiorespiratory fitness, and balance in people with Parkinson's disease.</p><p><strong>Methods: </strong>Forty-nine people with Parkinson's disease were randomized into the intervention group (IG; n = 25) and the control group (n = 24). After follow-up losses, 23 participants from the IG were included in the intention-to-treat analysis, 19 in the per-protocol analysis, and 18 remained in the control group. The variables analyzed included shoulder and hip range of motion (digital goniometry), cardiorespiratory fitness (6-min walk test), motor symptoms (Movement Disorder Society-Unified Parkinson's Disease Rating Scale III), and balance (Mini-Balance Evaluation Systems Test).</p><p><strong>Results: </strong>A significant and clinically meaningful reduction in Movement Disorder Society-Unified Parkinson's Disease Rating Scale III scores was observed within the IG (-11.31 points, p < .001, d = 2.94). However, no significant Group × Time interactions were identified for the primary or secondary outcomes. Although no between-group differences were observed, the IG showed trends toward improvements in balance and cardiorespiratory fitness particularly among participants with greater adherence to the protocol.</p><p><strong>Conclusion: </strong>These findings suggest that hatha yoga was associated with clinically meaningful improvements in global motor performance within the IG while contributing to the functional preservation of balance and cardiorespiratory capacity. Significance/Implications: These findings support the inclusion of hatha yoga as a practical and accessible therapeutic option to complement traditional rehabilitation approaches in patients with Parkinson's disease.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058216","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. Effectiveness of Combined Strength Training and Dance Classes Versus Combined Strength and Endurance Training in Older Adults: A Randomized Clinical Trial.","authors":"","doi":"10.1123/japa.2026-0175","DOIUrl":"10.1123/japa.2026-0175","url":null,"abstract":"","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1"},"PeriodicalIF":1.5,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058282","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}
Ming Yu Claudia Wong, Kai-Ling Ou, Ka Man Leung, Shali Wang
{"title":"The Effect of Walking Football on Physical Fitness and Psychosocial Health in Hong Kong Adults Aged 50+: A Mixed-Method Study.","authors":"Ming Yu Claudia Wong, Kai-Ling Ou, Ka Man Leung, Shali Wang","doi":"10.1123/japa.2024-0401","DOIUrl":"https://doi.org/10.1123/japa.2024-0401","url":null,"abstract":"<p><strong>Background: </strong>This study examined the effectiveness of a walking football program on physical fitness, football skills, and psychological outcomes among adults aged 50+ in Hong Kong.</p><p><strong>Method: </strong>A total of 521 older adults (40% female) participated in the walking football program. Participants were required to attend an 8-week beginner class upon enrollment, with the option to progress to an advanced class in a subsequent 8-week stage. Three groups were identified: (a) participants who only engaged in the 8-week beginner class (Pre-8B-Post), (b) participants who only engaged in the 8-week advanced class (Pre-8A-Post), and (c) participants who engaged in both the beginner and advanced classes (Pre-8B-8A-Post). Physical fitness was assessed using the Senior Fitness Test, and football skills were measured using a short passing test. Psychological outcomes, including symptoms of depression, resilience, mindfulness, social networks, exercise self-efficacy, and general health, were evaluated using validated questionnaires. In addition, 11 focus groups (five to six participants each) were conducted using a semistructured interview guide based on the RE-AIM framework to explore participants' qualitative experiences and benefits.</p><p><strong>Results: </strong>Participants in advanced or combined beginner and advanced classes demonstrated greater improvements in visceral fat, arm curl, and the 8-ft up-and-go test compared with participants in beginner-only classes. Combined-class participants also showed significant gains in mindfulness and social networks, whereas single-class participants reported greater improvements in resilience, exercise self-efficacy, and general health.</p><p><strong>Conclusion: </strong>Qualitative findings highlighted benefits in physical and mental health, social connections, and physical literacy.</p><p><strong>Significance: </strong>This study demonstrates that walking football is an effective, inclusive, and sustainable program for promoting physical, psychological, and social well-being among older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730585","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}
Eduarda Blanco-Rambo, Nadyne Rubin, Marcelo Bandeira-Guimarães, Rose Löbell, Antenor Barbosa Calandrini, Andressa Fergutz, Greyse Dornelles, Alexandra Ferreira Vieira, Mikel L Sáez-de-Asteasu, Mikel Izquierdo, Josianne Rodrigues-Krause, Caroline Pietta-Dias, Eduardo Lusa Cadore
{"title":"Effectiveness of Combined Strength Training and Dance Classes Versus Combined Strength and Endurance Training in Older Adults: A Randomized Clinical Trial.","authors":"Eduarda Blanco-Rambo, Nadyne Rubin, Marcelo Bandeira-Guimarães, Rose Löbell, Antenor Barbosa Calandrini, Andressa Fergutz, Greyse Dornelles, Alexandra Ferreira Vieira, Mikel L Sáez-de-Asteasu, Mikel Izquierdo, Josianne Rodrigues-Krause, Caroline Pietta-Dias, Eduardo Lusa Cadore","doi":"10.1123/japa.2025-0112","DOIUrl":"10.1123/japa.2025-0112","url":null,"abstract":"<p><strong>Background/objectives: </strong>This study compared the effects of strength training combined with endurance training versus strength training combined with dance classes on physical and cognitive functioning, quality of life, and depressive symptoms in older individuals.</p><p><strong>Methods: </strong>Forty-four older people (69.1 ± 4.6 years) were randomly allocated to strength training combined with dance classes or strength and endurance training groups. Participants were assessed for timed up and go (TUG), 6-min walking, single-leg stance, 30-s sit-to-stand, and stair-climbing tests. Strength was assessed using one-repetition maximum and muscle power at 30% and 70% of one-repetition maximum in the knee extension exercise. Vastus lateralis muscle thickness was assessed throughout ultrasonography. Quality of life, depressive symptoms (Geriatric Depressive Scale), cognitive performance (dual-task TUG and Mini-Mental State Examination), and affectivity for interventions were assessed using questionnaires. Interventions were performed twice weekly for 12 weeks.</p><p><strong>Results: </strong>There were no statistically significant differences between groups for any outcome. There were significant improvements (p < .05) for strength and endurance training and strength training combined with dance classes groups, respectively in TUG (in seconds; Δ = -0.7 vs. -0.8), 6-min walking (in meters; Δ = 30.6 vs. 18.5 m), single-leg stance (in seconds; Δ = 12.1 vs. 3.3), 30-s sit-to-stand (times; Δ = 2.4 vs. 4.7), stair-climbing (in seconds; Δ = -0.6 vs. -1), one-repetition maximum (in kilograms; Δ = 14.4 vs. 14.3), muscle power at 30% (in watts; Δ = 46.3 vs. 68.4), muscle power at 70% (in watts; Δ = 63.9 vs. 96.9), vastus lateralis muscle thickness (in millimeters; Δ = 1.1 vs. 1.6), Mini-Mental State Examination (score; Δ = 1.3 vs. 0.8), and dual-task TUG tests (in seconds; Δ = -1.1 vs. -1.4).</p><p><strong>Conclusion: </strong>When combined with strength training, dance is an alternative to aerobic training for improving health parameters in older adults. Significance/Implications: Participants' preferences should be considered when proposing these combined training interventions.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640517","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}
Keely A Shaw, Scott C Forbes, Ainsley Bristol, Taylor Leonhardt, Martin Ugwu, Hirofumi Tanaka, Ari Heinonen, Krzysztof Kusy, Dominik Pesta, Jorn Rittweger, Philip D Chilibeck
{"title":"A Perceptually Regulated Exercise Test for Predicting Maximal Oxygen Consumption in Masters Track-and-Field Athletes.","authors":"Keely A Shaw, Scott C Forbes, Ainsley Bristol, Taylor Leonhardt, Martin Ugwu, Hirofumi Tanaka, Ari Heinonen, Krzysztof Kusy, Dominik Pesta, Jorn Rittweger, Philip D Chilibeck","doi":"10.1123/japa.2025-0212","DOIUrl":"https://doi.org/10.1123/japa.2025-0212","url":null,"abstract":"<p><strong>Background/objectives: </strong>Submaximal exercise tests may be preferred over maximal tests for many reasons related to health or performance. It is unknown if a submaximal perceptually regulated exercise test is a valid assessment of maximal oxygen uptake (V˙O2max) in master athletes. We assessed the validity of a submaximal perceptually regulated exercise test in predicting V˙O2max in masters track-and-field athletes.</p><p><strong>Methods: </strong>Fifty-five athletes (n = 21 females, age = 63 ± 11 years; V˙O2max=49.7±11.0 ml·kg-1·min-1) competing at the World Masters Athletics Championships completed both a graded exercise test to volitional exhaustion to directly measure V˙O2max and a submaximal perceptually regulated exercise test, wherein the athletes self-regulated exercise intensity based on perceived exertion with V˙O2 collected at four stages, ranging from very light to hard/heavy, and extrapolated to ratings of perceived exertion (RPE) 18, 19, and 20, and to age-predicted maximal heart rate (HRmax).</p><p><strong>Results: </strong>Extrapolation to RPE 20 significantly overpredicted V˙O2max (+3.7 ml·kg-1·min-1; p = .02), while values attained from extrapolations to RPE 18, RPE 19, and age-predicted HRmax were not significantly different from values achieved during the graded exercise test (p > .05). Correlations for predicting V˙O2max ranged from .68 to .71. Standard errors of the estimate for predicting V˙O2max ranged from 8.6 to 11.3 ml·kg-1·min-1.</p><p><strong>Conclusions: </strong>Although V˙O2max predicted from a perceptually regulated exercise test is moderately correlated with actual V˙O2max, the standard errors of the estimate is too large to accurately track short-term changes in V˙O2max with aging or training. Significance/Implications: A perceptually regulated exercise test for estimating V˙O2max in masters athletes may not provide the necessary level of accuracy for tracking short-term changes in V˙O2max.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595919","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}
Gülşah Doksöz, Senem Demirdel, Mehmet İlkin Naharci
{"title":"The Association Between Multidimensional Frailty and Perceived Physical Activity Barriers In Low-Active Older Adults: A Cross-Sectional Study.","authors":"Gülşah Doksöz, Senem Demirdel, Mehmet İlkin Naharci","doi":"10.1123/japa.2025-0296","DOIUrl":"https://doi.org/10.1123/japa.2025-0296","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the association between multidimensional frailty and perceived physical activity barriers in low-active older adults.</p><p><strong>Methods: </strong>This cross-sectional study included low-active individuals aged over 65 years. Frailty status, physical activity level, and perceived physical activity barriers were evaluated through face-to-face interviews. Frailty status was assessed using the Tilburg Frailty Index, which evaluates frailty from a multidimensional perspective. The Physical Activity Scale for the Elderly was used to evaluate physical activity status, and the Physical Activity Barriers Scale for Elderly was used to assess perceived physical activity barriers. The association between physical activity barriers and multidimensional frailty was evaluated using logistic regression analysis.</p><p><strong>Results: </strong>Of the 492 older individuals examined, 235 met the inclusion criteria (Mage = 74.9 [6.2] years, 55.3% female). Being unmarried (odds ratio: 2.415, 95% CI [1.07, 5.452], p = .034), having a lower educational level (odds ratio: 2.899, 95% CI [1.537, 5.47], p = .001), and having a higher score on the Physical Activity Barriers Scale for Elderly (odds ratio: 1.05, 95% CI [1.01, 1.091], p = .014) were identified as risk factors for multidimensional frailty in low-active older adults.</p><p><strong>Conclusion: </strong>In low-active older adults, perceived physical activity barriers were associated with multidimensional frailty.</p><p><strong>Implications: </strong>Assessing perceived physical activity barriers in low-active older adults may be useful for developing interventions aimed at reducing multidimensional frailty.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522648","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}