JMIR Aging,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 14, 2024
Older
adults
face
several
barriers
to
exercise
participation,
including
transportation,
lack
of
access,
and
poor
weather
conditions.
Such
may
influence
whether
older
meet
the
Canadian
24-Hour
Movement
Guidelines.
Recently,
have
adopted
technology
for
health
care
are
increasingly
using
digital
technologies
improve
their
access
care.
Therefore,
be
a
valuable
tool
reduce
increase
participation
rates
within
this
population.
This
study
aimed
explore
adults'
perceptions
experiences
exercise,
in
general,
specifically
related
our
synchronous
online
program
community-dwelling
adults.
A
total
3
registered
kinesiologists
1
physiotherapist
with
experience
working
delivered
an
8-week,
thrice-weekly
group-based
cohorts.
The
focused
on
strength,
balance,
aerobic
activity.
Following
program,
qualitative
interpretive
descriptive
design
was
conducted
participants'
experiences.
Participants
were
invited
take
part
30-minute,
one-on-one
semistructured
interview
via
Zoom
research
team
member.
Interview
data
thematically
analyzed
identify
common
themes.
22
(16
women,
6
men;
mean
age
70,
SD
4
years)
participated
interviews.
Three
themes
identified
as
follows:
(1)
health,
aging
beliefs;
(2)
pandemic
interruption
impacts;
(3)
programs
attenuate
exercise.
discussed
beliefs
behaviors
desire
safely
correctly
participate
found
that
physical
activity
curtailed,
routines
disrupted,
in-person
revoked
due
pandemic.
However,
many
suggested
motivational
attenuated
commonly
reported
environmental
such
transportation
concerns
(eg,
time
spent
traveling,
driving,
parking),
accessibility
convenience
by
participating
at
location
choice,
removing
travel-related
during
Given
these
experiences,
we
posit
help
motivate
maintain
adherence
These
findings
leveraged
outcomes
International Journal of Public Health,
Journal Year:
2025,
Volume and Issue:
69
Published: Jan. 3, 2025
Physical
activity
(PA)
is
crucial
for
older
adults'
wellbeing.
Digital
health
interventions
(DHIs)
are
important,
however
a
synthesis
aimed
at
healthy
community-dwelling
OA
lacking.
This
study
aims
to
synthesize
DHIs
effect
on
PA
levels
among
60-year-old
adults
or
older.
A
systematic
review
was
performed.
using
eHealth/mHealth
tools,
apps
and
text
messaging
were
included.
Primary
outcomes
daily
steps,
moderate-to-vigorous
sedentary
time.
Quality
assessed
via
Cochrane
risk-of-bias
tools.
Study-reported
effect,
quality,
sample
size,
duration
dropout
rate
semi-quantitatively
synthesized
determine
the
overall
category
effect.
12
studies
75%
low-quality,
size
16-18,080,
3-18
weeks,
average
4.2%-46.7%.
The
of
"motivational
reminders"
"dynamic
exercise
programs"
showed
an
positive
"PA
self-monitoring"
mixed
results
"exercise
digital
coaching"
non-positive
Motivational
reminders
dynamic
programs
proved
more
effective
in
increasing
than
other
should
be
embedded
structured
public
programs.
Clinical Interventions in Aging,
Journal Year:
2025,
Volume and Issue:
Volume 20, P. 109 - 124
Published: Feb. 1, 2025
Purpose:
To
assess
the
impact
of
an
8-week
non-immersive
virtual
reality
exercise
program
for
older
adults
on
1)
balance,
physical
function,
community
integration
and
quality
life;
2)
falls,
emergency
room
visits,
hospital
long-term
care
admissions;
3)
quantity
performed;
4)
acceptance
reality.
Patients
Methods:
This
prospective,
assessor-blinded,
randomized
controlled
trial
was
carried
out
two
separate
samples
adults:
those
living
in
their
own
homes
("home-based")
("facility-based").
Participants
were
to
or
usual
activity.
Non-immersive
consisted
20–
30
minutes
customized,
gamified
exercises
stepping,
strengthening,
aerobic
conditioning,
performed
3–
5x/week
8
weeks.
Outcomes
measured
before
intervention,
immediately
after,
1
month
later.
Physical
testing
questionnaires
addressed
objective
1).
Counts
objectives
reported
by
participants
retrieved
from
platform.
Logbooks
a
short
interview
4).
Results:
Recruitment
substantially
impacted
COVID-19
pandemic.
The
facility-based
sample
had
31
participants;
home-based
16.
There
no
statistically-significant
benefits
either
1),
although
group
showed
clinically-significant
improvement
functional
walking.
Effect
sizes
small
(≤
0.16).
No
falls
occurred
during
exercise.
did
average
14.1
sessions
(average
20.1
minutes/session)
17.2
(22.6
minutes/session).
enjoyed
reality,
found
it
challenging
motivating
felt
that
improved
balance
Most
interested
continue
beyond
study.
Conclusion:
is
safe,
enjoyable
feasible
may
increase
users'
weekly
levels
activity
leading
clinical
walking
users.
Trial
Registration:
ClinicalTrials.gov
(NCT04083885;
registered
2019–
09-06).
Plain
Language
Summary:
Regular
so
important
adults.
It
improves
strength,
flexibility,
endurance
reduces
risk
increases
independence.
However,
many
do
not
exercise,
variety
reasons.
We
tested
fun
safe
way
seniors
customized
home,
using
platform
called
Jintronix,
which
turns
into
games!
recruited
(home-based
sample),
(facility-based
sample)
try
20-30
minutes,
3-5
times
week
each
participant
therapist,
who
followed
up
weekly.
A
total
47
recruited.
16
17
(23
min/session)
over
weeks,
14
(20
min/session).
–
one
fell
sustained
significant
injury
while
doing
motivating,
commented
wished
once
study
over.
have
confirmed
can
engage
more,
with
potential
improve
health
option
ideal
find
difficult
leave
home
wish
privately.
Keywords:
exergaming,
adults,
healthy
aging
Journal of Hypertension,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 28, 2025
Objective:
Black
populations
are
disproportionately
affected
by
hypertension
and
less
likely
to
engage
in
blood
pressure-lowering
activities,
such
as
exercise,
compared
non-Hispanic
White
populations.
There
is
a
lack
of
theory-informed
approaches
understand
how
individual
environmental
racial
disparities
impact
exercise
participation
among
individuals
with
hypertension.
The
I-Change
Model,
an
integrated
behavior
change
framework,
combines
concepts
from
social
health
psychology
explain
the
interaction
between
awareness,
motivation,
action
adopting
maintaining
behaviors.
This
study
aims
apply
augmented
version
Model
enhance
our
understanding
participation.
Methods:
Individuals
self-reported
doctor-diagnosed
(
N
=
370),
comprising
n
142)
228)
adults
who
were
recruited
via
online
recruitment
platform,
completed
survey
validated
theoretical
constructs
at
baseline
4
weeks.
Structural
equation
modeling
race
set
group
variable
was
used
compare
model
path
effects.
Results:
Among
both
races,
intention
enacted
behavior,
whereas
psychological
barriers
reduced
likelihood
engaging
behavior.
However,
notable
participants
included
(e.g.,
safety,
accessibility
gym)
that
hindered
affective
attitudes
did
not
facilitate
intention.
Conclusions:
An
promotion
program
fosters
determinants
creates
accessible,
supportive
environment
would
equitable
opportunities
for
Additional
recommendations
designing
provided.
HRB Open Research,
Journal Year:
2025,
Volume and Issue:
8, P. 41 - 41
Published: March 17, 2025
Background
The
aim
of
the
POWER
trial
is
to
investigate
effects
a
whey
protein
oral
nutritional
supplement
(ONS)
combined
with
an
online
resistance
training
(RT)
programme
compared
RT
alone
on
physical
function,
status
and
health-related
outcomes
in
community-dwelling
older
adults
receiving
supportive
home
care
who
are
at
risk
sarcopenia.
Methods
This
home-based,
randomised
controlled
will
include
aged
≥70
years,
(professional
and/or
informal),
be
screened
for
sarcopenia
via
telephone.
Forty-six
participants
into
either
(i)
ONS
+
or
(ii)
only
arms.
Participants
group
provided
enriched
leucine
vitamin
D
consume
twice
day
12
weeks.
All
week
Zoom.
primary
measured
using
Timed
Up
Go
test
status,
Mini-Nutritional
Assessment-Full
Form.
Secondary
body
composition,
dietary
intake,
gait
speed,
muscle
strength,
cognitive
depression
risk,
activities
daily
living,
quality
life
feasibility
intervention
implementation.
baseline,
after
weeks
post-intervention.
Conclusion
study
provide
data
effectiveness
delivered
Zoom,
alone,
care.
Trial
registration
NCT05688956;
registered
December
2022.
BACKGROUND
:
It
is
well
established
that
physical
activity
(PA)
important
to
health,
quality
of
life,
and
well-being.
Yet,
most
older
adults
do
not
engage
in
on
a
regular
basis
or
meet
the
recommended
guidelines.
OBJECTIVE
This
study
evaluated
feasibility,
acceptability,
efficacy
digital
exercise
program,
Fittle
Senior
System
(FSS).
The
FSS
intervention
was
designed
provide
customized
behavior-change
programs
increase
engagement
foster
online
social
interaction
support
from
small
teams
pursuing
similar
goals.
METHODS
One
hundred
eighty-one
aged
60
95,
including
males
females,
participated
study.
Participants
were
randomized
into
condition
Tablet
Education
(TE)
control
using
cluster
randomization.
provided
tablet
with
app,
Misfit
Flare
tracker,
resistance
band.
trial
duration
six
months.
initial
three
months
active
phase,
followed
by
month
maintenance
phase.
TE
also
tablet,
Flare,
band,
introduced
websites
containing
for
aging
adults.
Measures
include
measures
usability,
health
outcomes,
psychosocial
outcomes.
Assessments
occurred
at
baseline
3-
6-
post
RESULTS
usable
acceptable
participants
assigned
condition.
both
conditions
experienced
increased
activity,
self-efficacy,
health-related
support,
decreased
isolation
loneliness.
who
used
app
greater
extent
reported
higher
self-ratings
better
compared
year
ago,
lower
isolation.
easy
use
motivating
respect
engaging
exercise.
CONCLUSIONS
Our
findings
indicate
are
feasible
These
can
result
improvements
Further,
despite
disruptions
COVID-19
pandemic,
attrition
low,
indicating
these
types
interventions
valuable
adults,
those
multiple
chronic
conditions.
CLINICALTRIAL
NCT03538158
UNSTRUCTURED
Technology-assisted
physical
activity
interventions
for
older
adults
in
their
home-based
environment
have
been
used
to
promote
activity.
While
previous
reviews
focused
on
health-related
outcomes
of
such
interventions,
this
scoping
review
explores
the
characteristics
technology
relation
populations,
exercise
types
and
usability
terms
adverse
events,
drop-outs,
adherence
user
experience.
We
identified
8496
sources.
After
title
abstract
screening,
455
full
texts
were
assessed,
148
included,
representing
12,717
participants
aged
74
(SD
6)
years.
In
total,
93
(63%)
sources
reported
population’s
health
status.
The
main
purpose
was
balance
(51%),
strength
power
(43%)
intervention
purposes
not
related
embedded
technology.
studies
where
participant’s
status
as
healthy,
53%
implemented
exergames
compared
only
27%
with
a
clinical
condition.
Mobile
apps
(20%)
trackers
(11%)
likewise
both
groups.
provide
continuous
information
(27%)
feedback
or
record
real-time
movement
data
(26%).
Adverse
events
68
(46%)
three
quarters
(49
sources)
reporting
no
events.
Only
2
mild
Dropout
rates
100
(68%)
studies,
differences
between
(16±16%)
control
(14±12%)
reasons
3%.
Adherence
78
(53%)
slightly
higher
group
(80±18%)
(71±25%).
A
significantly
found
that
tailored
(83
±
15%)
versus
those
(75±21%).
General
enjoyment
captured
55
(37%)
rated
positive
(91%),
neutral
(7%)
negative
(2%).
Occasionally
wishes
goal
setting,
feedback,
technical
support,
variation,
social
setting.
conclusion,
various
technologies
successfully
healthy
populations.
reason
additional
dropouts,
lead
better
adherence,
rarely
When
well
accepted
positively
enjoyed.
European Review of Aging and Physical Activity,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: Sept. 19, 2024
Abstract
Background
Since
the
onset
of
coronavirus
2019,
there
has
been
an
upsurge
tele-exercise
delivery.
Previous
studies
showed
old
adults
find
feasible
and
acceptable.
However,
is
limited
understanding
oldest-old’s
experiences.
Method
This
study
used
interpretative
phenomenological
approach.
Two
semi-structured
interviews
home
visits
were
conducted
with
six
oldest-old
women,
aged
between
81
91
years,
who
participated
in
classes.
Results
Four
superordinate
themes
identified:
ambivalent
perception
safety,
ease
regular
participation,
reminded
guided
to
move
body,
technological
adaptation.
Conclusion
Our
findings
indicate
that
potential
assist
living
community
maintaining
adequate
activity
levels
at
home,
which
they
perceive
as
safest
place.
Emerging
provide
insights
into
their
lived
experiences,
enabling
service
providers
enhance
services
for
this
group
tele-health
era.
BACKGROUND
Older
adults
face
several
barriers
to
exercise
participation,
including
transportation,
lack
of
access,
and
poor
weather
conditions.
Such
may
influence
whether
older
meet
the
Canadian
24-Hour
Movement
Guidelines.
Recently,
have
adopted
technology
for
healthcare
are
increasingly
using
digital
health
technologies
improve
their
access
care.
Therefore,
be
a
valuable
tool
reduce
increase
participation
rates
within
this
population.
OBJECTIVE
We
aimed
explore
adults’
perceptions
experiences
exercise,
in
general,
specifically
related
our
live
online
program
community-dwelling
adults.
METHODS
Registered
kinesiologists
physiotherapists
delivered
an
8-week,
thrice-weekly
group-based
The
focused
on
strength,
balance,
aerobic
activity.
Following
program,
qualitative
study
with
interpretive
description
design
was
conducted
participants’
experiences.
Participants
were
invited
take
part
30-minute,
one-on-one
semi-structured
interview
via
Zoom
research
team
member.
Interview
data
thematically
analyzed
identify
common
themes.
RESULTS
Twenty-two
(16
women,
6
men;
70±4
y)
participated
interviews.
Three
themes
identified:
1)
health,
aging
beliefs;
2)
pandemic
interruption
impacts;
3)
synchronous
programs
attenuate
exercise.
discussed
beliefs
behaviours
desire
safely
correctly
participate
found
that
physical
activity
curtailed,
routines
disrupted,
in-person
revoked
due
pandemic.
However,
many
suggested
motivational
attenuated
commonly
reported
environmental
such
as
transportation
concerns
(e.g.,
time
spent
travelling,
driving,
parking),
accessibility
convenience
by
participating
at
location
choice,
removing
travel-related
during
CONCLUSIONS
Given
these
experiences,
we
posit
help
motivate
maintain
adherence
These
findings
leveraged
outcomes
CLINICALTRIAL
NCT04627493
Journal of Orthopaedic and Sports Physical Therapy,
Journal Year:
2024,
Volume and Issue:
55(1), P. 1 - 12
Published: Nov. 22, 2024
OBJECTIVE:
To
explore
trajectories
of
12-week
adherence
to
a
digital
education
and
exercise
therapy
for
knee
hip
osteoarthritis
(OA),
associations
with
baseline
characteristics,
patient-reported
outcomes
measures
(PROMs)
up
1-year
follow-up.
DESIGN:
Retrospective
cohort
(registry)
study.
METHODS:
Weekly
data
on
(ie,
the
percentage
completed
activities
[exercises,
lessons,
quizzes])
were
obtained
over
12
weeks
(n
=
14
097).
Longitudinal
k-means
clustering
was
used
identify
trajectory
clusters.
Associations
characteristics
clusters
assessed
using
multinomial
logistic
regression.
Trajectories
each
PROM
(pain,
function,
general
health)
from
follow-up
(measured
at
3-month
intervals)
across
explored
generalized
estimating
equations
adjusted
characteristics.
RESULTS:
Four
identified:
“high-persistent”
(68.0%),
“high-declining”
(16.6%),
“moderate-increasing”
(8.5%),
“moderate-declining”
(6.9%).
Multinomial
regression
suggested
that
female
sex,
older
age,
lower
body
mass
index,
education,
living
outside
metropolitan
cities,
higher
level
physical
activity,
less
anxiety/depression,
no
fear
movement,
having
walking
difficulties,
readiness
do
associated
probability
assignment
than
other
Beliefs/perceptions
sociodemographic
factors
accounted
most
explained
variation
in
While
cluster
generally
reported
better
clusters,
these
differences
small.
CONCLUSION:
there
variations
treatment,
participants
clinically
comparable
PROMs
regardless
their
cluster.
J
Orthop
Sports
Phys
Ther
2025;55(1):1-12.
Epub
22
November
2024.
doi:10.2519/jospt.2024.12864
