Journal of Aging and Physical Activity最新文献

{"title":"The Impact of Transitioning to Virtual Fall-Prevention Programs on Falls and Social Connectedness in Community-Dwelling Older Adults.","authors":"Allison Moser Mays, Tam Au, Sungjin Kim, Nathalie Guevara, Sonja L Rosen","doi":"10.1123/japa.2024-0211","DOIUrl":"https://doi.org/10.1123/japa.2024-0211","url":null,"abstract":"<p><strong>Background/objectives: </strong>Older adults participating in Falls Prevention Evidence-Based Programs experience a decrease in falls, loneliness, and social isolation, but virtual implementation may alter the program's reach and effectiveness.</p><p><strong>Methods: </strong>We examined the comparative effectiveness of in-person versus virtual fall-prevention evidence-based programs using a nonrandomized study design. Community-dwelling older adults (age ≥ 50) completed surveys on falls (OMB 0985-0039), loneliness (UCLA three-item scale), and social isolation (Duke Social Support Index) at baseline, 6 weeks, and 6 months. Changes in individual outcomes over time were analyzed using a generalized additive model.</p><p><strong>Results: </strong>In-person (n = 382) and virtual participants (n = 214) did not differ by age (76.6 vs. 76.5  years) or gender (83.4% vs. 82.5% women). Virtual programs had fewer non-Hispanic Black participants (8.2% vs. 43.5%, P < .001), more non-Hispanic white participants (70.4% vs. 42%, P < .001), and more with income >$30,000 (P = .012). In-person participants' Duke Social Support Index scores improved at 6 weeks (Estimate 0.50, 95% confidence interval [CI] [0.19, 0.82], P = .011) and 6 months (Estimate 0.67, 95% CI [0.30, 1.05], P = .003); loneliness improved at 6 months (Estimate 0.94, 95% CI [0.90, 0.97], P = .003). Virtual participants reported no change in Duke Social Support Index scores or in loneliness. At 6 months, virtual participants reported a 43.9% reduction in falls per month compared with baseline (Estimated Ratio 0.561, 95% CI [0.541, 0.582], P < .001); in-person participants reported no change in falls.</p><p><strong>Conclusions: </strong>Virtual implementation of fall-prevention programs results in participant-reported reductions in falls but no change in loneliness or social isolation. Significance/Implications: Virtual falls evidence-based programs should make efforts to foster connectedness and reach low-income and racially diverse communities.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505358","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. Sociodemographic and Health-Related Disparities in 24-Hr Movement Cycles Among Older Adult Women: The Study of Women's Health Across the Nxation.","authors":"","doi":"10.1123/japa.2026-0080","DOIUrl":"10.1123/japa.2026-0080","url":null,"abstract":"","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1"},"PeriodicalIF":1.5,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492098","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. Experiences and Perceptions of Older People With Chronic Low Back Pain After 8 Weeks of a Specific Group-Based Exercise: Qualitative Analysis of the ESCAPE Trial.","authors":"","doi":"10.1123/japa.2026-0082","DOIUrl":"10.1123/japa.2026-0082","url":null,"abstract":"","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1"},"PeriodicalIF":1.7,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469807","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":"Experiences and Perceptions of Older People With Chronic Low Back Pain After 8 Weeks of a Specific Group-Based Exercise: Qualitative Analysis of the ESCAPE Trial.","authors":"Hytalo Silva, Whesley Tanor Silva, Júlio Pasqual de Miranda, Diêgo Mendes Xavier, Murilo Xavier Oliveira, Marivaldo Aparecido Carvalho, Vinicius Cunha Oliveira","doi":"10.1123/japa.2025-0036","DOIUrl":"10.1123/japa.2025-0036","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic low back pain (CLBP) is a prevalent musculoskeletal condition worldwide, with physical exercise being the primary management strategy. However, this approach poses a significant challenge among the older population, as older people with CLBP often demonstrate low adherence to exercise-based treatments. Despite this, there is limited research evaluating the perceptions and experiences of older people regarding group exercise protocol (GEP) specifically designed for this population, which could enhance adherence and outcomes.</p><p><strong>Objective: </strong>To explore the perceptions and experiences of older people with CLBP regarding a GEP tailored to their needs.</p><p><strong>Methods: </strong>A qualitative interpretative phenomenological approach was employed to investigate participants' experiences after an 8-week GEP. Data were collected through focus groups guided by a trained researcher. The Bardin's content analysis was conducted. To facilitate the analysis and generate graphical representations, IRAMUTEQ (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires) software was used.</p><p><strong>Results: </strong>The results suggest that the perceptions of older people with CLBP regarding the GEP can be categorized into three thematic clusters: (a) social interaction, mutual support, and community integration with group exercise; (b) comprehensive benefits of specific group exercise on quality of life, sleep, and autonomy for older people with CLBP; and (c) perceived benefits of group exercise in managing low back pain and improving balance and mobility.</p><p><strong>Conclusion: </strong>Older people with CLBP can achieve biopsychosocial improvements through adherence to a tailored GEP. Strategies such as locating sessions in community centers, adapting exercises to individual capabilities, and fostering social bonds effectively promoted high adherence, enhanced social relationships, and improved sleep quality.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776972","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 Contributions to Single- and Dual-Task Walking in Adults at Risk of Alzheimer Disease and Related Dementias.","authors":"Nick W Bray, David A C Adriano, Sofia Grant, Karen D Kendall, Michael D Hill, R Stewart Longman, Aishah Alhmoudi Matar, Naif Alghasab, Nabila Mahdi, Elnaz Ehteshami Afshar, G Bruce Pike, Marc J Poulin, Gail A Eskes","doi":"10.1123/japa.2025-0148","DOIUrl":"https://doi.org/10.1123/japa.2025-0148","url":null,"abstract":"<p><strong>Background/objective: </strong>Walking reflects a complex interaction between physiological systems that deteriorate with age and do so more rapidly in those living with diseases. We conducted a sex-specific cross-sectional analysis to determine the contribution of modifiable (risk) factors to single- and dual-task gait performance in older adults at risk of Alzheimer disease and related dementias.</p><p><strong>Methods: </strong>We included participants (n = 103; 60.4% female; mean age 63.7 ± 6.2) who had completed a preintervention assessment for a randomized controlled trial. We used the following factors in hierarchical regressions while controlling for age, muscle strength, cardiorespiratory fitness, and global cognition. Participants walked at their usual pace on an electronic walkway and completed the two-back version of the n-back test either separately or together.</p><p><strong>Results: </strong>Males and females demonstrated reduced gait speed when comparing single to dual tasking (p < .001), but only females demonstrated increasing (i.e., worse) gait variability (p = .007). In females, the dual-task velocity model was significant, F(3, 56) = 5.173, with muscle strength (p = .006) and cardiorespiratory fitness (p = .049) contributing significantly. For males, the models were significant across all conditions, but muscle strength was the only significant (modifiable) factor (single task, p = .023; dual task, p = .046).</p><p><strong>Conclusion: </strong>Dual-task gait velocity is associated with a combination of modifiable factors. However, the importance of each factor differs between males and females. Significance/Implications: Such findings have implications for understanding gait decline and potential sex-specific intervention strategies in those at risk of Alzheimer disease and related dementias.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229564","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":"Associations of Physical Exercise With Specific Symptoms of Depression in Older Adults: A Network Analysis Following Propensity Score Matching.","authors":"Shijie Lin, Zhichun Chen, Weixia Zhang","doi":"10.1123/japa.2024-0377","DOIUrl":"https://doi.org/10.1123/japa.2024-0377","url":null,"abstract":"<p><strong>Objectives: </strong>To reveal pathways through which physical exercise is associated with the specific depressive symptoms in older adults from the perspective of network analysis.</p><p><strong>Methods: </strong>8,931 participants were selected from the 2018 Chinese Longitudinal Healthy Longevity Survey database. Participants were divided into exercise and nonexercise groups using propensity score matching to minimize confounding effects. The 10-item Center for Epidemiologic Studies Depression Scale was used to assess depression in this cross-sectional survey. Treating each item of 10-item Center for Epidemiologic Studies Depression Scale as a node, depressive symptom networks were constructed for both groups. Network centrality, stability, accuracy, and intergroup differences were analyzed.</p><p><strong>Results: </strong>Core symptoms in the exercise group were D3 (sad mood), D8 (felt lonely), and D1 (bothered by little things), whereas core symptoms in the nonexercise group were D3 (sad mood), D9 (cannot get going), and D6 (felt fearful). The expected influence of the D9 (cannot get going) node was higher in the nonexercise group compared with the exercise group; no differences in symptom network structure between the two groups were found.</p><p><strong>Conclusions: </strong>Depressive symptom networks varied between older adults who participated in physical exercise and those who did not. Physical exercise was associated with the local features (centrality indexes) of the depressive network, rather than the global features (network structure invariance and overall network strength).</p><p><strong>Clinical implications: </strong>The D9 (cannot get going) is crucial for the beneficial effects of exercise, providing a potential target for interventions aimed at efficiently alleviating depressive symptoms in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167497","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":"Aging Well and Moving More: A Community-Based Physical Activity Initiative.","authors":"Kimberly S Fasczewski, Samantha L DuBois, Rebecca M Kappus, Jared W Skinner","doi":"10.1123/japa.2025-0096","DOIUrl":"https://doi.org/10.1123/japa.2025-0096","url":null,"abstract":"<p><strong>Background/objectives: </strong>Physical activity (PA) is essential for maintaining mobility, independence, and overall well-being in older adults; however, participation remains low due to barriers, such as chronic disease, social isolation, and limited access to structured programs. Community-based aging well programs aim to support older adults by offering health assessments and wellness resources, yet many lack tailored follow-up PA interventions that address individual needs.</p><p><strong>Methods: </strong>This study conducted a comprehensive needs assessment through focus groups with older adults (aged 59-78) participating in an aging well program to identify key challenges and preferences for sustainable PA interventions.</p><p><strong>Results: </strong>Thematic analysis revealed five major themes: health concerns related to aging, social connections, barriers to PA, the importance of PA (aerobic, strength, and flexibility), and feedback on aging well initiatives. Participants emphasized the necessity for fall prevention strategies, enhanced social engagement, accessible and varied PA options, and structured follow-up with individualized recommendations.</p><p><strong>Conclusion: </strong>These findings offer a model for institutions and agencies seeking to develop or refine community-based PA programs, highlighting comprehensive health assessments, ongoing support, and tailored interventions that meet the diverse needs of older adults. Significance/Implications: This study underscores the crucial need for individualized, community-informed PA interventions to enhance mobility and well-being in older adults. By identifying key barriers and preferences, it provides a scalable model for developing aging well programs that are both sustainable and responsive to the unique challenges of this population.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167531","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 a 5-Month Follow-Up After a 5-Week Exercise Program Using a Robotic Suit on Physical Function in Low-Fitness Older Adults.","authors":"Yuya Koike, Yoshinobu Saito, Yuko Oguma, Takashi Kasukawa, Sho Nakamura, Hiroto Narimatsu, Yusuke Osawa","doi":"10.1123/japa.2024-0337","DOIUrl":"https://doi.org/10.1123/japa.2024-0337","url":null,"abstract":"<p><strong>Aim: </strong>Robotic suit-based exercises can be safely used for older adults. However, the effects of performing and discontinuing such programs on physical function remain unknown. We examined the long-term effects of a 5-week robotic suit-based exercise program on physical function in older adults with low fitness and assess the impact of exercise discontinuation during a 5-month follow-up period.</p><p><strong>Methods: </strong>We conducted a follow-up analysis of a completed randomized controlled trial. Community-dwelling older adults (n = 75, mean age = 74.7 ± 4.4 years) participated in a 5-week hybrid assistive limb robotic suit-based exercise program. We measured six physical function tests (gait speed at usual pace, five times sit-to-stand test, timed up and go test, functional reach test, two-step test, and grip strength), and the five-question Geriatric Locomotive Function Scale score. Evaluations were conducted at baseline, postintervention, and after the 5-month follow-up. Participants were stratified into those who continued exercising during the follow-up at the intervention facility (facility-attending group) and those who discontinued (nonattending group).</p><p><strong>Results: </strong>Significant improvements were observed postintervention in all physical function, especially gait speed (effect size: Cohen's d = 1.7), which remained higher than baseline after the follow-up period (Cohen's d = 1.2). Most physical function declined during the follow-up period. However, participants in the facility-attending group maintained their physical function levels, with no significant decline in most measures.</p><p><strong>Conclusion: </strong>Hybrid assistive limb-based exercise improved physical function, especially gait speed. Continuous exercise postintervention is essential to maintain these improvements.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167542","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":"Exploring Physical Activity Levels 1 Year After Completing Phase 2 Cardiac Rehabilitation by Sex.","authors":"Anton Pecha, Patrick D Savage, Luke Soelch, Philip A Ades","doi":"10.1123/japa.2025-0107","DOIUrl":"https://doi.org/10.1123/japa.2025-0107","url":null,"abstract":"<p><strong>Background: </strong> Cardiac rehabilitation (CR) is a secondary prevention program that is associated with a decrease all-cause mortality. Physical inactivity is a major risk factor for disease, and long-term physical activity (PA) adherence is an essential component of CR.  The purpose of this study is to assess self-reported PA adherence 1 year after CR completion. We hypothesize that individuals would not meet nationally recommended Physical Activity Guidelines (PAG) 1-year post-CR, but males would meet PAG at higher rates than females.</p><p><strong>Methods: </strong> Using a prospective, cross-sectional design, 172 CR graduates completed the International Physical Activity Questionnaire-Short Form telephone survey on self-reported PA and sitting time. Meeting PAG was defined as ≥150 minutes of moderate PA, ≥75 minutes of vigorous PA, or any combination of ≥150 minutes of moderate to vigorous PA.</p><p><strong>Results: </strong> The cohort (n = 172; 38 [19%] female; mean age 67 ± 11 y, range 35-90) attended 31 ± 8 (of 36) CR sessions and were surveyed 13.6 (2.7) months post-CR (76.1% response rate). Participants reported an average of 97 ± 125 min/week of moderate to vigorous PA, with 32% (n = 55, 80% male) meeting PAG and 5.3 ± 3.3 hr/day of sitting. There were no sex differences in how PAG was met or in minutes per day, days per week, or sitting time.</p><p><strong>Conclusion: </strong> Only 32% of CR graduates met PAG 1-year post-CR, with both sexes failing to achieve national guidelines. Significance/Implications: Providers should recognize that patients often fail to meet PAG after CR, undermining CR's long-term goals. Continued interventions targeting both sexes are needed to promote sustained long-term PA to support disease prevention.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115006","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 Effects of Multicomponent Training on Functional Fitness in Older Adults: A Systematic Review and Meta-Analysis.","authors":"Mohadeseh Toosi, Hassan Daneshmandi, Mohamad Mottaghitalab, Hamed Zarei","doi":"10.1123/japa.2025-0070","DOIUrl":"https://doi.org/10.1123/japa.2025-0070","url":null,"abstract":"<p><strong>Objective: </strong> The purpose of this systematic review is to examine the effects of multicomponent training (MCT) on functional fitness in older adults.</p><p><strong>Methods: </strong> Primary sources were sourced from four databases: Scopus, PubMed, CENTRAL, and Web of Science. The search period spanned from the inception of these databases up to February 10, 2025. Standardized mean differences, weighted mean differences, and 95% confidence intervals (CIs) were computed using either random or fixed-effect models for the outcomes.</p><p><strong>Results: </strong> After the screening process, a total of 20 studies comprising 1,217 participants were included in the systematic review. The results of the meta-analysis showed that MCT improved Short Physical Performance Battery test (1.20 [95% CI: 0.98-1.42], p = .001), arm curl (0.89 [95% CI: 0.51-1.24], p = .001), 30-s chair stand (1.28 [95% CI: 0.81-1.74], p = .001), chair sit-and-reach (0.62 [95% CI: 0.38-0.87], p = .001), back scratch (0.44 [95% CI: 0.25-0.63], p = .001), timed up and go (0.80 [95% CI: 0.38-1.22], p = .001), 6-min walk (1.24 [95% CI: 0.62-1.86], p = .001), and 2-min step (0.52 [95% CI: 0.21-0.84], p = .001). Additionally, the results of the meta-analysis demonstrated that there was a significant difference (0.35 [95% CI: 0.25-0.46], p = .001) between MCT and conventional training (CT) on functional fitness in older adults, favoring MCT.</p><p><strong>Conclusion: </strong> The findings of this systematic review and meta-analysis revealed that MCT significantly and positively improved functional fitness in older adults; also, the results of current meta-analysis showed that MCT has a significantly better effect on the functional fitness in older adults than CT.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114317","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}