Journal of Aging and Physical Activity最新文献

{"title":"Effects of Water-Based Aerobic Exercises on Physical Fitness in Older Adults: A Systematic Review With Meta-Analysis of Randomized and Nonrandomized Trials.","authors":"Luana S Andrade, Cíntia E Botton, Maurício T X Carvalho, Samara N Rodrigues, Cristine L Alberton","doi":"10.1123/japa.2024-0182","DOIUrl":"https://doi.org/10.1123/japa.2024-0182","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effects of water-based aerobic exercises on the physical fitness of older adults.</p><p><strong>Methods: </strong>PubMed, LILACS, and EMBASE were searched in April 2024. Eligibility criteria included randomized and nonrandomized trials focused on water-based aerobic exercise programs for older adults assessing physical fitness. Random-effects meta-analyses were conducted to compare water-based aerobic exercise programs with (a) control groups, (b) land-based aerobic exercise, and (c) water-based combined exercises. Mean difference (MD) and standardized mean difference (SMD), with a 95% confidence interval (CI), were used for studies with the same measurement scale and different scales, respectively. The methodological quality of the studies was assessed using the Tool for the Assessment of Study Quality and Reporting in Exercise (TESTEX).</p><p><strong>Results: </strong>Fifteen studies were included in the meta-analyses. Water-based aerobic exercises significantly improved cardiorespiratory capacity (MD = 5.18 ml·kg-1·min-1; 95% CI [2.51, 7.85]; I2 = 91%), muscle strength (MD = 3.03 kg; 95% CI [1.62, 4.44]; I2 = 11%), and agility/dynamic balance (SMD = 0.63; 95% CI [0.11, 1.16]; I2 = 77%) compared to control groups. The significant effect favoring aquatic aerobic exercise for agility/dynamic balance was observed only in nonrandomized clinical trials. Cardiorespiratory capacity improvements were similar between water- and land-based aerobic exercise programs (MD = 3.23 ml·kg-1·min-1; 95% CI [-2.45, 8.91]; I2 = 91%). Additionally, water-based aerobic exercise was superior to water-based combined exercise programs in improving cardiorespiratory capacity (SMD = 0.58; 95% CI [0.15, 1.01]; I2 = 36%), while muscle strength (SMD = -0.04; 95% CI [-0.38, 0.30]; I2 = 0%) and agility/dynamic balance (SMD = 0.17; 95% CI [-0.18, 0.51]; I2 = 0%) were similar. The quality of included studies ranged from 6 to 13 points on the TESTEX scale.</p><p><strong>Conclusion: </strong>Besides improved cardiorespiratory fitness, water-based aerobic exercise programs promote increased muscle strength and agility/dynamic balance in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-20"},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114945","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 Activity With Incidence of and Recovery From Knee Pain Among Older Adults: A 3-Year Longitudinal Study.","authors":"Shinichiro Sato, Yuta Nemoto, Noriko Takeda, Takuya Yamada, Mutsumi Nakamura, Kazushi Maruo, Yoshinori Kitabatake, Takashi Arao","doi":"10.1123/japa.2024-0287","DOIUrl":"https://doi.org/10.1123/japa.2024-0287","url":null,"abstract":"<p><strong>Background/objective: </strong>Knee pain is a reversible condition that can be alleviated with appropriate interventions. Although physical activity (PA) is known to reduce knee pain, the long-term effects of different activity intensities are not well understood. This study examined the associations of moderate- and vigorous-intensity PA with the incidence and recovery from knee pain over 3 years.</p><p><strong>Methods: </strong>A longitudinal study from 2016 to 2019 in a remote area of Japan included 3,683 older adults aged ≥ 65 without functional disabilities. Knee pain was self-reported, and PA was evaluated using the International PA Questionnaire. Logistic regression analyses were conducted for participants with or without knee pain at baseline.</p><p><strong>Results: </strong>At baseline, 32.7% reported knee pain. Among those without knee pain at baseline, 16.0% developed knee pain during follow-up. By contrast, 43.8% of those with knee pain at baseline no longer reported it 3 years later. Multivariable analyses showed that older adults, both with and without baseline knee pain, who engaged in moderate-intensity PA for ≥ 300 min/week were less likely to experience knee pain in 2019. No association was found between vigorous-intensity PA and knee pain.</p><p><strong>Conclusion: </strong>Increasing moderate-intensity PA significantly decreases the risk of onset and persistence of knee pain among community-dwelling older adults. Significance/Implications: Given that knee pain is a common condition that can severely affect mobility and quality of life, encouraging a more active lifestyle, particularly with moderate-intensity activities, can have substantial public health benefits.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115004","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 Accelerometer-Measured Physical Activity and Sedentary Behavior With Incident Clinical Osteoporotic Fractures Among Older Women: The Objective Physical Activity and Cardiovascular Health Study.","authors":"Steve Nguyen, Carolyn J Crandall, John Bellettiere, Michael J LaMonte, Andrea Z LaCroix","doi":"10.1123/japa.2024-0233","DOIUrl":"10.1123/japa.2024-0233","url":null,"abstract":"<p><strong>Background/objectives: </strong>Women 65 and older experience nearly three-fourths of the 2 million osteoporotic fractures annually in the United States. We investigated associations of accelerometer-measured total physical activity, light physical activity, moderate-to-vigorous physical activity (MVPA), steps, total sitting time, and mean sitting bout duration with incident osteoporotic fracture.</p><p><strong>Methods: </strong>Women from the Objective Physical Activity and Cardiovascular Health cohort (N = 6,122; mean age: 78.7; SD: 6.7) without prior hip fracture wore the ActiGraph GT3X+ up to 7 days and were followed up to 8 years for incident osteoporotic fractures (n = 982). Cox regression models estimated hazard ratios and 95% confidence intervals (CI) additionally containing age, race/ethnicity, education, alcohol, smoking, height, weight, falls, physical functioning, diabetes, thiazide use, and anti-osteoporosis medication use.</p><p><strong>Results: </strong>Multivariable HRs (95% CI) were 1 (ref), 1.10 [0.93, 1.31], 0.93 [0.77, 1.13], and 0.87 [0.70, 1.07] across MVPA minutes/quartiles (p-trend = .03) and 1 (ref), 1.10 [0.90, 1.33], 1.21 [1.00, 1.47], and 1.27 [1.04, 1.57] across total sitting time quartiles (p-trend = .02). The hazard ratios (95% CI) for a one-SD increment in MVPA (33 min/day) and total sitting time (103 min/day) were 0.92 [0.85, 0.99] and 1.09 [1.01, 1.18], respectively. The hazard ratios (95% CI) for MVPA and osteoporotic fracture was 0.82 [0.73, 0.93] among women not using anti-osteoporosis medication and 1.06 [0.90, 1.24] among women using anti-osteoporosis medication (p-interaction = .02).</p><p><strong>Conclusions: </strong>More MVPA and less total sitting time, but not other accelerometer measures, were associated with lower osteoporotic fracture risk. Significance/Implications: These data support interventions and physical activity guidelines aimed at promoting moderate- or vigorous-intensity movement and decreased sitting for osteoporotic fracture prevention.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic and Health-Related Disparities in 24-Hr Movement Cycles Among Older Adult Women: The Study of Women's Health Across the Nation.","authors":"Erin E Dooley, J F Winkles, Sylvia E Badon, Alicia Colvin, Carol A Derby, Carrie A Karvonen-Gutierrez, Christopher E Kline, Brittney S Lange-Maia, Leslie M Swanson, Kelly R Ylitalo, Kelley Pettee Gabriel","doi":"10.1123/japa.2025-0082","DOIUrl":"10.1123/japa.2025-0082","url":null,"abstract":"<p><strong>Background: </strong>The 24-hr movement cycle is associated with health, but less is known about factors associated with differences in cycle composition.</p><p><strong>Methods: </strong>Data from 1,297 Study of Women's Health Across the Nation participants (ages 60-72 years; Mage = 65.4 ± 2.6 years) who concurrently wore hip (waking) and wrist (sleep) accelerometers at Visit 15 (2015-2017) to quantify differences in sleep, sedentary, and physical activity across sociodemographic and health factors are used, including age, race and ethnicity, educational attainment, body mass index, financial strain, self-rated health, body pain, vasomotor symptoms, depression symptoms, anxiety, obstructive sleep apnea, and multimorbidity. We used compositional data analysis to characterize movement cycles and multivariate analysis of variance to examine the difference in the proportion of the day spent in cycle components by subgroup, controlling for Study of Women's Health Across the Nation site, age, race and ethnicity, and body mass index.</p><p><strong>Results: </strong>On average, women spent 34.6% (8.3 hr) in sleep and 31.4% (7.5 hr), 30.5% (7.3 hr), and 3.5% (50 min) in sedentary, light-intensity, or moderate- or vigorous-intensity physical activities (MVPA), respectively. Black and Hispanic women; smokers; and those who reported moderate/severe financial strain, moderate/severe bodily pain, poor health, or living with multimorbidity spent 19%-34% less time in MVPA relative to the overall mean composition. Women with depression and anxiety symptoms spent 10%-19% less time in MVPA relative to the mean composition.</p><p><strong>Conclusion: </strong>Variations in compositions were driven by differences in the proportion of time spent in MVPA. Significance/Implications: Identifying persons with inadequate movement profiles could help inform targeted strategies for intervention and policies.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Big-Amplitude Calisthenic Group Exercises With Music on Balance, Cognition, Physical Activity, and Dual-Task Performance in Ambulatory Older Adults: A Randomized Clinical Study.","authors":"Zeynep Fıçıcı, Güzin K Aytutuldu","doi":"10.1123/japa.2025-0196","DOIUrl":"10.1123/japa.2025-0196","url":null,"abstract":"<p><strong>Background/objectives: </strong>Aging physical capacity and the ability to perform daily activities. This study aims to investigate the effects of music added to big-amplitude calisthenic group exercises on dual-task performance and balance in older adults.</p><p><strong>Methods: </strong>Fifty participants aged 65-80 years were randomly assigned to two groups (Group 1: Mage = 69.44 ± 3.88 years, Group 2: Mage = 68.76 ± 2.78 years). Group 1 performed a big-amplitude calisthenic exercise program accompanied by classical music, while Group 2 performed the same program without music. The intervention lasted 8 weeks with two 60-min sessions per week. Outcomes were assessed pre- and postintervention using the Mini-Mental State Examination, Mini-Balance Evaluation Systems Test, Dual-Task Questionnaire, Timed Up and Go (TUG) test, and the Physical Activity Scale for the Elderly.</p><p><strong>Results: </strong>Both groups improved significantly from baseline in Mini-Mental State Examination, Mini-Balance Evaluation Systems Test, Dual-Task Questionnaire, Physical Activity Scale for the Elderly, TUG, and TUG dual task (all p < .001). Group 1 demonstrated larger improvements across these outcomes compared with Group 2, with higher within-group effect sizes in the Mini-Mental State Examination (d = 0.98 vs. 0.29), Mini-Balance Evaluation Systems Test (d = 0.49 vs. 0.16), Dual-Task Questionnaire (d = 1.07 vs. 0.76), Physical Activity Scale for the Elderly (d = 0.82 vs. 0.15), TUG (d = 0.47 vs. 0.36), and TUG dual task (d = 0.56 vs. 0.48).</p><p><strong>Conclusion: </strong>Big-amplitude calisthenic group exercises appear to have beneficial effects on balance and dual-task performance in older adults, with music potentially enhancing these outcomes. Significance/Implications: Music-supported calisthenic exercises may promote cognitive-motor benefits in older adults, though the lack of a nonexercise control group and short follow-up limit the strength of conclusions.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"91-99"},"PeriodicalIF":1.5,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866108","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":"Exploratory Analysis of Mental Health and Quality of Life Outcomes in a Randomized Controlled Trial to Reduce Sitting Time in Older Adults With Obesity.","authors":"Stefani Florez-Acevedo, Mikael Anne Greenwood-Hickman, Weiwei Zhu, Andrea J Cook, Kristin Delaney, Beverly B Green, David E Arterburn, Jennifer B McClure, Dori E Rosenberg","doi":"10.1123/japa.2024-0387","DOIUrl":"10.1123/japa.2024-0387","url":null,"abstract":"<p><strong>Background: </strong>Both sedentary behavior and mental health issues are highly prevalent among older adults. Observational data indicate positive associations between high sedentary behavior and conditions like depression and anxiety. However, it is not known if reducing sedentary behavior leads to changes in mental health.</p><p><strong>Purpose: </strong>We conducted an exploratory analysis of a sedentary behavior reduction intervention's effect on self-reported mental health outcomes and quality of life in older adults with obesity.</p><p><strong>Methods: </strong>The Health Aging Resources to Thrive trial (clinicaltrials.gov # NCT03739762) enrolled older adults aged 60-89 years with a body mass index of 30-50 kg/m2, who self-reported sitting >6 hr/day. Participants were randomized to a sedentary behavior reduction intervention or a healthy living attention-control group. The intervention included 10 behavioral coaching sessions, sitting reduction goals, a standing desk, and a fitness tracker. The attention-control group received 10 coaching contacts to set general healthy living goals excluding physical activity or sedentary behavior. Mental health and quality of life outcomes (depressive symptoms, anxiety symptoms, loneliness, quality of life, sleep disturbance, and pain interference) were measured at baseline, 3 months, and 6 months. We used linear regression models with generalized estimating equations to estimate adjusted mean changes from baseline for each outcome and mean change difference between groups.</p><p><strong>Results: </strong>Participants (N = 283, n = 140 intervention, n = 143 control; mean age = 68.8 years, 65.7% women, 68.9% White non-Hispanic, 55.5% retired) in the intervention group had significant reductions in perceived loneliness score compared with the control group at 6 months (-0.27; 95% confidence interval [-0.52, -0.02]). Depressive symptoms, pain, sleep disturbance, and quality of life improved in both the intervention and control groups, but differences between groups were not statistically significant at 3 or 6 months.</p><p><strong>Conclusions: </strong>Sedentary behavior reduction may positively impact loneliness in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"496-507"},"PeriodicalIF":1.7,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13599601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationships Between Individual and Relation-Inferred Self-Efficacy and Physical Activity in Older Adult Couples.","authors":"Elizabeth Zambrano Garza, Tiana Broen, Maureen C Ashe, Kenneth M Madden, Denis Gerstorf, Christiane A Hoppmann","doi":"10.1123/japa.2025-0005","DOIUrl":"10.1123/japa.2025-0005","url":null,"abstract":"<p><strong>Background/objectives: </strong>Older adults often face daily problems that can interfere with physical activity. Although individual self-efficacy (confidence in one's own abilities) is known to promote physical activity, it overlooks the social influences in older adults' lives. Relation-inferred self-efficacy (the belief that a close other has confidence in one's abilities) may provide additional insight. This study explored associations between daily problems, individual self-efficacy, and relation-inferred self-efficacy with physical activity (moderate to vigorous physical activity and steps). It also examined whether individual and relation-inferred self-efficacy moderate the relationship between daily problems and physical activity.</p><p><strong>Methods: </strong>A sample of 226 community-dwelling older adults (109 couples and eight individuals) wore accelerometers for up to 7 days to track daily physical activity. Participants also reported daily problems and levels of self-efficacy. Multilevel models were used to examine the associations of self-efficacy and daily challenges with physical activity and to test moderation effects of self-efficacy on the problem-physical activity relationship.</p><p><strong>Results: </strong>Both individual and relation-inferred self-efficacy were positively associated with physical activity when examined separately. However, when modeled together, only relation-inferred self-efficacy remained a significant predictor. Daily problems were not significantly related to physical activity, and there were no significant moderation effects of self-efficacy on the problem-physical activity relationship.</p><p><strong>Conclusion: </strong>These findings suggest that relation-inferred self-efficacy might be more important than individual self-efficacy for physical activity among older adults, emphasizing the role of social context. Significance/Implications: Interventions promoting physical activity in older adults may benefit from incorporating support from close others to enhance relation-inferred self-efficacy.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"441-451"},"PeriodicalIF":1.7,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410680","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 Chair-Based Exercises on Perceived Therapeutic and Quality of Life in Inactive Older Adults With Knee Osteoarthritis: A Randomized Controlled Trial.","authors":"Ali Osman Bayazıt, Volkan Aşkun","doi":"10.1123/japa.2025-0041","DOIUrl":"10.1123/japa.2025-0041","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the effects of chair-based exercises (CBEs) on pain, function, balance, quality of life, and exercise perception in inactive older adults with knee osteoarthritis and explored social policy implications.</p><p><strong>Methods: </strong>A single-blind, parallel-group, randomized controlled trial, included 40 participants (≥65 years, Kellgren-Lawrence Grade 2-3 knee osteoarthritis, and no regular exercise in the last 3 months). The intervention group (IG; n = 20) performed CBE twice weekly for 8 weeks, while the control group (n = 20) maintained usual activities. Outcomes were assessed using the Western Ontario and McMaster Universities Osteoarthritis index (pain, stiffness, and function), Timed Up-and-Go test (balance/mobility), Exercise Benefits/Barriers Scale, and Nottingham Health Profile. Data were analyzed using analysis of covariance to compare postintervention outcomes while controlling for baseline scores, and qualitative comparative analysis explored factors affecting quality of life.</p><p><strong>Results: </strong>Analysis of covariance revealed that the IG demonstrated statistically significant and clinically substantial improvements in pain, stiffness, and function (Western Ontario and McMaster Universities Osteoarthritis), as well as dynamic balance and mobility (Timed Up and Go), with large treatment effects observed across all measures compared with the control group. Perceived exercise benefits increased, and barriers decreased in the IG. Nottingham Health Profile scores also improved significantly in the IG. Qualitative comparative analysis indicated that quality-of-life improvements resulted from pain reduction, functional gains, and enhanced exercise perception.</p><p><strong>Conclusion: </strong>This study provides robust evidence that an 8-week CBE program significantly improves pain, function, balance, and quality of life in older adults with knee osteoarthritis while enhancing exercise motivation.</p><p><strong>Significance: </strong>As a cost-effective and safe intervention, CBE can support active aging, reduce health care costs, and enhance older adults' social participation. Integrating CBE into public health policies and community programs may promote well-being and independence.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"508-520"},"PeriodicalIF":1.7,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410671","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 Effect of 8 Weeks of Pickleball Program on Balance, Spatiotemporal Gait Parameters, and Psychosocial Factors in Older Adult Women: A Single-Blinded Randomized Controlled Trial.","authors":"Shima Sheikhbahaie, Mansour Sahebozamani, Saeid Bahiraei, Mahdi Hosseinzadeh, Mohammad Alimoradi","doi":"10.1123/japa.2025-0100","DOIUrl":"10.1123/japa.2025-0100","url":null,"abstract":"<p><strong>Background: </strong>Aging-related neuromuscular decline impairs balance and gait, increasing fall risk. While physical activity can mitigate these effects, adherence to traditional programs remains low. Pickleball was chosen for its moderate intensity, ease of learning, social engagement, and growing popularity among older adults, making it an accessible and enjoyable alternative. This study investigated the effects of an 8-week pickleball program on balance, gait parameters (stride length, velocity, cadence), and social capital in older adult women.</p><p><strong>Methods: </strong>A single-blind, randomized controlled trial was conducted with 36 women aged 60-75 years (mean age: 65.5 ± 4.5). Participants were assigned to an intervention group (n = 20), completing supervised pickleball training three times per week, or a control group (n = 16), continuing routine activities. Balance was assessed using the Mini Balance Evaluation Systems Test, gait via motion capture, and social capital through a validated questionnaire.</p><p><strong>Results: </strong>The intervention group demonstrated significant improvements in Mini Balance Evaluation Systems Test scores (+28.48%, p < .001, d = 2.74), stride length (+5.40%, p = .013, d = 0.54), stride velocity (+13.13%, p = .008, d = 0.67), cadence (+7.19%, p = .006, d = 0.57), and reduced double support duration (-23.80%, p = .003, d = 0.36). Social capital also increased (+12.59%, p = .005, d = 0.71). The control group showed a decline in balance and gait.</p><p><strong>Conclusion: </strong>An 8-week pickleball program significantly improved balance, gait, and social engagement in older adult women. Future research should explore long-term effects and compare pickleball with other interventions for fall prevention.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"452-462"},"PeriodicalIF":1.7,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402632","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 Effect of Multimodal Sensory Feedback in Tai Chi on Cognitive Function in Older Adults.","authors":"Ying Wang, Xuechen Bai, Tong Wang","doi":"10.1123/japa.2025-0029","DOIUrl":"10.1123/japa.2025-0029","url":null,"abstract":"<p><strong>Background: </strong>Older adults frequently encounter barriers to exercise, including limited social support, inadequate guidance, and a fear of falling. Tai Chi is a safe, low-impact activity that can improve balance, strength, and memory. However, without professional instruction, older adults may struggle to accurately assess their movements, which can reduce exercise effectiveness and adherence. This study compared the effects of multimodal sensory feedback of Tai Chi on task performance and perceptual experience in older adults.</p><p><strong>Methods: </strong>A Tai Chi exercise video was used as the intervention material in an experiment conducted in a senior community. Thirty-eight older adults were recruited, with 20 in the experienced group and 18 in the inexperienced group. Each person participated in an experimental task with four feedback modalities (visual, visual-auditory, visual-haptic, and visual-auditory-haptic), and the order of feedback modalities experienced by each participant was random. Measures included reaction time, number of misses, workload, and satisfaction.</p><p><strong>Results: </strong>Regardless of experience, the lowest task performance scores were observed in the visual feedback modality, followed by the visual-haptic modality. Multimodal feedback did improve older adults' reaction time and number of misses. However, no significant differences in workload and satisfaction were found for participants.</p><p><strong>Conclusion: </strong>Designing multimodal sensory feedback in exercise is more beneficial than visual-only feedback, but haptic feedback may increase the workload of older adults.</p><p><strong>Significance: </strong>This study offers valuable insights for optimizing exercise feedback modalities for older adults, providing a theoretical foundation for more effective interventions, particularly in enhancing cognitive function and exercise adherence.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"463-472"},"PeriodicalIF":1.7,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395139","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}