Journal of Aging and Physical Activity最新文献

{"title":"Responses in Posttherapy Recovery-Based Virtual Reality With Blood Flow Restriction in Older Women: A Randomized Crossover Clinical Trial.","authors":"Silas de Oliveira Damasceno, Eduardo Pizzo Junior, Allysiê Priscilla de Souza Cavina, Driely Stephany Pedroso Dos Santos, Maria Eduarda Lopes da Cruz, Gabriella Souza Oliveira Meireles Pimenta, Franciele Marques Vanderlei","doi":"10.1123/japa.2025-0027","DOIUrl":"10.1123/japa.2025-0027","url":null,"abstract":"<p><p>Blood flow restriction (BFR) and virtual reality-based therapy (VRT) are widely used interventions. However, no studies have investigated the combined effects of these therapies on autonomic, hemodynamic, and perceptual outcomes in older women. Therefore, the purpose was to evaluate the autonomic and hemodynamic behavior following VRT-BRF in older women, and to identify the perceptual responses during and after exercise recovery. A randomized crossover clinical trial was conducted with 17 older women randomly divided into three groups with a washout period of 7 days between sessions: VRT-BFR (40%), only VRT, and control. VRT was performed using the Nintendo Wii video game. For all groups, hemodynamic parameters (heart rate, systolic blood pressure, and diastolic blood pressure, double product) and the RR intervals were collected. Subsequently, the randomized intervention was performed and, for the VRT-BFR and VRT groups, autonomic parameters, signs and symptoms, and perceived effort were monitored during the games. Immediately after the interventions, a recovery period was initiated during outcomes were collected again for 60 min. In the recovery period for the VRT-BFR group, RR intervals showed a significant decrease from baseline until the 30th minute of recovery, heart rate showed a significant increase between baseline and the first and third minutes, and the double product showed a significant increase between baseline and the first minute. However, there was no statistical difference between groups, as well as group-time interaction. In conclusion, the VRT-BFR did not cause autonomic, hemodynamic, and perceptual imbalance in postexercise recovery.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"482-495"},"PeriodicalIF":1.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239970","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 Between Leg Skeletal Muscle Mass Asymmetry Index and the Timed Up-and-Go Test in Community-Dwelling Older Adults.","authors":"Taishiro Kamasaki, Mizuki Hachiya, Hiroyuki Okawa, Kazuhiko Fujiwara, Kodai Hosaka, Takuya Suenaga, Yo Kichize, Satoshi Fujimura, Shotaro Ide, Yasuhiro Mizokami, Minoru Kamata, Hiroshi Otao","doi":"10.1123/japa.2024-0415","DOIUrl":"10.1123/japa.2024-0415","url":null,"abstract":"<p><strong>Objectives: </strong>Given that body composition assessment is becoming more common, demonstrating the significance of assessing muscle mass asymmetry, which has not been a focus in the past, would be important. This study examined the association between the leg skeletal muscle mass asymmetry index (LSMAI) and the timed up-and-go (TUG) test to assesses dynamic postural control capabilities, in community-dwelling older adults.</p><p><strong>Methods: </strong>This study is a cross-sectional study. The study had 122 (75 ± 6 years, 74% female) participants who fulfilled the required sample size. A generalized linear model was used to examine the association between the TUG and the LSMAI.</p><p><strong>Results: </strong>An association was found between the TUG and LSMAI (standard regression coefficient, 0.21, p = .022). As with the crude model, a significant association was found between TUG and LSMAI in the adjusted model (standardized coefficient = 0.31, p = .009).</p><p><strong>Conclusions: </strong>Assessing LSMAI in older adults is crucial. Moreover, this finding indicates the need to consider LSMAI in maintaining the dynamic posture control capabilities of older adults.</p><p><strong>Implications: </strong>The new finding that LSMAI in older adults is associated with TUG emphasizes the need for assessment and intervention of LSMAI. This suggests that the approach to LSMAI may contribute to maintaining and improving dynamic posture control ability.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"435-440"},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202028","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":"Patterns of Social Participation and Late-Life Depression: The Mediating Role of Social Support and Aging Attitudes.","authors":"Yan Liu","doi":"10.1123/japa.2024-0247","DOIUrl":"https://doi.org/10.1123/japa.2024-0247","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the engagement patterns of older Chinese adults and their association with depression, including potential mediating roles of social support and aging attitudes, and how they are influenced by urban and rural factors.</p><p><strong>Methods: </strong>We use latent class analysis to categorized social engagement patterns using national survey data from 5,582 Chinese adults aged over 60. The effect of moderation and mediation was tested by the PROCESS macro (Model 4 and Model 8) for SPSS 27.0 by Hayes, using 5,000 bootstrap samples.</p><p><strong>Results: </strong>Three social engagement patterns were identified: Low Engagement, Social Engagement, and Family-Social Engagement. Mediation analyses revealed that Social Engagement indirectly reduced depression by enhancing positive aging attitudes, though it was linked to lower social support, which did not impact depression. Family-Social Engagement showed no significant effect on depression. Low Engagement indirectly reduced depression through positive aging attitudes but directly increased depression. Moderated mediation analysis indicated aging attitudes consistently mediated these effects, with urban factors strengthening the positive impact of Social Engagement on aging attitudes, while rural areas showed a negative association. No significant urban-rural differences were found for Low Engagement.</p><p><strong>Conclusion: </strong>Aging attitudes mediate the impact of Social Engagement on depression; urban-rural factors moderate this effect. Future studies need to measure social support comprehensively and explore the mechanism of Family Social Engagement and depression.</p><p><strong>Implications: </strong>Tailor interventions for urban and rural areas. Promote positive aging attitudes and enhance community support structures.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202001","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":"Enhancing Physical Activity in Older Adults More Than 6 Months Post Total Hip or Knee Replacement Through Telerehabilitation: A Pilot Randomized Controlled Trial.","authors":"Hiroto Takenaka, Kunio Ida, Shin Goto, Junya Suzuki","doi":"10.1123/japa.2024-0347","DOIUrl":"10.1123/japa.2024-0347","url":null,"abstract":"<p><strong>Background: </strong>Physical activity levels often remain suboptimal in older adults undergoing total hip replacement or total knee replacement after surgery, which can affect functional independence and quality of life.</p><p><strong>Purpose: </strong>To explore the feasibility and potential effects of a telerehabilitation delivery mode that combines activity tracking with remote physical therapist counseling on physical activity levels in older adults post total hip replacement or total knee replacement.</p><p><strong>Methods: </strong>The participants were randomly allocated to receive either a 12-week telerehabilitation program involving brief weekly telephone counseling from a physical therapist (n = 19) or a control group (n = 18). Activity trackers (Fitbit Sense) were used in both groups to objectively measure daily step counts, sedentary time (in minutes per day), low-intensity physical activity (in minutes per day), and moderate to vigorous physical activity (in minutes per day). These measures, along with physical function tests, were assessed at baseline and Weeks 12 and 24. The primary outcome was the change in physical activity levels across these parameters.</p><p><strong>Results: </strong>No adverse events were reported among the 37 participants. The telerehabilitation group demonstrated a significant increase in low-intensity physical activity at Weeks 12 and 24 compared with the control group (mean between-group difference: +30.9 min/day at 12 week and +29.0 min/day at 24 week; p = .04, effect size r = .33 at 12 week, r = .34 at 24 weeks). No significant differences emerged in step count, sedentary time, or moderate to vigorous physical activity.</p><p><strong>Conclusions: </strong>This pilot study showed telerehabilitation's potential to promote active lifestyles in post total hip replacement or total knee replacement older adults, particularly for increasing low-intensity physical activity. Future research should develop more intensive programs to improve moderate to vigorous physical activity and physical functions.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"281-290"},"PeriodicalIF":1.5,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180319","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 Effectiveness of Lifestyle Interventions, Including Exercise, Diet, and Health Education on Symptoms Experienced During Perimenopause: A Systematic Review of Randomized Controlled Trials.","authors":"Kelly Lee McNulty, Miriam Murphy, Edel Flynn, Aoife Lane, Annalouise Muldoon, Rosarie Kealy, Michael Harrison, John Windle, Patricia Heavey","doi":"10.1123/japa.2024-0226","DOIUrl":"10.1123/japa.2024-0226","url":null,"abstract":"<p><strong>Background: </strong>Perimenopause, the transitional period before menopause, is characterized by various physical and psychological symptoms that can impact women's health, well-being, and quality of life. Lifestyle modifications, including exercise, diet, and health education, might help manage these symptoms, but the current evidence is inconsistent. This systematic review aimed to synthesize and identify gaps in existing randomized controlled trials examining the effectiveness of lifestyle interventions on perimenopause symptoms.</p><p><strong>Methods: </strong>This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Four electronic databases (PubMed, CENTRAL, Web of Science, and Scopus) were searched. Two reviewers independently screened the records for eligibility, extracted data, and assessed study quality using a modified Downs and Black checklist and a strategy based on the Grading of Recommendations Assessment Development and Evaluation working group.</p><p><strong>Results: </strong>A total of 25 studies met the inclusion criteria. Nine studies evaluated exercise-only interventions, 12 studies investigated a combined intervention, and five studies focused on health education-only interventions. Notably, no studies exclusively examined diet-based interventions.</p><p><strong>Conclusion: </strong>The findings suggest that both exercise and health education might offer benefits in managing perimenopausal symptoms. However, due to large between study variances and methodological inconsistencies, evidence-based guidelines for lifestyle interventions during perimenopause remain elusive. Further high-quality research is needed to determine the optimal principles of lifestyle prescription for addressing perimenopause symptoms.</p><p><strong>Significance: </strong>The findings underscore the potential of exercise and health education in alleviating perimenopausal symptoms, while emphasizing the need for more rigorous studies to establish definitive, evidence-based guidelines.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"380-403"},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139435","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 Patterns and Their Impact on Fall Risk in Older Adults: A Latent Class Analysis.","authors":"Sang-Eun Oh, Ju-Pil Choe, Minsoo Kang","doi":"10.1123/japa.2024-0354","DOIUrl":"10.1123/japa.2024-0354","url":null,"abstract":"<p><p>Falls are a significant risk for older adults, often leading to severe injuries. Physical activity (PA) can reduce fall risk, but most studies focus on individual PA types rather than combined patterns. This study uses Latent Class Analysis to explore PA patterns among older adults and their relationship with falls, considering sex differences. Data were drawn from the 2023 Korean Community Health Survey (N = 68,996, aged ≥65 years). Participants' engagement in vigorous PA, moderate PA, walking, and flexibility exercises was used to classify latent subgroups separately by sex. Logistic regression examined associations between PA subgroups and fall experience, reporting adjusted odds ratios (aOR) and 95% confidence intervals (CIs). Four PA subgroups were identified for each sex. Among males, no significant differences in fall risk were observed across PA subgroups after adjusting for confounders (all aORs, p > .05). Among females, those engaging only in walking or walking plus flexibility exercises showed a significantly higher fall risk compared to the most active group (moderate PA, walking, and flexibility exercises). Specifically, the Walk-only group had an aOR of 1.13 (95% CI [1.00, 1.27]), and the Walk/Flex group had an aOR of 1.09 (95% CI [1.01, 1.16]). Participation in multiple types and intensities of PA was associated with a lower risk of falls, particularly among women. Sex-specific differences in PA patterns should inform fall prevention strategies. Encouraging older adults to engage in combinations of moderate-intensity PA, walking, and flexibility exercises may reduce falls and support healthy aging.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"291-300"},"PeriodicalIF":1.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139427","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":"Refining and Implementing a Vigorous Intermittent Lifestyle Physical Activity Intervention: Views of Key Stakeholders.","authors":"Bingyan Pang, Joanna C Moullin, Joanne A McVeigh, Cecilie Thøgersen-Ntoumani, Emmanual Stamatakis, Craig Thompson","doi":"10.1123/japa.2024-0126","DOIUrl":"10.1123/japa.2024-0126","url":null,"abstract":"<p><strong>Background: </strong>Novel options are needed to promote physical activity in the aging population. This study aimed to adapt intervention contents, determine implementation strategies and the mode of delivery for support materials of a targeted vigorous intermittent lifestyle physical activity (VILPA) intervention by consulting with key stakeholders (health professionals and adults transitioning to retirement).</p><p><strong>Methods: </strong>A two-phase approach was undertaken. In Phase 1, semistructured interviews were conducted with 10 health professionals. The intervention was amended, and implementation strategies were drafted according to findings from the health professional interviews. In Phase 2, the amended VILPA intervention was presented and discussed in two focus groups with 15 adults transitioning to retirement. The participants were consulted regarding the feasibility, acceptability, and appropriateness of the amended intervention and the implementation strategies and mode of delivery for the support materials. Qualitative content analysis was performed across both phases.</p><p><strong>Findings: </strong>Key implementation strategies adults transitioning to retirement recommended were education, social support, self-monitoring, rewards, and regular prompts. Participants preferred paper-based delivery of the intervention materials, as they thought the visual of a hard-copy material would act as a reminder to follow the intervention. Stakeholders believed the VILPA intervention could be delivered with a printed booklet that contained weekly checklists allowing participants to self-monitor and track their progress. Significance/Implications: This is the first attempt to translate evidence-based research on VILPA to an intervention in real-world settings. The novel intervention could provide new opportunities for older adults to engage in physical activity anywhere and anytime.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"473-481"},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082507","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 Balance and Proprioceptive Training on Rehabilitation After Total Knee and Total Hip Replacement: A Systematic Review and Meta-Analysis.","authors":"Huiwu Qu, Qiyun Zhen, Haixia Li, Qiuping Jiang, Xiuhong Cao, Liyuan Zhang, Lumei Huang, Hongmei Dou","doi":"10.1123/japa.2024-0390","DOIUrl":"10.1123/japa.2024-0390","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis aimed to compare the efficacy of balance or proprioceptive training and conventional training among older adults undergoing total hip and knee arthroplasty.</p><p><strong>Methods: </strong>We systematically searched PubMed, the Cochrane Library, Scopus, and Web of Science from study inception to March 8, 2025 to identify randomized controlled trials comparing the efficacy of balance or proprioceptive training with conventional training among older adults undergoing total hip and knee arthroplasty. The two methods of training were compared in terms of pain, function, and balance. We adopted a random-effects model (DerSimonian-Laird) to pool data.</p><p><strong>Results: </strong>Nineteen clinical trials with 579 individuals in the balance or proprioceptive training group and 556 individuals in the conventional training group were included in this meta-analysis. There were no significant differences between balance training and conventional training in terms of 10-min walk, average velocity, functional reach, single-leg standing, strength, timed up and go test, knee extension, knee flexion, Berg scale score, the Knee Injury and Osteoarthritis Outcome Score Activities of Daily Living subscale score, Knee Injury and Osteoarthritis Outcome Score pain score, Knee Injury and Osteoarthritis Outcome Score quality of life score, Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain score, WOMAC physical function score, and WOMAC stiffness score. Compared with conventional training, balancing training only decreased the WOMAC total score (standardized mean difference: -0.60, 95% confidence interval [-0.95, -0.25], I2 = 39.15%) and path length (weighted mean difference: -20.84 mm, 95% confidence interval [-32.85, -8.83], I2 = 0.00%).</p><p><strong>Conclusion: </strong>Balance training is not superior to conventional training for the rehabilitation of older adults undergoing total hip or knee arthroplasty.</p><p><strong>Implications: </strong>Balance training should not be necessarily preferred over conventional training for the rehabilitation of patients undergoing total hip or knee arthroplasty.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"82-90"},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076636","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":"Stand When You Can: Feasibility of a Multilevel, Multisite Sedentary Behavior Intervention in Assisted-Living Residences.","authors":"Jennifer L Copeland, Milena Zdjelar, Danielle R Bouchard, Irmina Klicnik, Brianna Leadbetter, Shilpa Dogra","doi":"10.1123/japa.2024-0128","DOIUrl":"10.1123/japa.2024-0128","url":null,"abstract":"<p><strong>Background/objectives: </strong>Prolonged sedentary time poses health risks for older adults, and residents in assisted living spend more time sedentary than peers who live independently. The purpose of this study was to examine the feasibility of Stand When You Can, a sedentary behavior intervention designed to encourage residents of assisted living to stand and move throughout the day without requiring structured program delivery or additional staff time.</p><p><strong>Methods: </strong>Five assisted-living residences in three provinces volunteered to use the Stand When You Can toolkit for 12 weeks. Feasibility outcomes included recruitment capability for ambassadors and participants, participant characteristics, and pre-post assessment of target outcome measures. Intervention fidelity was assessed at 6 weeks using on-site observations and informal interviews with staff and participants. Target outcomes included movement behaviors, physical function, and health status.</p><p><strong>Results: </strong>Sixty-eight older adults volunteered to participate, and a staff ambassador volunteered from each site. Only one site demonstrated good intervention fidelity by implementing a variety of different strategies to reduce sedentary time. Assessment of target outcomes was feasible, although there was significant attrition and >50% of individual participants did not complete follow-up testing at 12 weeks.</p><p><strong>Conclusion: </strong>While Stand When You Can was designed to be embedded in normal daily activities and require minimal staff time, it may not be feasible for most assisted-living residences to implement without additional staff.</p><p><strong>Significance: </strong>To help residents maintain function and quality of life, assisted-living residences must invest in adequate staff with the time and tools to promote a culture of movement.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"320-328"},"PeriodicalIF":1.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058754","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":"Diagnostic Criteria of Sarcopenia and Their Associations With Functional Performance in Older Adults.","authors":"Mohammad Nikkhoo, Po-Hsiang Tsui, Carl P C Chen, Hung-Bin Chen, Chih-Hsiu Cheng","doi":"10.1123/japa.2024-0231","DOIUrl":"10.1123/japa.2024-0231","url":null,"abstract":"<p><strong>Background/objectives: </strong>Sarcopenia, characterized by age-related muscle loss, impacts functional performance and mobility. This study compares sarcopenia prevalence and physical fitness outcomes among older adults using four criteria from European and Asian Working Groups.</p><p><strong>Methods: </strong>A total of 377 community-dwelling older adults all of Taiwanese ethnicity, were recruited for this study. They completed seven functional assessment tests. Descriptive statistics and various tests were used to compare variables between older adults with and without sarcopenia. Correlation and logistic regression analyses, along with the area under the curve, were performed to evaluate relationships between sarcopenia criteria and functional assessments, as well as the impact of functional performance on sarcopenia classification. Statistical significance was set at p < .05.</p><p><strong>Results: </strong>The prevalence of sarcopenia varied with different criteria: European Working Group on Sarcopenia in Older People (EWGSOP)-2 (3.7%), EWGSOP-1 (39.0%), Asian Working Group for Sarcopenia (AWGS)-2 (11.1%), and AWGS-1 (6.6%). The study found generally low but statistically significant correlations between functional tests and sarcopenia factors. The receiver operating characteristic analysis results indicated that the functional test set by logistic regression model achieved an area under the curve of 0.787 under EWGSOP-2, 0.686 under EWGSOP-1, 0.728 under AWGS-2, and 0.751 under AWGS-1. Patients with sarcopenia consistently performed worse in functional tests, and area under the curve values indicated the effectiveness of functional tests in distinguishing sarcopenia.</p><p><strong>Conclusion: </strong>This study highlights the variability in sarcopenia prevalence and functional implications among older adults using different European and Asian criteria, emphasizing the importance of context-driven diagnostic criteria. Significance/Implications: The findings of this study can highlight the need for selecting appropriate sarcopenia criteria to enhance screening accuracy, functional assessment, and targeted interventions for older adults in clinical practice.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"301-311"},"PeriodicalIF":1.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056244","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}